Um, and I'm gonna hand it over to Brian to talk about, uh, one of the workshops you went to.

to.Sure.

So I attended, uh, What Are We Looking At? Tools for Effective Direct Observation of Clinical Skills in Continuity Clinic.

And sorry if I butcher any names.

This was by, uh, Dr. Channing Brown, Ashley Karpinos, Aleksandra Myszkowski, and Sandra M-Motsios.

Um, and so this was kind of a bit just getting back to the basics, which was kind of refreshing in a, I think a era when we talk a lot about a lot of high tech and, and new things, just kind of saying in this day and age, how do we get back to the bedside with learners and make sure we're doing that actual direct observation? And really getting at this idea that in the typical clinic precepting context, we very often are taking a lot on trust, uh, even if we go in the room at the end of the visit.

So they started by highlighting that med students transitioning into intern year may have very heterogeneous competency in clinical skills, physical exam, communication, and it could be a bit of a black box un-unless we really go in and observe.

Um, Brian, do you wanna kick us off?

So do you think you can give us, uh, and the listeners a little, um, overview of why- what is it that I'm talking about?

Yeah.

So, um, that concept, uh, started actually, [clears throat] uh, when I was a post-doc, and I was working on...

So my background is in gene therapy and, uh, immune responses to gene therapy.

And at that time, you know, the way to control a vector or oncolytic virus was, you know, you either change the envelope or you change the promoter, uh, and you use a promoter that will drive the gene in a particular cell type.

But these things are not perfect.

We know now doing lots of RNA-seq single cell, you know, there's no promoter that's only in one cell type.

So if you could talk a little bit about just that experience and what you've kind of learned in the course of your journey, um, through putting up papers that, you know, laypeople get interested in, right? That then have kind of a broader reach than your academic peers at a university who are your kind of your general target audience to share your research with, and how that, what you've kind of gathered as an insight from that.

When did you realize the scale of storm that you were dealing with here?

We didn't really realize it was as extreme as it was.

I'll tell you the whole story.

I was on my way out to the garden to fix my rototiller to do some weeding, And it started to rain, so I went into my shop, figuring I would do something else till the rain quit.

Well, then it started to hail, and the hail was like the size of marbles.

So I knew my wife was in the house by herself, and she would panic a bit with the marble-sized hail.

So I went up there, and I walked into the house.

If you were to look back over your shoulder, go back to the time of the storm, is there anything that you would do differently or encourage others? Is there something you wish you'd known about tornadoes before?

of

your work online? Yes, sir.

Yes, sir.

We get a lot of stuff.

We do proactive operations where we pretend to be children and try to have the bad guys meet us instead of a real child.

We get cyber tips from the National Center for Missing and Exploded Children, where companies like Facebook, Instagram, Snapchat, they're required to report those terrorism, child pornography, different type of things that's monitored.

They'll report it and it generates a cyber tip to the Attorney General's office.

In my opinion, absolutely.