►
From YouTube: 2/15/2021 - Senate Committee on Education
Description
For agenda and additional meeting information: https://www.leg.state.nv.us/App/Calendar/A/
Videos of archived meetings are made available as a courtesy of the Nevada Legislature.
The videos are part of an ongoing effort to keep the public informed of and involved in the legislative process.
All videos are intended for personal use and are not intended for use in commercial ventures or political campaigns.
Closed Captioning is Auto-Generated and is not an official representation of what is being spoken.
A
We
welcome
everybody
to
the
senate
committee
on
education
and
welcome
those
who
are
on
online
and
present
and
also
and
present
by
phone
will,
the
secretary.
Please
call
the
role
senator
dendera
loop.
B
B
A
A
A
A
Okay,
everyone's
here
we
do
have
a
quorum
and
just
a
few
housekeeping.
Just
as
a
reminder
for
those
on
video.
Please
keep
yourself
muted.
When
I'm
speaking
committee
information
is
available
on
nellis,
which
can
be
can
be
accessed
through
the
legislature's
website.
You
may
also
watch
our
meetings
through
nellis
or
the
legislature's
youtube
channel.
A
If
testifying
or
providing
public
comment,
please
register
to
participate
through
nellis,
you
will
receive
an
email
confirmation
with
a
call-in
information.
Detailed
instructions
for
participating
are
available
on
the
help
page
linked
in
the
banner
at
the
top
of
every
page
on
nellis
and
when
you
do
testify,
please
state
and
spell
your
name
and
affiliation.
If
any
and
we'll
take
public
comment
at
the
end
of
the
meeting
and
we'll
limit
that
to
two
minutes
per
person
feel
free
to
submit
your
full
comments
in
writing
and
briefly
summarize
them
in
spoken
testimony.
A
You
may
submit
written
comments
as
outlined
on
the
agenda
by
emailing
or
paxing
them
to
the
committee
manager,
and,
let's
see
that's
it,
we
are
going
to
have
a
press
some
presentations
today
and
we
are
going
to
start
first
with
an
overview
of
the
intern
university
in
nevada,
las
vegas,
unlv,
school
of
medicine
and
covent
19
response
effort,
and
I
believe
we
have
dr
mark
khan
dean
of
the
unlvm
school
of
medicine
here
to
do
that
presentation.
So
we'll
turn
over
the
time
to
you,
dr
khan,.
C
Thank
you,
mr
chairman,
for
the
record
mark
j
khan,
k-a-h-n
dean,
the
school
of
medicine
and
vice
president
for
health
affairs
at
unlv.
C
Mr
chairman,
madam
vice
chairman
committee
members,
I
want
to
start
with
an
a
brief
overview
of
the
unlv
school
of
medicine.
We
began
a
process
in
2014
to
become
a
school
of
medicine
under
our
founding
dean,
dr
barbara
atkinson.
We
had
our
first
class
enrolled
in
2017
and
we
anticipate
our
first
match
and
graduation
this
spring
from
a
mission
strategy
perspective
we're
here
at
the
school
of
medicine,
to
care
for
our
community.
C
We
do
that
through
patient
care,
research,
education
and
community
engagement
and
running
through
each
of
those
four
pillars.
If
you
will
are
people
planning
in
process
and
diversity,
equity
and
inclusion,
and
that's
really
how
we
decide
what
we're
going
to
do
and
how
we're
going
to
use
valuable
resources.
C
I'm
going
to
talk
about
covet
at
the
end,
but
I
want
to
mention
that
we're
actively
involved
in
stem
cell
research
for
patients
with
cardiovascular
illness,
motor
vehicle
accident
research
and
personalized
medicine
as
part
of
our
school's
mission,
all
of
our
students
are
involved
in
community
service.
We
have
set
up
a
free
clinic
with
the
southern
nevada
health
district
and
we're
in
the
process
of
setting
up
a
school
clinic
to
provide
care
to
our
most
vulnerable
populations.
C
We
also
have
a
new
130
000
square
foot,
medical
education
building
due
to
open
sometime
late
summer,
early
fall
of
2022..
We
started
several
initiatives,
including
combined
md,
mba,
md,
mph
and
md
phd
programs.
We
are
about
to
open
an
early,
accept
program
with
our
honors
college.
C
C
One
of
the
things
I'm
a
hematologist
by
training.
So
one
of
the
things
that
we
wanted
to
set
up
when
I
got
here
was
a
convalescent
plasma
program
where
we
take
plasma
the
liquid
part
of
blood
from
patients
who
have
recovered
from
covid
and
give
them
to
some
of
our
sick
patients
suffering
covet
infections.
C
C
As
of
today,
we
vaccinated
over
32
000
people,
focusing
mostly
on
frontline
workers,
healthcare
providers,
police
fire
we've
also
in
the
middle
of
vaccinating
the
clark
county
school
district,
and
we
will
expand
to
others
per
the
governor's
guidelines.
Our
students
have
been
on
the
front
line.
They've
been
answering
phones,
they've,
been
assisting
with
our
convalescent
plasma
program.
Early
on
they've
been
answering
questions.
C
Our
students
during
their
first
two
years
of
school,
are
in
a
hybrid
curriculum,
both
in
person
as
well
as
virtual
and
our
clinical
students
are
in
the
hospitals
taking
care
of
patients.
Similarly,
our
faculty
have
been
actively
involved
in
the
care
of
covered
patients.
The
mortality
of
covet
patients
in
our
primary
teaching
hospital
umc
is
below
the
national
average
and
that's
really
a
testament
not
only
to
the
doctors,
but
also
to
the
nurses,
respiratory,
therapists,
pharmacists
and
everyone
else
who
works
so
hard
on
the
front
lines
at
umc.
C
Similarly,
our
residents
have
been
actively
involved
in
taking
care
of
covid
patients.
That
is
a
brief
overview
of
our
school.
Mr
chairman,
I
am
open
for
questions.
A
Questions
senator
senator
on
derelict.
B
Yes
good
afternoon
and
thank
you
so
much
for
this
information.
I
see
your
successes
here.
Can
you
just
give
us
a
very
brief
overview
where
you
see
the
next
say
six
months
going.
C
Thank
you,
madam
senator,
mr
chairman.
I
think
that
you
know
our
biggest
struggle,
as
with
other
state
entities,
deal
with
state
finance,
we're
running
lean
and
mean
we're
we're
very
much
a
startup
organization,
and
we
would
like
to
grow
but
have
been
somewhat
limited
by
the
current
fiscal
price
crisis.
We
are
hopeful
moving
forward
that
some
resources
will
be
freed
up,
so
we
can
continue
to
develop
programs
and
grow.
C
Secondly,
we
had
our
final
visit
for
full
accreditation.
It
was
a
virtual
visit
in
october,
the
national
committee
that
that
fully
accredits
medical
schools
is
meeting
this
week
and
we
should
hear
soon
about
accreditation,
but
certainly
that
is
on
our
radar
moving
forward.
C
We
look
forward
to
moving
into
our
new
medical
education
building.
We
look
forward
to
expanding
clinical
services.
We
look
forward
to
caring
for
the
caring
for
our
community,
including
the
most
vulnerable.
But
again,
I
think
our
business
biggest
threat.
Excuse
me
is
that
of
the
current
fiscal
crisis,.
A
Quick
question
for
you:
I
noticed
as
you
talk
about
the
new
initiatives.
One
is
a
community
community
based
clinics.
Can
you
talk
a
little
bit
about
that?
C
Thank
you,
mr
chairman.
I
came
from
an
institution
that
had
over
30
clinics
in
the
community
staffed
by
faculty
and
students,
and
when
I
came
to
unlv,
one
of
our
goals
was
to
set
up
similar
clinics,
so
in
partnership
with
the
other
health
science
schools
at
unlv,
including
the
schools
of
nursing,
dental
medicine,
integrative
health
and
public
health,
we've
partnered,
with
the
southern
nevada
health
district
to
set
up
a
community
clinic
that
will
see
patients,
regardless
of
ability
to
pay
that
clinic,
would
have
been
open,
early
fall,
but
covet
has
delayed
implementation.
C
The
thing
I
like
about
this
clinic
is
a
it's
in
the
community
b,
it's
interdisciplinary
with
all
the
health
schools
and
their
students
participating
and
see.
It
really
speaks
to
our
central
mission
to
care
for
our
community.
In
addition,
we're
working
with
some
of
the
schools
to
try
to
set
up
neighborhood
clinics
in
schools
after
hours.
Those
discussions
are
underway,
but
the
planning
is
less
advanced
than
that
for
the
community
clinic.
A
Okay,
thank
you.
Other
questions.
D
Thank
you,
chair
dennis
and
hello,
dr
khan,
dean
khan,
quick
side.
Note
really
quick
comment.
The
last
time
I
was
in
carson
city
was
a
few
years
ago,
and
it
was
to
lobby
for
the
establishment
of
the
unova
school
of
medicine.
So
it's
really
cool
just
to
be
able
to
see
the
transition
and
everything
that
has
happened
since
then.
The
last
time
I
came
here
was
when
I
was
a
student
at
unlv.
D
My
main
question
for
you
today
is
I'm
actually
interested
in
hearing
about
what
you
guys
are
doing
in
your
tech
commercialization.
I
know
you
mentioned
that
in
your
presentation.
What
does
the
future
of
innovation
and
healthcare
look
like
for
the
unlv
school
of
medicine,
and
is
there
certain
things
that
you
guys
are?
Are
you
guys
barely
in
the
early
stages
of
planning
or
what
does
that
look
for
you.
C
Well,
thank
you
senator
and
I'd
like
to
thank
you
for
your
support
early
on
for
our
school.
We
certainly
do
appreciate
that.
So
when
I
think
about
the
economy
of
southern
nevada,
it
didn't
take
anything
more
than
covid
to
make
us
recognize
that
we
really
need
a
more
diverse
economy
and
I
think
a
strong
school
of
medicine
and
academic
health
center
can
go
a
long
way
towards
helping
to
diversify
our
economy.
C
As
you
probably
know,
at
blackfire
the
harry
reid
research
park,
their
space
set
up
for
new
technologies.
Predominantly
those
new
technologies
have
focused
on
gaming,
but
we
started
discussions
to
talk
about
how
we
can
expand
into
healthcare.
C
One
of
the
things
that
we
do
need
in
southern
nevada
is
wet
lab
space,
so
we
can
have
incubators
for
new
biotechnologies
and
we've
talked
about
what
that
might
look
like
and
where
they
might
be
located
from
a
educational
perspective.
We've
been
working
together
with
the
schools
of
engineering
and
the
schools
of
science
and
the
other
health
science
schools
to
talk
about
what
technology
commercialization
would
look
like
at
unld
what
we
already
have,
because
we
already
have
an
engineering
school.
C
Where
I
came
from,
we
had
set
up
a
speed
dating
event
where
engineer
medical
students
with
ideas
we're
paired
with
engineers
who
know
how
to
make
ideas,
turn
ideas
into
a
reality
and
business
students
who
could
help
finance
organizations
to
set
up
teams
to
help
develop
technology,
we're
at
the
starting
stages
to
to
begin
planning
for
similar
processes
again
with
the
other
schools
at
unlv.
C
A
Okay,
anybody
else.
A
Okay!
Thank
you
very
much
so
that
that's
your
the
end
of
your
presentation
is
that
correct.
A
Great,
so
thank
you
very
much
for
your
presentation
and
glad
to
see
all
the
great
work
that's
going
on
and
I
know
come
a
long
way
in
a
short
time.
So
thank
you
for
all
the
work
that
you're
doing
there.
A
Thank
you.
So
we
will
now
go
to
an
overview
of
the
university
of
nevada,
reno
school
of
medicine
and
covert
19
response
efforts.
We
have
dr
thomas
schweink
dean
of
the
the
school
of
medicine
and
vice
president
of
health
sciences
for
unr,
dr
schwing.
E
E
E
Then.
Second,
several
success
stories
that
will
give
you
more
personal
view
of
the
school
and
that'll
focus
a
bit
more
on
the
covet
pandemic
response
and
then,
finally,
a
glimpse
of
the
future,
in
particular,
focus
on
our
negotiations
with
renowned
health
and
our
hope
to
create
a
destination
integrated
health
system.
E
So
first
some
numbers
you
have,
I
think,
distributed
to
you
or
or
should
be
available
at
some
point,
our
2020
2021
fact
sheet.
We
do
this
every
year
to
sort
of
summarize
the
previous
year
and
kind
of
gives
a
chance
to
to
bring
many
interested
parties
and
stakeholders
up
to
date
with
a
detailed
summary
of
many
of
our
programs.
So
I
thought
I
would
just
give
you
a
couple
highlights
off
of
that.
E
E
E
We
graduated
our
first
class
last
year,
24
physician
assistants,
85
percent
of
whom
are
nevada
residents
and
almost
all
of
them,
staying
in
nevada
to
practice
project
echo
is
our
telehealth
program,
which
provides
subspecialty
consultation
to
healthcare,
clinicians,
so
physicians,
nurse
practitioners
and
physician
assistants
who
are
practicing
in
both
rural
and
urban
underserved
communities
throughout
nevada.
E
The
program
enhances
the
skills
and
knowledge
of
these
clinicians
through
consultation
and
education
from
our
consultants.
So
this
is
not
telemedicine
where
we
care
for
patients
directly,
but
we
teach
and
consult
with
unders
practitioners
in
underserved
areas
so
as
to
keep
their
patients
in
their
home
communities
for
complex
health
care,
as
well
as
enhance
the
skills
of
the
local
practitioners.
E
E
The
ability
of
medicare
patients
in
particular,
as
well
as
others
in
the
community
to
receive
primary
care
during
the
coven
19
surge
in
elko
our
family
medicine,
as
well
as
internal
medicine
residents.
Who
do
some
training.
There
shifted
a
lot
of
their
work
into
the
hospital
so
as
to
help
elco
physicians
care
for
those
patients.
E
E
Some
of
our
basic
science
departments
rank
in
the
top
30
or
40
departments
of
their
peers
and
a
head
of
departments
in
much
larger
medical
schools.
Our
basic
science
investigators
have
secured
about
250
million
dollars
in
external
funding
over
the
past
10
years,
and
I
note
that
because
I
want
to
also
emphasize
the
widely
accepted
fact
that
every
dollar
of
external
funding
requires
about
50
cents
of
institutional
support
for
facilities
and
personnel
that
the
grant
does
not
cover.
E
Research
does
not
quote
make
money,
although
it
does
markedly
enhance
the
school
and
the
state's
prestige
and
also
has
significant
spin-offs
in
biotech
and
improved
clinical
care
in
other
areas.
But
I
just
emphasize
that
state
funding
to
medical
schools
is
a
critical
investment
to
support
some
of
that
external
grant
support.
E
But
I
also
think
that
there's
a
substantial
return
on
investment
from
from
those
funds.
Our
investigators
have
particular
expertise
in
several
important
diseases
and
disorders,
including
muscular
dystrophy,
diabetes,
gastrointestinal
diseases,
parkinson's
disease,
cardiovascular
disease,
hearing
disorders
and
deafness.
Brain
biology
and
neuropsychiatric
consequences
of
stress
immune
system
dysfunction
several
infectious
diseases
and
covet
as
well,
and
there
are
some
biotech
spinoffs
of
some
of
those
projects
and
investigators.
E
If
you're
interested
in
hearing
about
those
one
measure
of
our
research
excellence
is
the
recognition.
Last
year
of
dr
ken
sanders,
who
was
our
chair
of
physiology
and
cell
biology?
He
was
recognized
as
nevada's
2020,
distinguished
researcher,
which
is
an
annual
award
presented
to
just
one
scientist
chosen
from
the
entire
higher
ed
system.
E
Let
me
shift
now
to
just
a
couple
of
the
many
dozen
success
stories
and
points
of
pride
that
that
I
could
offer
to.
You
was
again
a
particular
focus
on
the
pandemic,
and
much
of
this
focuses
on
the
nevada
state
public
health
laboratory,
which
has
been
one
of
the
many
heroes
of
managing
the
covet
pandemic
in
nevada
and
literally
a
hero,
was
proclaimed
by
governor
sisselek.
E
These
achievements,
along
with
many
others
involving
equipment,
expert
personnel,
24
7
testing
schedules,
led
to
nevada
being
one
of
the
leaders
in
the
early
days
of
covet
testing,
and
I
will
note
that
these
successes
continue
even
in
the
face
of
some
of
the
stress
of
furloughs
unr
med
research.
Scientists
are
working
with
the
state,
public
health
lab
and
private
partners
to
conduct
covet
19
research
in
genomic,
sequencing,
antibody
testing
and
testing
supply
manufacturing
and,
as
part
of
that,
the
nevada
state
lab
documented
in
a
rigorous
fashion.
E
E
Moving
on
the
sanford
center
for
aging
at
the
team
at
unr,
med
was
concerned
about
how
the
pandemic
was
wearing
on
nevada's,
older
adults
and
their
response
was
to
stand
up.
The
nevada,
kova,
19
aging
response
aging
network
response
plan,
called
nevada,
can
can
and
was
developed
to
provide
statewide
coordination
of
aging
services.
E
The
project
has
led
to
thousands
of
older
nevadans
receiving
various
pandemic
pandemic
services,
in
collaboration
with
the
state
agencies,
who
have
been
wonderful
to
work
with
and
and
to
collaborate
with
sanford.
Our
medical
and
physician
assistant
students
have
also
been
heroes
in
their
covet
19
response.
More
than
100
students
contributed
over
5
000
volunteer
hours
in
support
of
nevada's
healthcare
workers,
in
particular
from
staffing,
testing,
telephone,
triage
and
vaccine
services
to
providing
child
and
elder
care
for
stressed
health
care
workers
in
both
elko
and,
of
course,
in
the
reno
sparks
communities.
E
E
Dozens
of
meetings
later
we
took
a
letter
of
intent
to
the
board
of
regents,
which
was
unanimously
approved
in
september
of
twenty
twenty.
Now
thousands
of
person,
hours
of
work.
After
that,
we
are
preparing
a
high
level
update
to
the
board
of
regents
for
their
march
meeting,
in
which
I
will
lay
out
the
many
details
and
features
of
a
near
final
affiliation
agreement,
and
we
hope
to
hope
to
seek
endorsement
of
that
very
soon.
Thereafter.
E
The
intent
to
affiliate
is
not
about
a
merger
or
an
assimilation
by
of
one
partner
by
the
other.
It's
really
critical
that
you
and
our
med
remain
a
state-funded
accredited
public
medical
school
government
governed
by
nshi,
so
as
to
assure
that
it
serves
the
state
as
well
as
to
keep
tuition
as
low
as
possible
and
remain
accessible
to
nevada
students.
We
are
not
becoming
private
medical
school
that
would
be
counter
to
our
land
grant
mission
and
make
us
unaffordable
to
many
future
students.
E
What
we
are
doing,
however,
is
to
create
a
destination
health
system,
unlike
anything
we've
ever
discussed
with
any
partner
in
the
past
or
has
been
seen
anywhere
in
nevada.
To
this
point,
the
potential
affiliation
is
our
best
opportunity
to
expand
the
training
of
primary
care
and
specialty
physicians
to
possibly
expand
the
size
of
our
medical
school
class
to
expand
our
clinical
research
experiences
for
our
students
and
residents,
as
well
as
to
influence
the
delivery
of
state-of-the-art
care
in
a
number
of
high-end
areas,
including
a
cancer
center
cardiovascular
center,
a
neuroscience
center.
E
We
also
want
to
provide
a
strong
clinical
foundation
for
all
of
our
clinical
and
academic
program,
so
this
influences
actually
our
pa
program.
Our
speech,
pathology
program,
the
orvis
school
of
nursing
at
unr
and
other
potential
health
care,
professional
training
programs.
So
there's
a
there's,
a
very
wide
range
of
very
powerful
transformative
effects.
Here,
the
result
of
all
this,
we
think,
will
enhance
nevada's
medical
education
system,
expand
clinical
research
capacity
and
create
a
world-class
integrated
health
system
that
improves
access
to
patient
care
for
all
nevadans
and
contributes
to
our
vision
of
a
healthy
nevada.
E
So,
to
conclude,
mr
chair,
I
will
simply
say
that
I
am
extraordinarily
proud
of
our
school
of
medicine.
I'm
particularly
proud
of
how
the
school
and
the
faculty
and
and
staff
members
and
students
have
stood
up
over
the
past
year
to
address
a
host
of
extremely
challenging
situations
and
have
have
responded
in
extraordinary
ways,
and
I
hope
that
you
and
the
committee
and
the
state
are
proud
of
the
school
as
well.
E
A
We
appreciate
the
thorough
presentation.
A
B
B
I
want
to
thank
you
for
this
presentation.
Our
daughter
is
a
graduate
from
the
nursing
school
and
is
a
labor
and
delivery
nurse
at
renown.
So
we
really
appreciate
the
good
work
that
happens
at
unr.
I
had
a
zoom
problem
and
I
missed
most
of
unlv's
presentation.
So
I
would
like
to
ask
this
question
to
you.
B
I
am
wondering
if
you,
if
you're
doing
any
work
on
infectious
disease
or
not
infectious
diseases
in
rare
diseases-
and
I
know
that
we
have
so
many
of
them-
and
people
are
going
out
of
state
to
get
care
because
there
isn't
state
care
in
our
state.
I'm
just
wondering
if
that's
something
you
see
in
your
future
for
people
in
nevada.
E
It
speaks
directly
to
the
last
part
of
my
presentation
and,
and
it
has
to
do
with
the
fact
that
there
are
a
couple
big
missing
pieces
in
our
health
care
system,
certainly
in
northern
nevada
and
perhaps
throughout
the
state,
and
that
is
the
really
high-end
subspecialty
disease
care
programs,
the
the
cancer
center,
the
cardiovascular
center,
the
neuroscience
center.
E
Some
of
the
programs
that
require
the
recruitment
of
physician
scientists
that
recruit
require
the
establishment
of
clinical
research
to
connect
to
our
basic
science
research
and
to
begin
to
really
up
the
level
of
care
and
to
keep
more
patients
in
the
state.
We
have
been
very
proud
of
our
basic
science
research
for
all
of
these
years.
E
As
I
said,
and
now
I
think
it's
time
to
leverage
that
to
begin
to
move
from
what
we
call
from
bench
to
bedside,
meaning
from
the
laboratory
into
the
patient
care
setting
and
to
really
to
begin
to
deliver
the
kind
of
care
that
you
are
talking
about.
We
have
a
lot
of
the
basic
science
platform.
B
Yeah,
I
think
so
often
people
feel
helpless
because
they
go
to
their
doctor
and
their
doctor.
I've
never
seen
this
before.
I
don't
know
what
to
do,
and
then
you
go
somewhere
else.
That's
out
of
state
and
not
feeling
like
you
can
have
the
connection
that
you
might
with
your
doctor
in
your
state
that
you
could
get
to
whenever
you
needed
to
so.
A
B
Look
forward
to
that
and
I
I
hope
it
happens
soon,.
E
Yeah,
I
I
just
want
to
emphasize
your
comments-
are
so
important
because
there
is
a
tremendous
out-migration
of
a
fair
bit
of
care
and
and
we
have
to
really
elevate
the
level
of
care.
I
deal
with
this
all
the
time
with
the
patients
as
you
describe,
who
are
just
feeling
lost
and
they
can
receive
excellent
care
elsewhere,
but,
of
course
that
takes
them
out
of
their
community
away
from
their
family
away
from
their
support
systems.
E
Very
stressful,
very
difficult
we've
experienced
this
with
members
of
the
school
and
it's
been
extremely
stressful,
and
I
just
hope
we
can
contribute
to
that.
But
I
also
say
that
it
goes
back
to
the
issue
of
investment
that
this
is
why
we're
partnering
with
renown.
It's
why
we
have
to
remain
a
public
school
supported
in
part
by
the
state,
because
the
it
takes
a
lot
of
investment
to
stand
up
those
programs
to
have
the
physician
scientists
and
the
subspecialty
physicians,
who
can
work
with
our
scientists
to
develop
the
research
that
supports
those
programs.
A
A
Okay,
I'm
not
seeing
anybody
else
raised
in
there
and
I
do
have
a
question
senator
lange,
because
you
did
have
some
issues
at
the
beginning.
Did
you
have
questions
for
the
first
presentation
that
you
didn't
get
a
chance
to
ask
that
looks
like
dr
khan
is
still
here.
If
you
do
have
a
question,
we
might
be
able
to
get
him
on
so.
B
I
would
just
be
interested
in
the
same
question.
I
asked
our
other
doctor.
B
B
Name
doesn't
show
so
if
he
could
answer
that,
I
that
would
be
really
great.
Thank
you.
A
B
C
Thank
you
for
the
record
mark
khan
dean
and
vice
president
unlv
school
of
medicine.
So
you
know,
as
my
colleague
dr
schwenk
pointed
out,
one
of
the
things
that's
missing
in
the
state
of
nevada
is
a
cadre
of
sub-specialists
to
identify
and
and
treat
some
of
those
less
common
diseases
that
you
mentioned.
C
Dr
schwenk
told
you
what
his
school
is
doing
and
in
the
south.
What
we're
doing
is
partnering
with
our
local
hospitals
and
healthcare
systems
to
try
to
expand
the
training
opportunities
for
people
interested
in
some
of
those
residencies.
For
example,
the
state
does
not
have
a
urology
residency
yet
we're
a
state
of
older
americans,
half
of
which
are
are
men.
C
We
don't
have
an
oncology,
training
program
and
the
list
really
goes
on.
So
I
think
working
with
dr
schwenk.
He
and
I
have
a
lot
of
work
to
do
together,
but
I
think
both
of
our
mutual
goal
is
to
have
you
know
the
major
specialties
certainly
represented
in
training
programs
with
throughout
the
state.
B
You,
yes
and
excuse
me,
sorry,
chair,
I'm
particularly
interested
in
rare
kidney
diseases
because
it
seems
to
be
I
mean
we
haven't
mentioned
that
at
all,
but
it
I
I
think,
it's
a
maybe
a
growing
number
of
people,
as
I'm
out
talking
to
people
that
this
that
experience
this.
C
A
Thank
you.
Senator
donate.
D
Thank
you
so
really
quick
question
and
this
kind
of
pertains
to
everything
that's
happening
right
now
regarding
copenhagen.
This
is
for
dr
connor,
dr
shrink
internally
within
your
schools.
Have
you
considered
changing
the
curriculum
to
adapt
to
the
training?
That's
needed
for
telemedicine.
D
Is
this
something
that
you
have
approached
to
perhaps
teaching
your
students
on
how
to
engage
with
diverse
communities
through
non-traditional
means
because,
as
we
know,
because
of
kobe
19,
everything
has
started
to
pivot
things
being
done
remotely.
So
I'm
wondering
is
this
a
conversation
that
you've
had
within
your
own
unit
or
what
does
that
feature
of
telemedicine?
Look
like
in
your
curriculum.
E
So
let
me
back
up
to
the
student
outreach
clinic.
That's
probably
the
best
answer
to
your
question.
Senator
this
is
a
very
large
clinic.
It's
been
in
place
now
for
25
years,
and
it
serves
a
a
very
unserved
or
underserved
population.
E
There
are
no
financial
transactions
whatsoever
and
that
clinic
has
become
so
central
to
the
care
of
underserved
patients
that,
when
the
pandemic
hit,
we
actually
did
suspend
it
for
a
short
time
until
we
could
get
a
handle
on
the
infectious
disease
issues,
but
then
we
reopened
virtually,
and
so
our
students,
a
substantial
portion
of
all
students,
go
through
this
clinic
and
provide
services
in
various
ways
and
our
our
students
actually
had
a
real-time
naturalistic
experience
in
in
how
to
pivot
and
and
respond
to
this
need
of
patients
who
could
not
access
this
access
us
in
person.
E
Our
geriatric
clinic
did
the
same
thing,
also
another
population
that
has
difficulty
with
access
and
we
created
a
whole
set
of
virtual
services.
Interestingly,
one
of
those
actually
is
to
have
the
patient
come
into
the
clinic,
but
then
be
taken
immediately
to
a
sterile
room
where
they
go.
They
are
helped
to
get
online
with
a
computer
and
and
their
geriatrician
is
actually
next
door
or
nearly
next
door,
and
the
virtual
visit
actually
takes
place
within
the
clinic
just
because
they
could
not
access
this
at
home,
but
it's
much
safer,
at
least
in
the
early
days.
E
It
was
much
safer
that
way
to
provide
those
kinds
of
services,
so
those
are
two
places
where
our
students
and
residents
are
training
in
this
area.
I
also
think
our
elko
program
and
our
rural
preceptorship
all
students
are
required
to
serve
a
month
rotation
in
a
rural
community,
and
I
think
that
they
learn
a
ton
about
how
to
access
patient
populations
that
have
difficulty
with
that
access.
I
think
we
are
good
at
that,
but
I
think
we've
gotten
better
during
the
pandemic.
C
Yeah,
I
would
just
like
to
follow
with
what
dr
schweink
said.
You
know
one
of
the
I'm
sort
of
an
optimist.
I
look
for
silver
linings
and
one
of
the
silver
linings
of
the
pandemic
is
we've
all
gotten
more
comfortable
with
telehealth,
and
you
know
that's
really
critical
in
a
rural
state
like
the
one
that
we're
in
when
I
interviewed
here
a
little
over
a
year
ago,
I
asked
people
about
rural
health
and
how
prescient
that
was
because
now
that's
become
you
know,
telehealth
has
really
become
very
important.
C
You
know,
one
one
notion
is,
is
how
do
we
expand
telehealth
into
the
community
and
one
idea
might
be
to
use
our
neighborhood
drug
stores
that
are
in
at-risk
communities,
they're
already
wired
they're
already?
They
already
have
the
bricks
and
mortar,
and
I
I
I
I
don't
think
it
takes
much
imagination
to
see
how
those
could
really
be
used
as
fully
functional
telehealth
clinics.
So
we
can
reach
some
of
our
most
vulnerable
citizens,
but
to
follow
with
what
dr
schwenk
said.
Yes,
telehealth
is
part
of
our
curriculum.
A
A
It
really
does
make
a
difference
having
you
know,
access
to
medical
schools
in
the
in
the
state
which
will
which
helps
make
health
better
for
nevada.
So
thank
you
so
with
that.
Thank
you
very
much
and
we'll
go
on
to
our
next
item,
which
actually
we
don't
have
any
bdr
introductions
at
this
point
and
we're
going
to
go
on
to
public
comment.
I
do
want
to
make
one
comment
before
I
do
that
just
to
acknowledge.
A
I
think
I
acknowledged
this
earlier
today
is
red
for
ed
day
here
at
the
legislature
and
celebrating
education
and
talking
about
things
that
we
can
do
to
make
education
better
for
all
of
our
students
here
in
nevada,
and
so
we
appreciate
those
that
that
have
made
the
effort
to
to
participate
in
that
today.
A
C
A
B
A
Okay,
because
there's
a
little
bit
of
a
delay,
why
don't
we
give
it
maybe
a
minute
or
so
keep
an
eye
on
it
just
in
case
so
we'll
be
we'll
be
kind
of
at
a
pause
here
for
about
a
minute
or
so
until
we
see,
if
there's
anybody
that
would
like
to
get
public.
B
D
A
Not
hearing
any
looking,
I'm
not
seeing
any,
and
I
don't
see
any
in
the
chat,
okay.
Well,
our
next
meeting
will
be
this
wednesday
and
that's
all
the
business
that
we
have
for
today.
That
concludes
our
meeting
for
today.
Thank.