WEBVTT 00:00:05.260 --> 00:00:09.630 position:50% align:middle As a teenager, I watched the film "2001: A Space Odyssey." 00:00:09.630 --> 00:00:16.500 position:50% align:middle The series of books by Arthur C. Clarke took me on a journey and helped me put things into perspective. 00:00:16.500 --> 00:00:21.110 position:50% align:middle So before I leave this organization, I've been given permission by the president to share 00:00:21.110 --> 00:00:27.230 position:50% align:middle with you some ideas that might provide further direction, motivation, and challenge. 00:00:27.230 --> 00:00:31.650 position:50% align:middle I should also make this disclaimer that these are simply my ideas. 00:00:31.650 --> 00:00:35.070 position:50% align:middle They do not represent the policy of NCSBN. 00:00:35.070 --> 00:00:40.380 position:50% align:middle That is a journey that you have to create together. 00:00:40.380 --> 00:00:44.460 position:50% align:middle So what do all these things have in common? 00:00:44.460 --> 00:00:52.800 position:50% align:middle Fire, tools, printing press, telephone, aircraft, and binary code. 00:00:52.800 --> 00:00:57.190 position:50% align:middle They were all rather sample to answer. 00:00:57.190 --> 00:00:58.650 position:50% align:middle They were disruptors. 00:00:58.650 --> 00:01:01.178 position:50% align:middle Moments of disruption are a gift. 00:01:01.178 --> 00:01:05.730 position:50% align:middle They provide us with opportunity, and they force us to think differently, 00:01:05.730 --> 00:01:10.320 position:50% align:middle to find new ways of doing things, to leave the past behind, 00:01:10.320 --> 00:01:16.170 position:50% align:middle but also to use the past as a metric for judging future success. 00:01:16.170 --> 00:01:20.390 position:50% align:middle Today, I have 25 minutes, so I'm going to restrict my thoughts to a single 00:01:20.390 --> 00:01:25.940 position:50% align:middle disruptive force, artificial intelligence, a force that will impact every aspect of the 00:01:25.940 --> 00:01:33.510 position:50% align:middle regulator's life, the way that care is delivered, and it will touch on all societies across this planet. 00:01:33.510 --> 00:01:39.380 position:50% align:middle I will argue that AI is perhaps the single most important force multiplier for change, 00:01:39.380 --> 00:01:44.350 position:50% align:middle although I will also share with you another one that falls into the category of "you ain't 00:01:44.350 --> 00:01:46.530 position:50% align:middle seen nothing yet." 00:01:46.530 --> 00:01:48.380 position:50% align:middle So just beware. 00:01:48.380 --> 00:01:52.970 position:50% align:middle A vision in today's climate must be agile. 00:01:52.970 --> 00:01:56.880 position:50% align:middle It should steer and guide our progress, but not be reckless, 00:01:56.880 --> 00:01:59.390 position:50% align:middle nor should it constrain our ambitions. 00:01:59.390 --> 00:02:06.240 position:50% align:middle We must find that sweet spot where we are tested to our maximum and rewarded for our success. 00:02:06.240 --> 00:02:12.470 position:50% align:middle In short, the success of this organization must be judged by the degree to which we are acknowledged 00:02:12.470 --> 00:02:15.710 position:50% align:middle for leading regulatory excellence worldwide. 00:02:15.710 --> 00:02:17.940 position:50% align:middle That comes from all our members. 00:02:17.940 --> 00:02:25.670 position:50% align:middle That comes from every corner of the world that celebrates what we can do together so that challenges 00:02:25.670 --> 00:02:35.470 position:50% align:middle that we face, the ambitions that we have can be pursued, and the impact that we have on society heard. 00:02:35.470 --> 00:02:40.640 position:50% align:middle Those of you that enjoy mathematics, and I know there's plenty of you in the audience, 00:02:40.640 --> 00:02:44.070 position:50% align:middle will recognize that this is an exponential curve. 00:02:44.070 --> 00:02:50.580 position:50% align:middle I want you to envision that you are located at the intersection of the blue line and the y-axis. 00:02:50.580 --> 00:02:54.140 position:50% align:middle This is known as the knee of the curve. 00:02:54.140 --> 00:03:01.990 position:50% align:middle From now onward, we are looking at going supersonic, then ballistic, the evolution we have seen with regards 00:03:01.990 --> 00:03:09.620 position:50% align:middle AI and all the buzz around ChatGPT, DALL-E 2, Stable Diffusion, and Legal Robot compared to what we 00:03:09.620 --> 00:03:13.580 position:50% align:middle will see in the next 12 months, and just imagine what we'll see in the 00:03:13.580 --> 00:03:16.240 position:50% align:middle next decades ahead. 00:03:16.240 --> 00:03:19.430 position:50% align:middle But no need to panic. 00:03:19.430 --> 00:03:23.780 position:50% align:middle We don't need to be a deer in the headlights, frozen in a moment of time. 00:03:23.780 --> 00:03:27.200 position:50% align:middle We should remember what Elon Musk told us. 00:03:27.200 --> 00:03:32.840 position:50% align:middle We are all paid in direct proportion to the difficulty of the problems that we can solve. 00:03:32.840 --> 00:03:39.280 position:50% align:middle Well, I will argue that we can all solve far more complex problems if we use and harness the power 00:03:39.280 --> 00:03:42.060 position:50% align:middle of artificial intelligence. 00:03:42.060 --> 00:03:45.390 position:50% align:middle So let's put AI into context. 00:03:45.390 --> 00:03:49.540 position:50% align:middle High-income countries are trending to have fewer children. 00:03:49.540 --> 00:03:56.410 position:50% align:middle The population support ratio of the entire world is going to drop by 50% by the time we get to 2050. 00:03:56.410 --> 00:04:02.080 position:50% align:middle There will be more people in retirement than there are in employment. 00:04:02.080 --> 00:04:07.700 position:50% align:middle This will present a major challenge in terms of how and who delivers services. 00:04:07.700 --> 00:04:11.080 position:50% align:middle But we are not talking about healthcare delivery. 00:04:11.080 --> 00:04:13.740 position:50% align:middle We are talking about all services. 00:04:13.740 --> 00:04:20.030 position:50% align:middle This will represent economic challenges as well as increased labor market complexities. 00:04:20.030 --> 00:04:24.440 position:50% align:middle So an all graduate RN workforce will not be viable. 00:04:24.440 --> 00:04:30.280 position:50% align:middle We will need to think about how we differentiate the workforce from support worker throughout the end, 00:04:30.280 --> 00:04:33.530 position:50% align:middle to RN and beyond. 00:04:33.530 --> 00:04:41.020 position:50% align:middle As we now change jobs several times throughout our careers, we will need a model of care delivery based 00:04:41.020 --> 00:04:49.150 position:50% align:middle on cumulative competence and transverse job mobility rather than titles and hierarchical linear progression. 00:04:49.150 --> 00:04:56.250 position:50% align:middle We have already seen examples of this during COVID where EMS technicians populated many emergency rooms, 00:04:56.250 --> 00:05:01.430 position:50% align:middle doing work previously undertaken by nurses. 00:05:01.430 --> 00:05:06.530 position:50% align:middle Now, this is just a taste of things to come and something that we need to plan for now. 00:05:06.530 --> 00:05:07.830 position:50% align:middle It is nothing new. 00:05:07.830 --> 00:05:13.310 position:50% align:middle It is simply an accelerating trend, and it will blow the idea of scopes of practice 00:05:13.310 --> 00:05:17.290 position:50% align:middle out of the window, and instead, we need to look at the concept 00:05:17.290 --> 00:05:19.840 position:50% align:middle of matrices of competence. 00:05:19.840 --> 00:05:23.560 position:50% align:middle However, we are not starting from scratch. 00:05:23.560 --> 00:05:26.940 position:50% align:middle Systems already exist that can guide us. 00:05:26.940 --> 00:05:30.650 position:50% align:middle This is a slide from the United Kingdom Health Service. 00:05:30.650 --> 00:05:38.040 position:50% align:middle It was codifying that every single job in the health service in the UK can be described by five 00:05:38.040 --> 00:05:40.410 position:50% align:middle key core characteristics. 00:05:40.410 --> 00:05:48.860 position:50% align:middle The job consists of those five, and in addition, there are different levels, depending on the job. 00:05:48.860 --> 00:05:55.190 position:50% align:middle In addition to those five core competencies, there are additional job-specific competencies. 00:05:55.190 --> 00:05:59.840 position:50% align:middle These result in any one job, therefore, having five core competencies, 00:05:59.840 --> 00:06:04.070 position:50% align:middle plus a handful of job-related competencies. 00:06:04.070 --> 00:06:07.850 position:50% align:middle So, as illustrated on the right-hand side of the screen, you can see, 00:06:07.850 --> 00:06:13.440 position:50% align:middle a typical job will be consisted of both the top and the bottom part of the screens. 00:06:13.440 --> 00:06:18.830 position:50% align:middle So let's move forward and look at how this all fits together. 00:06:18.830 --> 00:06:26.920 position:50% align:middle This is work that was done quite some time ago where I marked the position of a whole series of jobs that you 00:06:26.920 --> 00:06:28.930 position:50% align:middle could see progression. 00:06:28.930 --> 00:06:30.330 position:50% align:middle They are on a single-pay scale. 00:06:30.330 --> 00:06:36.880 position:50% align:middle So remember, Elon Musk commented that the more complex a job, the greater the pay. 00:06:36.880 --> 00:06:40.470 position:50% align:middle This is indeed the case, and this is the case that's been shown in the 00:06:40.470 --> 00:06:41.900 position:50% align:middle United Kingdom already. 00:06:41.900 --> 00:06:43.680 position:50% align:middle It's already been operationalized. 00:06:43.680 --> 00:06:45.100 position:50% align:middle It's not new. 00:06:45.100 --> 00:06:48.090 position:50% align:middle It's something that was in place for two decades. 00:06:48.090 --> 00:06:51.240 position:50% align:middle So we got to look back to move forward. 00:06:51.240 --> 00:06:55.730 position:50% align:middle Now, we already have strategic initiatives. 00:06:55.730 --> 00:06:59.520 position:50% align:middle They have been co-created with stakeholders and yourselves. 00:06:59.520 --> 00:07:02.250 position:50% align:middle They've been approved by yourself at delegate assembly. 00:07:02.250 --> 00:07:08.520 position:50% align:middle And the initiatives help us maintain momentum toward our ambitious vision of leading 00:07:08.520 --> 00:07:10.990 position:50% align:middle regulatory excellence worldwide. 00:07:10.990 --> 00:07:16.550 position:50% align:middle During COVID, it stood us in great stead, a vision that has supported our work, 00:07:16.550 --> 00:07:22.030 position:50% align:middle completed in partnership with both yourselves and others from both national 00:07:22.030 --> 00:07:24.350 position:50% align:middle and international organizations. 00:07:24.350 --> 00:07:30.000 position:50% align:middle The direction of the work is captured in our publication, Regulation 2030. 00:07:30.000 --> 00:07:32.920 position:50% align:middle 2030 is on track. 00:07:32.920 --> 00:07:33.870 position:50% align:middle It is evidence-based. 00:07:33.870 --> 00:07:41.300 position:50% align:middle It is future-orientated and offers a benchmark for us to use to assess our progress. 00:07:41.300 --> 00:07:44.090 position:50% align:middle But this was never meant to be the end. 00:07:44.090 --> 00:07:48.490 position:50% align:middle As the subtitle suggests, first steps of a journey. 00:07:48.490 --> 00:07:50.420 position:50% align:middle There is further to go. 00:07:50.420 --> 00:07:56.400 position:50% align:middle So to take our regulatory practices towards 2050, a time when regulation is valued, 00:07:56.400 --> 00:08:03.280 position:50% align:middle our actions understood, and importantly, the public politicians on the profession recognize the 00:08:03.280 --> 00:08:09.810 position:50% align:middle essential role that we play in securing access to effective, efficient, quality services, 00:08:09.810 --> 00:08:11.980 position:50% align:middle we need to continue to transform. 00:08:11.980 --> 00:08:17.320 position:50% align:middle To achieve this, we need to continue to take measured risks, pursue bold actions, 00:08:17.320 --> 00:08:21.030 position:50% align:middle and deliver exponentially better results. 00:08:21.030 --> 00:08:27.640 position:50% align:middle Regulation 2030 distilled 25 trends, and with the help of 70 regulators and colleagues 00:08:27.640 --> 00:08:33.330 position:50% align:middle from other organizations, we mapped them into the 2030 report. 00:08:33.330 --> 00:08:39.280 position:50% align:middle The 25 trends are clustered into 7 themes that are windows of opportunity. 00:08:39.280 --> 00:08:46.820 position:50% align:middle In time I have available to me today, I can only superficially cover the first two. 00:08:46.820 --> 00:08:51.310 position:50% align:middle So let's start with education, and I do not mean just nurse education. 00:08:51.310 --> 00:08:57.810 position:50% align:middle Nurse education is simply a subset of a far bigger domain that will be impacted by AI. 00:08:57.810 --> 00:09:04.430 position:50% align:middle So the second question that I would ask you to consider is whether you wish to be victims of other people's 00:09:04.430 --> 00:09:10.180 position:50% align:middle desires or if you want to be co-creators of a future for all of us. 00:09:10.180 --> 00:09:14.550 position:50% align:middle Now, I know my preference, so let me share some thoughts. 00:09:14.550 --> 00:09:22.360 position:50% align:middle The European Union launched competency-based education frameworks as part of the Bologna Declaration in 1999. 00:09:22.360 --> 00:09:28.260 position:50% align:middle This has resulted in an alignment of higher education systems that has three cycles 00:09:28.260 --> 00:09:33.930 position:50% align:middle with standardized nomenclature, defined levels, and quantified benchmarks. 00:09:33.930 --> 00:09:40.040 position:50% align:middle It promotes mobility through mutual recognition and transfer of credit and uses data systems that 00:09:40.040 --> 00:09:41.940 position:50% align:middle have point-to-point encryption. 00:09:41.940 --> 00:09:48.250 position:50% align:middle Now, our colleagues at AACN recently launched their competency-based essentials, 00:09:48.250 --> 00:09:53.820 position:50% align:middle but the current iteration does not consider the concept of time variable achievement. 00:09:53.820 --> 00:09:59.160 position:50% align:middle To deal with this will turn current education economic models on their head. 00:09:59.160 --> 00:10:06.440 position:50% align:middle But with the tightening labor market and increased economic pressures due to the demographic shifts, 00:10:06.440 --> 00:10:13.290 position:50% align:middle these changes will be inevitable, and those that take first-mover advantage will be the 00:10:13.290 --> 00:10:16.450 position:50% align:middle new global superpower players. 00:10:16.450 --> 00:10:23.860 position:50% align:middle With the advent of next-generation AI and increased cloud computing, personalized avatar-based faculty will 00:10:23.860 --> 00:10:28.660 position:50% align:middle play essential role in the delivery of coming-generation education. 00:10:28.660 --> 00:10:34.920 position:50% align:middle Increasingly, students will have an archive of global experience available to them or internet speed dial 00:10:34.920 --> 00:10:41.530 position:50% align:middle where the knowledge of experts will be captured and made available in an interactive manner to meet unique 00:10:41.530 --> 00:10:46.180 position:50% align:middle learning needs through the positive use of deepfake technology, coupled 00:10:46.180 --> 00:10:49.440 position:50% align:middle with real-time learning diagnostics. 00:10:49.440 --> 00:10:54.700 position:50% align:middle And as we gain competencies, we will be coaxed to consider different ways that those 00:10:54.700 --> 00:10:58.796 position:50% align:middle competencies can be used in the near future. 00:10:58.796 --> 00:11:04.150 position:50% align:middle So to turn these thoughts into reality, we need to build upon the current generation 00:11:04.150 --> 00:11:05.620 position:50% align:middle of Next Generation NCLEX. 00:11:05.620 --> 00:11:09.150 position:50% align:middle We need to build NGN Quantum. 00:11:09.150 --> 00:11:14.440 position:50% align:middle The basic concept of focusing on judgment and decision-making will be at its core, 00:11:14.440 --> 00:11:19.400 position:50% align:middle but it will be capable of application across all health practitioners and, indeed, 00:11:19.400 --> 00:11:24.490 position:50% align:middle any discipline that has a major component of judgment and decision-making. 00:11:24.490 --> 00:11:30.760 position:50% align:middle It will leverage the current reduced margin of error measurement to assist in precisely assessing levels 00:11:30.760 --> 00:11:37.090 position:50% align:middle of ability that will interface with the knowledge and skills framework model described earlier. 00:11:37.090 --> 00:11:42.460 position:50% align:middle The exam or, in reality, the continuous assessment will take place in the 00:11:42.460 --> 00:11:47.290 position:50% align:middle virtual environment, providing real-time formative scoring, 00:11:47.290 --> 00:11:50.860 position:50% align:middle targeted feedback, and aligned specific learning. 00:11:50.860 --> 00:11:58.540 position:50% align:middle It will not be a one-and-done experience but part of a parcel of accelerated career progression 00:11:58.540 --> 00:12:01.390 position:50% align:middle through recommending ongoing CPD. 00:12:01.390 --> 00:12:06.050 position:50% align:middle These suggestions will be mapped and aligned to future career opportunities, 00:12:06.050 --> 00:12:09.910 position:50% align:middle as well as enhanced public safety imperatives. 00:12:09.910 --> 00:12:17.990 position:50% align:middle So let me dive a little deeper into the potential use of NGN Quantum, its potential contribution 00:12:17.990 --> 00:12:21.290 position:50% align:middle in continuing competence space, in particular. 00:12:21.290 --> 00:12:27.020 position:50% align:middle If we track in real time the work that nurses do or, indeed, any health practitioner does, 00:12:27.020 --> 00:12:33.380 position:50% align:middle we can move the focus of continuing competence assessment from one of hoping it makes a difference 00:12:33.380 --> 00:12:36.020 position:50% align:middle to one of assuring that it does. 00:12:36.020 --> 00:12:45.150 position:50% align:middle The NGNQ would be based on the practitioner's digital footprint left by embedding the NCSBN ID and their work 00:12:45.150 --> 00:12:51.370 position:50% align:middle activities in practice, education, research, regulation, and even management spaces. 00:12:51.370 --> 00:12:57.520 position:50% align:middle The system could design, administer score, and then remediate for those that 00:12:57.520 --> 00:13:00.090 position:50% align:middle are having challenges. 00:13:00.090 --> 00:13:02.770 position:50% align:middle This would be a provision of... 00:13:02.770 --> 00:13:08.540 position:50% align:middle This would assess the individual's competence profile and better much the work that they have recently been 00:13:08.540 --> 00:13:12.890 position:50% align:middle doing with that which needs to be done in the future. 00:13:12.890 --> 00:13:20.560 position:50% align:middle This image is one I did for my licensing revalidation submission in 2017, with the Nursing and Midwifery 00:13:20.560 --> 00:13:25.620 position:50% align:middle Council of the UK. 00:13:25.620 --> 00:13:30.520 position:50% align:middle With natural language processing, everyone could be reviewed in their job profile and 00:13:30.520 --> 00:13:36.350 position:50% align:middle judgment made as to whether the CPD that you're turning in is actually appropriate and aligned with the work 00:13:36.350 --> 00:13:37.650 position:50% align:middle that you're doing. 00:13:37.650 --> 00:13:42.980 position:50% align:middle Again, we move from hope or aspiration to evidence and impact. 00:13:42.980 --> 00:13:48.000 position:50% align:middle The value proposition for CPD in terms of public safety, career progression, 00:13:48.000 --> 00:13:52.600 position:50% align:middle employee retention can be assessed by this approach. 00:13:52.600 --> 00:13:59.140 position:50% align:middle So switching gears to governance, let me share a few random thoughts on this topic. 00:13:59.140 --> 00:14:07.490 position:50% align:middle Now, there are over 300 nurse regulatory jurisdictions across the world, and we have a great deal to learn 00:14:07.490 --> 00:14:09.120 position:50% align:middle from each other. 00:14:09.120 --> 00:14:14.490 position:50% align:middle No regulator in the world has got everything right, at least not all of the time. 00:14:14.490 --> 00:14:20.070 position:50% align:middle So as we move forward, we need to be sited on the changing environment, 00:14:20.070 --> 00:14:24.350 position:50% align:middle the increased use of technology, the rapidity of mobility, 00:14:24.350 --> 00:14:31.500 position:50% align:middle and the increased need for far wider range of experts in our governance arrangements than we currently garner 00:14:31.500 --> 00:14:32.880 position:50% align:middle from our membership. 00:14:32.880 --> 00:14:40.110 position:50% align:middle The board of the future should not be compromised wholly of a representative body but a group focused 00:14:40.110 --> 00:14:47.740 position:50% align:middle on accountability and teaming with expertise drawn from a range of sectors, steering the ambition of the 00:14:47.740 --> 00:14:54.470 position:50% align:middle organization into the future rather than maintaining or iterating the efficiency and effectiveness of the 00:14:54.470 --> 00:14:56.230 position:50% align:middle current status quo. 00:14:56.230 --> 00:15:02.630 position:50% align:middle We also need to recognize that good governance does not come from the board of directors on their own. 00:15:02.630 --> 00:15:07.540 position:50% align:middle It's how we engage with you, the membership, with our stakeholders, 00:15:07.540 --> 00:15:13.670 position:50% align:middle our politicians that have political aspirations in government, and most importantly, 00:15:13.670 --> 00:15:15.960 position:50% align:middle the people that we protect. 00:15:15.960 --> 00:15:18.510 position:50% align:middle We now need to focus on scalability. 00:15:18.510 --> 00:15:23.830 position:50% align:middle And let me give you a small example of what I mean by that. 00:15:23.830 --> 00:15:29.970 position:50% align:middle We're all familiar with the Nursys system that has enabled us to have a nurse license compact that is 00:15:29.970 --> 00:15:36.070 position:50% align:middle leading to a compact nation, a nation that supports safe care delivery 00:15:36.070 --> 00:15:41.140 position:50% align:middle with ever-increasing complexity, care is delivered in alternate environments, 00:15:41.140 --> 00:15:44.470 position:50% align:middle and the commission is there to administer the model. 00:15:44.470 --> 00:15:51.600 position:50% align:middle NCSBN and our total membership are there to envision the potential that that model might give to others. 00:15:51.600 --> 00:15:56.470 position:50% align:middle By working with two provinces in Canada, a proof of concept has been created, 00:15:56.470 --> 00:16:03.340 position:50% align:middle a tool that adds increased public safety to those two provinces by getting the support and funding. 00:16:03.340 --> 00:16:08.020 position:50% align:middle And by getting the support and funding by the federal government of Canada, 00:16:08.020 --> 00:16:12.010 position:50% align:middle they will be able to scale that across the nation. 00:16:12.010 --> 00:16:17.520 position:50% align:middle This will enable us to establish a system that then, with advanced technology, 00:16:17.520 --> 00:16:21.280 position:50% align:middle we could look up as a member of the public, both the U.S. 00:16:21.280 --> 00:16:24.700 position:50% align:middle and the Canadian public-facing models. 00:16:24.700 --> 00:16:29.760 position:50% align:middle And as a result of that, we are all better protected because we have information 00:16:29.760 --> 00:16:35.070 position:50% align:middle on that individual who may be crossing from the Canadian to the U.S. space. 00:16:35.070 --> 00:16:38.980 position:50% align:middle But this, of course, is simply the start. 00:16:38.980 --> 00:16:46.312 position:50% align:middle The technology was built as a proof of concept, and therefore, by 2050, 00:16:46.312 --> 00:16:53.170 position:50% align:middle we should be able to rule this out that we have not just a compact nation or even not a compact 00:16:53.170 --> 00:16:59.230 position:50% align:middle North America, but we actually have a vision, which is truly trans-jurisdictional and our future 00:16:59.230 --> 00:17:03.670 position:50% align:middle governance arrangements need to align with such developments. 00:17:03.670 --> 00:17:12.660 position:50% align:middle This model was designed to be replicated, and hence, the 2050 model will be a compact for the entire world. 00:17:12.660 --> 00:17:16.760 position:50% align:middle Now, there are mechanisms of doing that called the World Trade Organization, 00:17:16.760 --> 00:17:19.700 position:50% align:middle and that's where we need to step outside our comfort zone. 00:17:19.700 --> 00:17:26.320 position:50% align:middle Our existing compact model is not sufficient for that kind of scale, but the lessons that we've learned 00:17:26.320 --> 00:17:30.420 position:50% align:middle together are lessons that can be drawn on for the future. 00:17:30.420 --> 00:17:37.680 position:50% align:middle So this is an opportunity that we have to maximize the model for employers, for staff, 00:17:37.680 --> 00:17:42.350 position:50% align:middle for education who wish to move forward. 00:17:42.350 --> 00:17:51.140 position:50% align:middle Now, this is an analysis of the first meeting of the committees of the Scottish parliament. 00:17:51.140 --> 00:17:52.710 position:50% align:middle It opened after a gap of 300 years. 00:17:52.710 --> 00:17:59.970 position:50% align:middle It focused on issues of relevance to nursing, and it took six months to analyze and identify which 00:17:59.970 --> 00:18:04.330 position:50% align:middle of the committees were central to the advancement of the nursing profession. 00:18:04.330 --> 00:18:08.730 position:50% align:middle This enabled the then National Board for Nursing, the regulator in Scotland, 00:18:08.730 --> 00:18:13.890 position:50% align:middle to gain insights into the regulatory issues that we might face, thereby, 00:18:13.890 --> 00:18:17.680 position:50% align:middle facilitating solution-focused discussion with government. 00:18:17.680 --> 00:18:24.120 position:50% align:middle We were able to identify who the key players were and identify alliances that could be helped and 00:18:24.120 --> 00:18:26.560 position:50% align:middle amenable to education. 00:18:26.560 --> 00:18:31.870 position:50% align:middle Now, we are rapidly reaching the point where the ability to analyze that kind of data can be 00:18:31.870 --> 00:18:34.890 position:50% align:middle visualized almost instantaneously. 00:18:34.890 --> 00:18:39.802 position:50% align:middle We can conceive and construct searching questions that can actually give answers. 00:18:39.802 --> 00:18:46.270 position:50% align:middle [inaudible] produces a weekly synopsis of legislation introduced at state and federal level 00:18:46.270 --> 00:18:51.110 position:50% align:middle in the United States, and it is extremely helpful for individual jurisdictions. 00:18:51.110 --> 00:18:57.510 position:50% align:middle But by mapping it over time across all global jurisdictions, think of the policy opportunities that 00:18:57.510 --> 00:19:01.990 position:50% align:middle this would provide in terms of really modernizing public safety. 00:19:01.990 --> 00:19:08.370 position:50% align:middle Jurisdictions could be alerted to issues as they were developing and evolving rather than having 00:19:08.370 --> 00:19:10.650 position:50% align:middle to respond to them. 00:19:10.650 --> 00:19:18.170 position:50% align:middle So in an era when demographic shifts are truly global and workforce shortages impact every corner 00:19:18.170 --> 00:19:24.100 position:50% align:middle of the planet, local solutions will not cut it as it is. 00:19:24.100 --> 00:19:29.320 position:50% align:middle Technology has, in reality, removed state and national boundaries, and hence, 00:19:29.320 --> 00:19:36.490 position:50% align:middle the only way forward is to build solutions for everyone, reduce the costs and risks for all, 00:19:36.490 --> 00:19:42.270 position:50% align:middle and cooperate at scale where we've never cooperated before. 00:19:42.270 --> 00:19:45.590 position:50% align:middle Imagine the delivery potential of that. 00:19:45.590 --> 00:19:53.100 position:50% align:middle So regulators of the future will need to be master diplomats, technology gurus, and global actors, 00:19:53.100 --> 00:20:02.660 position:50% align:middle as well as innovative entrepreneurs who hold public protection and a global vision at their very heart. 00:20:02.660 --> 00:20:08.820 position:50% align:middle Now, some people may feel threatened at these thoughts or, at least, the potential consequence of such 00:20:08.820 --> 00:20:16.870 position:50% align:middle a future, a future where we give up power to enable us all to do better and meet the needs of the future. 00:20:16.870 --> 00:20:23.000 position:50% align:middle Now, I do not know why this would be such a worrisome issue. 00:20:23.000 --> 00:20:29.410 position:50% align:middle After all, we all have had experience of such change to a greater or a lesser extent. 00:20:29.410 --> 00:20:36.160 position:50% align:middle As parents, as employers, as leaders, we all give up control at some point so the 00:20:36.160 --> 00:20:41.400 position:50% align:middle next generation can go out and excel. 00:20:41.400 --> 00:20:47.240 position:50% align:middle If we have planned well, shared our vision, imbued our skills, and continued to support 00:20:47.240 --> 00:20:53.040 position:50% align:middle our successors, they will achieve way beyond our levels of success. 00:20:53.040 --> 00:20:54.950 position:50% align:middle They will take us to new heights. 00:20:54.950 --> 00:20:56.570 position:50% align:middle They will make us proud. 00:20:56.570 --> 00:21:00.150 position:50% align:middle And in the case of the regulatory community, they will ensure we are all safe. 00:21:00.150 --> 00:21:06.050 position:50% align:middle That is what one global community of regulators can deliver. 00:21:06.050 --> 00:21:10.630 position:50% align:middle Now, there is no doubt that we are in a period of rapid change. 00:21:10.630 --> 00:21:19.440 position:50% align:middle As regulators, we must never be scared to try something different, just as the brave woman in those years 00:21:19.440 --> 00:21:25.280 position:50% align:middle at the turn of the century who sought to pass Nursing Act for the first time, 00:21:25.280 --> 00:21:29.410 position:50% align:middle made a huge difference to all of us as we move forward. 00:21:29.410 --> 00:21:34.250 position:50% align:middle We are creating a new chapter, a chapter that embraces artificial intelligence, 00:21:34.250 --> 00:21:39.020 position:50% align:middle reforms both education and governance, and all that it offers. 00:21:39.020 --> 00:21:40.920 position:50% align:middle The aim is still the same. 00:21:40.920 --> 00:21:46.690 position:50% align:middle We must act in the public interest, but the means of achieving that aim by necessity 00:21:46.690 --> 00:21:48.090 position:50% align:middle will be different. 00:21:48.090 --> 00:21:50.550 position:50% align:middle This is a picture of a quantum computer. 00:21:50.550 --> 00:21:59.180 position:50% align:middle Recently, the Google quantum computer solved the problem that would have taken 47 years to solve 00:21:59.180 --> 00:22:03.640 position:50% align:middle with the current most powerful computers in the world. 00:22:03.640 --> 00:22:09.920 position:50% align:middle The Google computer saved us, solved the problem in less than one second. 00:22:09.920 --> 00:22:15.900 position:50% align:middle So what role will technology play in care delivery, research, education, 00:22:15.900 --> 00:22:19.520 position:50% align:middle and regulation as these devices become commonplace? 00:22:19.520 --> 00:22:25.740 position:50% align:middle So what do we need to know to survive and thrive in this brave new world? 00:22:25.740 --> 00:22:33.000 position:50% align:middle So let me remind you that we identified in 2017 a range of new skills that regulators needed to have. 00:22:33.000 --> 00:22:40.220 position:50% align:middle And for the purposes of today, let me focus on those relating to data analytics. 00:22:40.220 --> 00:22:45.010 position:50% align:middle To be an efficient and effective regulator, as we move towards 2050, 00:22:45.010 --> 00:22:52.120 position:50% align:middle we will need to master a set of nontechnical skills that will equip us and thrive for the future where we 00:22:52.120 --> 00:22:57.010 position:50% align:middle are codependent on the support from artificial intelligence and newer technologies. 00:22:57.010 --> 00:23:02.320 position:50% align:middle Prompt engineering is the art and science of creating effective questions that will 00:23:02.320 --> 00:23:04.430 position:50% align:middle elicit accurate responses. 00:23:04.430 --> 00:23:12.150 position:50% align:middle Now, one way to illustrate this and to recall a childhood joke was a situation where three laborers 00:23:12.150 --> 00:23:17.620 position:50% align:middle were working on a building site, and their boss said to them, 00:23:17.620 --> 00:23:19.570 position:50% align:middle "There's three shovels over there. 00:23:19.570 --> 00:23:21.850 position:50% align:middle Please take your pick." 00:23:21.850 --> 00:23:25.860 position:50% align:middle And the laborers turned and say, "There are no picks." 00:23:25.860 --> 00:23:30.840 position:50% align:middle Well, just as you ask questions of ChatGPT, dependent on what you ask, 00:23:30.840 --> 00:23:33.940 position:50% align:middle dependence in what they give you back. 00:23:33.940 --> 00:23:40.200 position:50% align:middle So as regulators, we get a lot of inquiries, and as such, bots can be very helpful 00:23:40.200 --> 00:23:41.690 position:50% align:middle in addressing that. 00:23:41.690 --> 00:23:46.330 position:50% align:middle They always listen, they read the question, they are available 24/7, 00:23:46.330 --> 00:23:49.890 position:50% align:middle and they can respond almost instantaneously. 00:23:49.890 --> 00:23:57.450 position:50% align:middle So knowing how to use bots ensures us a support that will help us into the future. 00:23:57.450 --> 00:23:59.380 position:50% align:middle But don't let them loose on their own. 00:23:59.380 --> 00:24:03.970 position:50% align:middle You've got to quality assure them, and you've got to continue to learn and actually adjust 00:24:03.970 --> 00:24:08.400 position:50% align:middle them as they learn from the people that they're interacting with. 00:24:08.400 --> 00:24:11.840 position:50% align:middle So I would say a picture is worth 1,000 words. 00:24:11.840 --> 00:24:16.610 position:50% align:middle By using the correct format, buckets of data can be turned into eye-catching 00:24:16.610 --> 00:24:22.400 position:50% align:middle information where even the most boring of raw data can jump off the page, come to life, 00:24:22.400 --> 00:24:24.560 position:50% align:middle and tell a captivating story. 00:24:24.560 --> 00:24:30.080 position:50% align:middle This makes our points more accessible, persuasive, and impactful, therefore, 00:24:30.080 --> 00:24:36.650 position:50% align:middle a compelling action if we are to look beyond the mundane use of technology. 00:24:36.650 --> 00:24:40.470 position:50% align:middle AI is there to help us as part of a solution set. 00:24:40.470 --> 00:24:49.270 position:50% align:middle It can free time to enable us to press the boundaries of what it can do, do faster, do more accurately, 00:24:49.270 --> 00:24:53.440 position:50% align:middle and free up our time to think about the next big challenge. 00:24:53.440 --> 00:25:00.690 position:50% align:middle But just as Clint Eastwood said in "Dirty Harry," "A person has got to understand their limitations." 00:25:00.690 --> 00:25:09.630 position:50% align:middle Well, to use AI effectively, we also, as regulators, need to understand that AI has limitations. 00:25:09.630 --> 00:25:14.160 position:50% align:middle These will change undoubtedly very rapidly, but for now, at least, 00:25:14.160 --> 00:25:21.570 position:50% align:middle we must be the ethical guardians of the present to make informed and moral judgments for the future. 00:25:21.570 --> 00:25:29.730 position:50% align:middle By doing this, we can mitigate the risk of bias and champion responsibility for the use of AI in a way that 00:25:29.730 --> 00:25:31.710 position:50% align:middle will deliver for all of us. 00:25:31.710 --> 00:25:35.580 position:50% align:middle So I've taken you on a small part of the journey towards 2050. 00:25:35.580 --> 00:25:40.890 position:50% align:middle But before I finish, I want to recognize some of the people that have made 00:25:40.890 --> 00:25:44.310 position:50% align:middle the journey possible, enjoyable, and stimulating. 00:25:44.310 --> 00:25:51.310 position:50% align:middle The chief officers and all of their staff are the engine behind the changes we have delivered for you. 00:25:51.310 --> 00:25:57.150 position:50% align:middle I want to thank them all for their effort, dedication, brilliant ideas, and their passion 00:25:57.150 --> 00:25:58.360 position:50% align:middle for public protection. 00:25:58.360 --> 00:26:05.780 position:50% align:middle To the presidents and to the board members that I have served with, I thank you for the opportunity to have 00:26:05.780 --> 00:26:12.420 position:50% align:middle given me the time of my life working with you in true partnership. 00:26:12.420 --> 00:26:14.470 position:50% align:middle It has delivered success. 00:26:14.470 --> 00:26:17.640 position:50% align:middle We have faced challenges, and we've taken risks. 00:26:17.640 --> 00:26:23.140 position:50% align:middle And we need to move the agenda forward, as we have done over the last several years. 00:26:23.140 --> 00:26:25.370 position:50% align:middle This is the future. 00:26:25.370 --> 00:26:28.800 position:50% align:middle And behind me has always been my wife and my children. 00:26:28.800 --> 00:26:34.980 position:50% align:middle They are a support to me pursuing my dreams, and they make me so proud of the life that we have 00:26:34.980 --> 00:26:37.550 position:50% align:middle shared and the road that we have traveled. 00:26:37.550 --> 00:26:42.410 position:50% align:middle But before I conclude, let me just share one final personal reflection. 00:26:42.410 --> 00:26:47.060 position:50% align:middle So I was a lazy student, and as I transitioned to high school, 00:26:47.060 --> 00:26:51.180 position:50% align:middle I met with the then primary school headmaster, Mr. Fife. 00:26:51.180 --> 00:26:53.310 position:50% align:middle I remember him very clearly. 00:26:53.310 --> 00:26:57.500 position:50% align:middle And he had some words of wisdom to share with me and my mother. 00:26:57.500 --> 00:27:04.640 position:50% align:middle And what he turned around and said was, of course, me being in the room, he turns to my mother and says, 00:27:04.640 --> 00:27:06.920 position:50% align:middle "You know, David can do it when he likes. 00:27:06.920 --> 00:27:12.150 position:50% align:middle Unfortunately, he very seldom likes." 00:27:12.150 --> 00:27:16.700 position:50% align:middle Now, I went off to secondary school, and I took an interest in organic chemistry. 00:27:16.700 --> 00:27:20.130 position:50% align:middle And as a result, I started to very much like. 00:27:20.130 --> 00:27:24.170 position:50% align:middle And as they say, the rest is history. 00:27:24.170 --> 00:27:30.380 position:50% align:middle So, with no further ado, I'd like to thank that, in the history of this distinguished and 00:27:30.380 --> 00:27:34.560 position:50% align:middle impactful organization, I made a small contribution. 00:27:34.560 --> 00:27:41.360 position:50% align:middle As I look to the future, know that you have issues to debate, choices to make, 00:27:41.360 --> 00:27:45.830 position:50% align:middle and because of your collective actions, a future to be created. 00:27:45.830 --> 00:27:52.490 position:50% align:middle But in all of this, remember the words of Reinhold Niebuhr, who offered the following words of wisdom, 00:27:52.490 --> 00:27:59.900 position:50% align:middle "God grant me the serenity to accept the things I cannot change, the courage to change the things that 00:27:59.900 --> 00:28:03.650 position:50% align:middle I can, and the wisdom to know the difference." 00:28:03.650 --> 00:28:10.390 position:50% align:middle Well, it is my hope that NCSBN continues to innovate through collaboration with regulators and partners 00:28:10.390 --> 00:28:15.010 position:50% align:middle from around the world, creating a vision that is at the very forefront 00:28:15.010 --> 00:28:18.440 position:50% align:middle of public protection, both for individuals and populations, 00:28:18.440 --> 00:28:24.180 position:50% align:middle and through collective efforts, will provide cost-effective and efficient legislative 00:28:24.180 --> 00:28:29.683 position:50% align:middle change that can be leveraged to accelerate contemporary models of proportionate 00:28:29.683 --> 00:28:32.740 position:50% align:middle regulation that keep all of us safe. 00:28:32.740 --> 00:28:39.210 position:50% align:middle So let's not look back with desires for the experiences of the past but as a means of informing wiser decisions 00:28:39.210 --> 00:28:40.500 position:50% align:middle for the future. 00:28:40.500 --> 00:28:44.470 position:50% align:middle Information and evidence are critical in shaping public safety. 00:28:44.470 --> 00:28:52.570 position:50% align:middle Technology can help us curate that evidence, but we need to encourage and we need to engage and be 00:28:52.570 --> 00:28:56.790 position:50% align:middle the ultimate decision-makers, at least until we have confidence in the soundness 00:28:56.790 --> 00:29:01.940 position:50% align:middle of the judgments of the AI systems and their deep learning tools. 00:29:01.940 --> 00:29:09.490 position:50% align:middle Let me just draw this to a conclusion by saying just a few final words. 00:29:09.490 --> 00:29:19.020 position:50% align:middle Finally, for me, a legacy is not something that we leave behind but the potential that we have created 00:29:19.020 --> 00:29:21.140 position:50% align:middle for the future. 00:29:21.140 --> 00:29:31.250 position:50% align:middle So, ladies and gentlemen, colleagues and friends, I hope that you go on, turn my dreams to reality, 00:29:31.250 --> 00:29:36.540 position:50% align:middle and continue to protect all of us as we move towards 2050. 00:29:36.540 --> 00:29:38.350 position:50% align:middle Thank you.