What’s new, what’s the same?
The PHS Division ― and Li himself ― will continue to be part of large multi-institution research collaborations such as the Cancer Screening Research Network (CSRN), Women’s Health Initiative (WHI), Population-based Research to Optimize the Screening Process (PROSPR), Multi-ethnic Observational Study in Asian American and Pacific Islander Communities (MOSAAIC), etc. – but will fold in new tools and priorities.
Top considerations, he said, will be given to artificial intelligence, or AI, precision cancer screening and early detection, cancer survivorship and metastatic disease.
“We all recognize the potential for advancements in the field with AI and data science and other new technologies,” he said. “The fields are evolving rapidly and there are both opportunities and challenges. It’s important to develop a plan.”
Unfortunately, Li said there are still “major bottlenecks with the data,” with not enough access to clinical data to power research.
There’s also room for improvement with regard to precision screening and early detection, Li said.
“We’re still largely stuck with a one-size-fits-all system that’s based on age,” he said. “But I think we can do much better in terms of more efficiently and effectively delivering screening based on more of a risk-based model.”
Li pointed to the success of both the Early Detection Research Network, or EDRN, and CSRN, two large multi-institutional cancer screening networks that use Fred Hutch as their data coordinating centers, but stressed there was more PHS can do.
“Our faculty need to focus on new tools and strategies for precision screening and early detection,” he said. “There are a lot of opportunities to further grow national leadership in this space.”
With regard to survivorship, Li pointed to the 18 million cancer survivors currently in the U.S.
“The number of survivors continues to grow,” he said. “We have developed expertise in survivorship in partnership with the Clinical Research Division and have also considerably advanced our expertise in metastasis through the MET-X program. We have clear opportunities to further grow our national and international presence in these fields.”
Li also stressed the importance of being nimble and responding to emerging cancer epidemics and exposures.
“There are now many more early onset cancers across multiple cancer sites,” he said. “There are emerging exposures due to everything from climate change to GLP-1 medications. We want to continue to be responsive to new and emerging public health challenges.”
There’s also more that can be done to expand Fred Hutch science into communities, he said. Li serves as the associate director of Population Sciences for the Fred Hutch/University of Washington/Seattle Children's Cancer Consortium, which has a mandate to serve the needs of the communities within its catchment area, which encompasses all of Washington state.
“One thing I’ve been thinking about a lot is ‘How do we have a greater impact on our community locally?’” he said. “Fred Hutch recently expanded the catchment area of our cancer consortium to include the full state of Washington. We've done a good job meeting the needs of people in the Seattle-Tacoma and Puget Sound area. But there are still a lot of opportunities to better deliver cancer prevention, cancer screening, cancer treatment, and survivorship services to Washington state more broadly.”
Li wants to better understand the challenges affecting communities and “engage with them to set research priorities.”
“We are the only cancer center serving the state of Washington,” he said. “We have a commitment to reduce the burden of cancer in our community and PHS is the epicenter of community-engaged research at Fred Hutch.”
Boosting team science
Li also stressed the importance of team science, a longstanding practice within PHS and Fred Hutch.
“The more connected we are, the more scientific advantages we have,” he said. “The more time we spend together, the more we can develop new collaborations and support mentoring, and these types of exchanges can generate new ideas that lead to new collaborative grants.”
He is working to establish regular PHS retreats and monthly lunches for assistant and associate professors as a platform to support more team science and career development. Plans are also in the works to have more engagement across programs (within divisions) as well as across divisions.
“I’m very optimistic about the future of Public Health Sciences,” he said. “We face a number of challenges in our external environment, but we have an incredibly strong core, exceptional faculty and a clear mission. My goal is to help us work even more closely across disciplines, so that our research translates faster, reaches farther and saves more lives.”