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depending on your location good afternoon or good morning and welcome to our meeting today on the state of real world evidence policy this is a public convening by the duke margola center for health policy supported through the generosity of the margolis family foundation which provides core resources for our center as well as a combination of financial and in-kind contributions from the real world evidence collaborative members im mark mcclellan im the director of the duke margolis center for health policy at duke university im also an independent director on the boards of johnson and johnson cigna alignment healthcare and prognomic and im also an advisor for arsenal capital blackstone life sciences and mitre todays meeting is focusing on a lot of issues that are getting a growing amount of attention so very timely what we call real world data has been around for years its been augmented by progress in terms of data availability electronic um systems and and better understanding