Despite quickly advancing medical technology, the 'pace' [=(more commonly) 'rate'] of change in her field remained slow and steady.
The winner finished in 4 minutes, 30 seconds, and the next runner was three seconds 'off the pace'. [=finished three seconds later]
The law has not 'kept pace with' technology. [=the law has not changed fast enough to reflect changes in technology]
(..) Oh? Lesbians. Big-time. The whole world's going gay. Bigger steps. You guys are killing our pace. And one of you is wearing too much Cool Water. Yeah, that's me, Dina. Aw, Amy looks beautiful. Not my type. (..)2017 TvShow: Superstore Title: Cheyenne's Wedding Season: 2 Episode 20