What are the best strategies to develop a highly competent diverse Implementation Science research workforce to address health inequities?

The main therapeutic challenges that remain to be addressed in the field of cardiac arrhythmias generally require the participation of scientific expertises as diverse as physiology, medicine, engineering, chemistry, nanotechnology, material science and others. Today, there is little incentive to assemble such cross-expertise teams. Novel funding mechanisms could reward the time and effort invested in forming cross-expertise ...more »

Strengthen institutional accountability to the investigator for appropriate use of indirect funds

Patients with vascular anomalies frequently see many physicians and undergo extraneous tests with incorrect diagnoses. A major reason for this is due to the fact that medical training does not include Vascular Anomalies in the syllabus. Thus, many specialties erroneously use the term "hemangioma" for any vascular diagnosis. Over the past 2 decades, there have been major breakthroughs in basic and genetic research, as ...more »

Why does a cross-reference gap occur when prescriptions are filled through a patient's one and only pharmacy. How can a pharmacist double check a physician's work when the physician prescribes a medication that should NOT be taken if the patient has a diagnosis the pharmacist has no documented evidence to REJECT the prescription and NOT dispense the dangerous drug-interaction, drug vs. medical condition information? Since ...more »

Increasing opportunities for junior faculty trainees to network (e.g. cross-training with other NIH institutes)

No physician or hospital has an active data management system at point of care. coding is done by third parties and not the diagnosing physician. The Test with MED-O-CARD shows that an integrated Diagnostic/Medication Algorithm allows a patient and his physicians to run and view instant data analytic. This system can be expanded scientifically without pushing the patient again aside. Patient inclusion will increase quality ...more »

How can we better train the medical staff to realize that we are individuals and not see us as a disease as opposed to an individual when treating us in the Emergency Room. To listen to the patients advice and comments. Helps them realize most adult patients have been taking narcotics the majority of their lives and that's why they require higher doses (without the judgment).

How do we attract more students/trainees into fields that are not popularized by “catchy” names?

There is a need to encourage the development and growth of integrated and multi-disciplinary biomedical research skills needed to utilize emerging technology, infrastructure, and paradigms, including the development of competitive research training strategies that embrace the role of multi-institutional and professional scientific organization research collaboration.

What trainee outcomes will best fulfill the mission of NHLBI, and what programs best promote these outcomes?

The decision by NHLBI to not support the R21 mechanism may be stifling new and innovative research, partcularly by young investigators who do not have a track record of R01 funding. The critical challenge is to keep funding new ideas from younger investigators to keep their careers viable while they obtain the data and publications necessary for further R01-level funding.