We need to increase our base of T4 implementation research expertise among researchers, reviewers, and investigators.

There is a need for sensible policies that require collection and scientific analysis of credible data relating to the biomedical workforce. The data currently available are weak – for example no one knows, to a factor of 2X, the actual number of postdocs in the United States. The absence of credible human resource and labor market data on the biomedical research workforce is very surprising. NIH could contribute greatly ...more »

How best to train T1 investigators in using big health care data to test their basic science hypotheses related to heart, lung, blood, and sleep disorders and thus generate sufficient confirmation to justify clinical interventions.

What strategies should NHLBI use to pursue students at the K-12 level of their education and also to encourage their scientific interests through the undergraduate and graduate levels?

How can we insure that there are sufficient numbers of clinical scientists over the next 20 years?

Traditionally the Health Care model has meant that patients come to HCF for their care. Hospitals are increasingly overcrowded and also not always the best place to be due to the risk for nosocomial infections. Utilizing existing community resources to enhance the health both acute and chronic deserves exploration at the national level. Training paramedics to do chronic disease monitoring as well as as remotely work with ...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).

As long as funding remains at grossly inadequate levels, to distribute the research money more fairly, limit the total dollar amount any PI can receive. It should be a reasonably large number in order to fund multiple good ideas that are peer-evaluated, but small enough to allow more PIs to get funding.

NHLBI should consider creating specific programs that encourage the participation of investigators that often do not apply to NHLBI such as kidney researchers.

Although sickle cell was first described more than 100 years ago and more than 100,000 individuals in the US are living with sickle cell disease, healthcare providers still lack basic knowledge of the key components in providing care for individuals with sickle cell. This often leads to poor health outcomes including stigmatization of patients with sickle cell seeking care. Evidenced-based curriculum should be available ...more »

Challenge is to have revised grants reviewed by the same reviewers, rather than delayed by new sets of reviewers. Also, having points such as changing model species addressable through Program Staff rather than prolonged re-review.

What are the best methods for NHLBI to contribute to reforms that make careers more attractive to people from disadvantaged backgrounds?