Goal 4: Develop Workforce and Resources

To support the future of investigator-initiated research by sustaining and developing a diverse biomedical workforce with the skills and research resources to pursue emerging opportunities in science.

Goal 4: Develop Workforce and Resources

A fully qualiftied EHR (electronic health record) as defined in ACA/HITECH in the hands of patients reduces medical errors

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 »

Submitted by (@g.pollanz)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Details on the impact of addressing this CQ or CC :

Reduces medical errors / forces CPOE / shows instant drug inconsistencies even during surgery and intensive care / forces patient compliance

Feasibility and challenges of addressing this CQ or CC :

Tests with MED-O-CARD at Frankfurt University Hospital show the need of patient education. US providers ignore the legal mandate of the ACA and of HIPAA to transfer all electronic data to the patient. Violation of the law seems a cavalier deli ct with providers and has hardly any consequences.

Personal medical data collected from all providers plus monitoring and mobile apps data collected by the patient plus DNA data on one secured DB in the hands of a patient enables MICRO Analytic (of one patient) and allows entirely new challenges of MACRO Analytic (Population Management) without being dependent on the commercial considerations or providers who (mostly illegal) sell data for predefined pharmacological studies. MED-O-CARD's patient data will not be sold but shall become property of the participating patients and thus allows the free-of-charge creation of scientific BIG DATA for R&D

Name of idea submitter and other team members who worked on this idea : Prof. Thomas Vogl, Frankfurt University Hospital; others, Israel, German and US computer teams

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-13 net votes
7 up votes
20 down votes
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Goal 4: Develop Workforce and Resources

Similar changes to those in modern manufacdturing are required through our new technical society inlcuding medicine.

Attitudes to Mistakes. Changing prescription and protocol philosophy. As an older patient, I am 89, I have one thing many others do not have, experience. As an engineer with much experience in manufacturing industry I have seen great recent changes in manufacturing sociology. Now, even top management comes to listen to “the Gemba” (the shop floor) and what could be regarded as mistakes are seen as opportunities to improve ...more »

Submitted by (@khop00)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Details on the impact of addressing this CQ or CC :

As an engineer with considerable experience in manufacturing industry I have seen great changes in manufacturing sociology. We have come to listen to the Gemba (the shop floor) and inappropriate procedures are now regarded as opportunities to improve not something to be punished. Perhaps I can mention that my writing has been praised on this subject, for example for the book, "The Puritan Gift” by Kenneth and Will Hopper. “This is one of the best books I have ever read in my long life, and I don’t just mean books on business” Foreword: by Russ Ackoff, Wharton Business School. “late in their lives (the Hoppers) have given us an extraordinary gift” (translated from Chinese) Promise Hsu, Vista Magazine

Feasibility and challenges of addressing this CQ or CC :

I suggest as a subject for discussion, that a change to a more aggressive use of antibiotics could save antibiotics. There is an old saying that the best time to hit a man is when he is down. The same surely applies to harmful bacteria.

Name of idea submitter and other team members who worked on this idea : Kenneth Hopper

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2 net votes
2 up votes
0 down votes
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Goal 4: Develop Workforce and Resources

Encouraging good science by maintinaing continuity of review

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.

Submitted by (@rlevine)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Details on the impact of addressing this CQ or CC :

Faster advancement of science

Feasibility and challenges of addressing this CQ or CC :

Not hard!

Voting

5 net votes
5 up votes
0 down votes
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Goal 4: Develop Workforce and Resources

Strategic Visioning Initiative is just a beginning: it needs a mechanism for implementation

NHLBI Strategic Visioning Initiative is a good idea. You have received a score of useful suggestions from Academia and business. But like and good idea, it needs someone to follow through. Otherwise your new beautiful plans for cardiovascular research may die without a significant impact.

Submitted by (@soldatovn.humgenex)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Details on the impact of addressing this CQ or CC :

When the plans are completed, the work just begins. Above all, you have to find people to carry out the plans passionately but quietly, i.e., without exuberant desire to report before the results are obtained.

Feasibility and challenges of addressing this CQ or CC :

The study by Merilee Grindle of the Harvard Kennedy School "Good Governance: The Inflation of an Idea" may be very useful.

Name of idea submitter and other team members who worked on this idea : Nikolai M. Soldatov, Ph.D.

Voting

2 net votes
4 up votes
2 down votes
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Goal 4: Develop Workforce and Resources

Increasing the pool of senior mentors

What is the best way for the mentoring effort of senior investigators to be encouraged, enhanced, and supported to develop early career investigators?

Submitted by (@nhlbiforumadministrator)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Compelling Question (CQ)

Details on the impact of addressing this CQ or CC :

Increasing the pool of and enhancing the skills of diverse senior mentors is critical to the development of young investigators in appropriate scientific disciplines. This would promote the development of strategies to improve the quality and number of available mentors and promote an approach to mentoring that includes science, career development and research management.

Feasibility and challenges of addressing this CQ or CC :

The development of the next generation of talented new investigators who are committed to conducting research related to the mission of NHLBI can be accomplished through mechanisms that provide protected time and resources to senior investigators.

Name of idea submitter and other team members who worked on this idea : NHLBI Staff

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8 net votes
27 up votes
19 down votes
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Goal 4: Develop Workforce and Resources

Increase and Support Research Based Faculty

As the current chair of the Research and Training Division, I would like to convey that the AAAAI membership would like the NHLBI to consider the following in the development of its strategic plan: There has been a decline in research-based faculty in the past few years.  The challenge is two-fold.  First, increase the research faculty pipeline with increased focus on training and recruitment of research focused fellows ...more »

Submitted by (@wheeze)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Name of idea submitter and other team members who worked on this idea : Mitchell Grayson on behalf of the American Academy of Allergy, Asthma, and Immunology

Voting

59 net votes
76 up votes
17 down votes
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Goal 4: Develop Workforce and Resources

Promoting collaborations to advance research

Insufficient funding and resources hamper scientific progress. Providing funding opportunities that require collaborations across multiple institutions would encourage open and collaborative research while promoting advances in research due to complementary expertise, sharing of resources, combining scientific efforts, etc.

Submitted by (@feghalib)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Details on the impact of addressing this CQ or CC :

It would enhance research, accelerate the pace of discoveries, create collegial and collaborative environments across institutions and research groups. It would also promote team science and foster junior investigators who will learn the advantages of collaborating and functioning as a team.

Feasibility and challenges of addressing this CQ or CC :

It would require funding opportunities with availability of funds being contingent on collaborations across a certain number of institutions/centers having complementary resources, expertise, & research teams.

Name of idea submitter and other team members who worked on this idea : CFB

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36 net votes
44 up votes
8 down votes
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Goal 4: Develop Workforce and Resources

Productivity of established investigators

Maintaining and increasing the productivity of established investigators. Increase overall funding for R awards and their duration and reduce administrative burden.

Submitted by (@societyforvascularsurgery)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Name of idea submitter and other team members who worked on this idea : Society for Vascular Surgery

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3 net votes
4 up votes
1 down votes
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Goal 4: Develop Workforce and Resources

Translational training programs

The strategic vision to enhance translation and to enhance the workforce both require training that spans the scope of basic science, pre-clinical development, clinical trials. We lack coherent mechanisms for training the next generation of translational researchers, some of whom may be MDs, and some PhDs. A program should provide cross-training of Clinical Fellows and Postdocs to reflect the needed interactions between ...more »

Submitted by (@wjones7)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Details on the impact of addressing this CQ or CC :

The impact will trainees with more comprehensive exposure and involvement in translation of science from the bench to bedside. MDs will spend more time in labs or involved in pre-clinical work, PhDs will become CITI certified and assist with enrollment of clinical trials and trial design. Journal clubs will span the sciences, the clinical practice and the translational realm including regulatory and industry considerations. Trainees can use this background whether they go on in medicine, science, translation, or industry to fit and contribute to an increasingly translational medical bioscience field.

Feasibility and challenges of addressing this CQ or CC :

Feasibility must include a academic medicine environment active in translational biomedical science such that the mentors can include scientists, physicians and physician/scientists, some of whom are translators. Some of the scientists should be from industry and perhaps projects and funding can involve industry/Pharm as well these will benefit from an educated workforce. Challenges involve individuals at the sites putting the right teams together, but many Universities are doing this with incubators and translational units at present. This will further the clinical involvement to include Fellows in Fellowship programs in Cardiology, Medicine and Surgery.

Name of idea submitter and other team members who worked on this idea : Keith Jones

Voting

27 net votes
38 up votes
11 down votes
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Goal 4: Develop Workforce and Resources

Making R01 funding work for the Medical Sciences

We need to spread R01 funding around more to ensure that the best science has funding adequate to move forward. To do this I believe changing how we think about R01 funding and expenditures can be used to put the NIH funds to better use. Too often successful researchers have the majority of their salaries on R01s and the institutions have little skin in the game. PI salaries can be a large part of the escalating budget ...more »

Submitted by (@wjones7)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Details on the impact of addressing this CQ or CC :

The impact of spreading the funding would be to improve funding rates, improve funding of new investigators, and supporting more diverse science. Negative impacts would include reduced funding some large labs. In my experience, in some cases, this would be a good thing. There could be special programs and exceptions for large labs that make significant important contributions and serve as resources to reduce negative impact. Review of grants should include information on manuscript retractions and large labs with many retractions should be carefully scrutinized for defunding.

Feasibility and challenges of addressing this CQ or CC :

Such changes would have to be made incrementally over time since this will require states and institutions to pick up some of the cost of science and therefore must be phased in to allow for time to adjust the workforce in specific places to align with budgetary constraints. Institutions might be encouraged to do more fundraising to actually support science to fill gaps.

Name of idea submitter and other team members who worked on this idea : Keith Jones with major input from Pieter de Tombe

Voting

28 net votes
44 up votes
16 down votes
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Goal 4: Develop Workforce and Resources

Promoting Translational Research training using the R03 mechanism

We in Wisconsin have developed a robust training program for mixed MD and PhD postdocs in a clinical dept and yet their future in research is blocked by few faculty positions, poor funding and over complicated NIH applications. One of the simplest grants is the R03 and we have already had graduates with only a few years postdoc experience succeed in gaining R03 funding. The R03 is a very simple very flexible mechanism. ...more »

Submitted by (@ianbird)

Is this idea a Compelling Question (CQ) or Critical Challenge (CC)? : Critical Challenge (CC)

Details on the impact of addressing this CQ or CC :

More MD and PhD Postdoc trainees will spend more time focused on work and less writing grants - and the efficiency of expenditures by NIH would go up in terms of paper generated per dollar. MDs who may have a desire to dip in and out of funded research as their clinical path demands would be able to do that. R03 funding does not at any time change your status as a new or early career investigator. Its perfectly reasonable to hold more than one even without a faculty title but as a PhD scientist or practicing clinciian.

Feasibility and challenges of addressing this CQ or CC :

Its easy to do - just decide to do it. Also writing an R03 is the best possible training for writing an R01. I run a T32 for predocs and I mentor K12 postdocs. I know what NIH INTENDS in its training grants. But also recognize just to take on the longer and longer and more demanding K application after already being well trained is a real disincentive to everyone, even if those pages in training plan are well intentioned. IF omeone has not had the chance to train or is cross training to a new area then a K99 is perfect. But someone who is well trained, may stay in their area and has already proven themselves needs a fast submission fast review process to get funding NOW that may be the difference between continued employment though this funding crisis or not. This could provide that for them. Especially with expedited review!

Name of idea submitter and other team members who worked on this idea : Ian Bird

Voting

-1 net votes
10 up votes
11 down votes
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