Goal 4: Develop Workforce and Resources

Training of Clinical & Translational Scientists

Although the NCRR and NIGMS used to have a mechanism to train new generation of clinical & translational scientists, this program was stopped. Why?

What is the possibility of other institutes to come up with the priority of funding resources in this regard?

Submitted by (@dkagr0)

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

Details on the impact of addressing this CQ or CC :

In view of the health care models, strong control of insurance companies in determining the remuneration, lack of protective time for qualified clinicians to continue their research, no incentive to the institute for promoting such activities, lack of available tenure-track jobs, pool of effective and well-trained clinical & translational researchers is decreasing rapidly. Even though NIH invests resources to train MD-PhD students, a very minor pool of these graduates continue curiosity and passion in advancing new knowledge and discovering newer approaches.

Feasibility and challenges of addressing this CQ or CC :

1. Additional resources must be developed by NHLBI, NIAID, NIDDK and other major institutes to support this endeavor.

2. Institutes/medical schools who provide protective time to their faculty to continue their efforts in clinical & translational research, must be acknowledged and incentivized.

3. There has been no effective way of measuring outcomes from such investments. All of us must take ownership in utilizing the resources more effectively and more productively.

Name of idea submitter and other team members who worked on this idea : Devendra K. Agrawal, PhD

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31 net votes
38 up votes
7 down votes
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Goal 4: Develop Workforce and Resources

Number of clinical scientists

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

Submitted by (@nhlbiforumadministrator)

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 : American Thoracic Society member

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

Loss of the middle years

The challenge I write about is the significant lack of funding for science in NHLBI. There are currently programs to increase the funding of early career investigators and many senior faculty are obtaining continuing renewal.

How will NHLBI keep those in their middle of their career years from dropping out of the biomedical workforce?

Submitted by (@nhlbiforumadministrator)

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 is clear that a limitation in funding for NIH grants is causing scientists to leave the field of translational science. I have observed scientists putting in 6-10 grants per year and receiving scores that are close to funding but not being successful.

 

I believe that we have spent a lot of resources to aid early career faculty such that their futures are bright. What I am most concerned about is mid-career faculty who are leaving science in large numbers.

 

If we don’t do something about this challenge soon, we will have lost a whole generation of bright scientists. These are individuals who have had 1 or 2 NIH grants and are not able to get continued funding. When they drop out of scientific careers we lose all that training and support that has gone into their careers thus far.

Feasibility and challenges of addressing this CQ or CC :

The current political climate makes this challenge a critical issue to resolve.

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

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85 net votes
102 up votes
17 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

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

Maintaining experienced clinical scientists and mentors

This is critical to avoid having experienced researchers fall off the edge, so to speak, due to gaps in funding. There is a need for continued career support beyond the currently truncated K24.

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 :

Maintains experienced and productive clinical scientists and mentors in patient-related research

Feasibility and challenges of addressing this CQ or CC :

Should be feasible, along lines of previous K24, but extended.

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6 net votes
6 up votes
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Goal 4: Develop Workforce and Resources

Pipeline of clinician scientists

Maintaining the pipeline of clinician scientists via early and mid-career awards. Promote the development of collaborative teams.

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

Early Career Physician Scientists are heading toward extinction

As seen by ~ 40% steady decline in number of K-08 grant applicants over 2005-2014 period, early career physician scientists who can do both basic-translation research and take care of patients are dwindling. Lack of institutional support, lack of ACGME support, increasing demands of clinical training, increasing compliance requirement, and disadvantaged position (i.e., significantly less preparation time and continued ...more »

Submitted by (@ctong0)

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

Details on the impact of addressing this CQ or CC :

Physician scientists are needed to provide the bridge between clinical needs and scientific endeavors. Physician scientists can take the needs to scientific community for research and bring new discoveries toward known diseases. Without this bridge, mismatch between clinical need and research will grow.

Feasibility and challenges of addressing this CQ or CC :

NHLBI has reported only about 50% of K-08 awardee apply for R01 in a different critical challenge note. Thus, combination of decreasing number of K-08 applicants and then less than half of the awardees are applying for R01 show that the next generation of physician scientists is now threatened.

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

Voting

13 net votes
26 up votes
13 down votes
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