Physician-Scientist Workforce Working Group Report.Pdf
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National Institutes of Health Physician-Scientist Workforce Working Group Report June 2014 In a word, I consider hospitals only as the entrance to scientific medicine; they are the first field of observation which a physician enters; but the true sanctuary of medical science is a laboratory; only there can he seek explanations of life in the normal and pathological states by means of experimental analysis.1 Claude Bernard, 1865 1 Bernard, Claude, An Introduction to the Study of Experimental Medicine (Dover edition 1957; originally published in 1865; first English translation by Henry Copley Greene, published by Macmillan & Co., Ltd., 1927 i The Physician-Scientist Workforce Working Group David Ginsburg, MD, Co-Chair Rena N. D’Souza, DDS, PhD James V. Neel Distinguished University Professor and Dean, School of Dentistry Professor University of Utah Departments of Internal Medicine, Human Salt Lake City, UT Genetics, and Pediatrics and Communicable Diseases James G. Fox, DVM Howard Hughes Medical Institute Professor and Director of the Division of Comparative University of Michigan Medical School Medicine Ann Arbor, MI Professor, Department of Biological Engineering Massachusetts Institute of Technology Cambridge, MA Sherry Mills, MD, MPH, Co-Chair Director, Office of Extramural Programs Helen H. Hobbs, MD National Institutes of Health Investigator, Howard Hughes Medical Institute Bethesda, MD Professor of Internal Medicine and Molecular Genetics University of Texas Southwestern Medical Center Susan Shurin, MD, Co-Chair Dallas, TX Deputy Director, National Institute of Heart, Lung and Blood Ann R. Knebel, RN, PhD, FAAN National Institutes of Health Deputy Director Bethesda, MD National Institute of Nursing Research National Institutes of Health Nancy Andrews, MD, PhD Bethesda, MD Dean, Duke University School of Medicine Vice Chancellor for Academic Affairs Elaine Larson, RN, PhD, FAAN, CIC Nanaline H. Duke Professor of Pediatrics Anna C. Maxwell Professor of Nursing Research Professor of Pharmacology and Cancer Biology Associate Dean for Nursing Research Duke University Medical Center School of Nursing Durham, NC Professor of Epidemiology, Mailman School of Public Health Gordon R. Bernard, MD Columbia University Melinda Owen Bass Professor of Medicine New York, NY Associate Vice Chancellor for Research Director, Vanderbilt Institute for Clinical Vivian S. Lee, MD, PhD, MBA and Translational Research Senior Vice President for Health Sciences Vanderbilt University School of Medicine Dean, School of Medicine Nashville, TN CEO, University Health Care University of Utah Lawrence F. Brass, MD, PhD Salt Lake City, UT Professor, Department of Medicine Associate Dean for Combined Degree and Physician Scholars Programs University of Pennsylvania Perelman School of Medicine Philadelphia, PA ii Timothy J. Ley, MD David G. Nichols, MD, MBA Professor of Medicine and Genetics President and CEO Division of Oncology The American Board of Pediatrics Washington University School of Medicine Chapel Hill, NC St. Louis, MO. Leon E. Rosenberg, MD Richard P. Lifton, MD, PhD Professor, Department of Molecular Biology Chairman, Department of Genetics Princeton University Professor, Genetics, Internal Medicine and Princeton, NJ Investigator, Howard Hughes Medical Institute, Yale University School of Medicine Andrew I. Schafer, M.D. Haven, CT Professor of Medicine Weill Cornell Medical College David Meltzer, MD, PhD. New York, NY Associate Professor of Medicine Chief, Section of Hospital Medicine, Director, Center for Health and Social Sciences Susan VandeWoude, DVM University of Chicago Professor and Associate Dean for Research Chicago, IL Department of Microbiology, Immunology and Pathology Juanita L. Merchant MD, PhD College of Veterinary Medicine & Biomedical H. Marvin Pollard Professor of Sciences Gastrointestinal Sciences Colorado State University Professor of Internal Medicine and Fort Collins, CO Molecular and Integrative Physiology University of Michigan Ann Arbor, MI iii Acknowledgments The Working Group gratefully acknowledges the following individuals who served as ad hoc members of the Physician-Scientist Workforce Subcommittees and whose insights contributed to the discussion of issues and recommendations presented in this report: Ad Hoc Subcommittee Members Robert M. Califf, MD Harry W. Dickerson, BVSc, MS, PhD Professor of Medicine Professor Director, Duke Translational Medicine Institute Associate Dean for Research and Graduate Vice Chancellor for Clinical and Translational Affairs Research Department of Infectious Diseases Department of Medicine /Cardiology College of Veterinary Medicine Duke University The University of Georgia Durham, NC Athens, GA Janine Austin Clayton, MD Robert Dittus, MD Director, Office of Research on Women’s Professor of Medicine Health and Division of General Internal Medicine Associate Director for Research on Women’s Vanderbilt University Health Nashville, TN National Institutes of Health Bethesda, MD Mildred C. Embree, DDS, PhD Assistant Professor of Dental Medicine Barry Coller, MD College of Dental Medicine David Rockefeller Professor and Physician-In- Columbia University Chief New York, NY Laboratory of Blood and Vascular Biology The Rockefeller University Mark C. Fishman, MD New York, NY President Novartis Institutes for BioMedical Research Thomas O. Daniel, MD (NIBR) Executive Vice President and President Cambridge, MA of Research & Early Development Celgene Corporation Don Ganem, MD Summit, NJ Global Head of Infectious Diseases Research & Vice President Timothy DeRouen, PhD Novartis Institutes for Biomedical Research Professor of Biostatistics, Oral Health Sciences, Cambridge, MA and Global Health Director, Center for Global Oral Health School of Dentistry University of Washington Seattle, WA iv Peter J. Gruber, MD, PhD Willie M. Reed, DVM, PhD, DACVP, DACPV Johann L. Ehrenhaft Professor and Chairman Dean and Professor Department of Cardiothoracic Surgery College of Veterinary Medicine University of Iowa Purdue University Iowa City, IA West Lafayette, IN Michael Dale Lairmore, DVM, PhD Mike J. Welsh, MD Dean and Professor Roy J. Carver Biomedical Research Chair in Veterinary Medicine Internal Medicine and Molecular Physiology University of California Davis and Biophysics Davis, CA Professor of Neurosurgery, Director of the University of Iowa Cystic Fibrosis Jeffrey Myers, MD, PhD Research Center Professor Director of the University of Iowa Institute for Department of Head and Neck Surgery Biomedical Discovery The University of Texas MD Anderson Cancer Roy J. and Lucille A. Carver College of Medicine Center University of Iowa Houston, TX Iowa City IA External Reviewer Steven M. Altschuler, MD President and CEO The Children’s Hospital of Philadelphia Philadelphia, PA The Working Group also wishes to acknowledge the support and contributions of NIH staff who provided administrative support to the Subcommittees, and of the contractors who provided research support. NIH Staff Contributors Yvonne Lau, MD, MBHL, PhD Mercedes Rubio, PhD Executive Secretary Program Chief, Psychopathology Risk and NIH ACD Physician-Scientists Protective Factors Research Program Workforce Assistant Director, Individual Research (PSW) Working Group Fellowship Programs NIH Extramural Research Integrity Officer National Institute of Mental Health Office of Extramural Research/Office of Bethesda, MD Extramural Program National Institutes of Health Xiaodu Guo, MD, PhD Bethesda, MD Scientific Review Administrator Review Branch National Institute of Diabetes and Digestive and Kidney Diseases Bethesda, MD v Lynn Morin, MA Lisa Evans, JD Public Health Analyst Scientific Workforce Diversity Specialist National Institute of Alcohol Abuse and Office of Extramural Research/Office of Alcoholism Extramural Program Rockville, MD National Institutes of Health Bethesda, MD Mary L. Garcia-Cazarin, PhD Health Scientist, Office of Dietary Supplements Rosemarie Filart MD, MPH, MBA AAAS Science & Technology Policy Fellow Medical Officer National Institutes of Health Detail at Office of Research on Women's Health Bethesda, MD National Institutes of Health, Bethesda, MD Jennifer Sutton, MS Extramural Program Policy and Evaluation Staff of OERStats Officer Division of Statistical Analysis & Reporting Office of Extramural Research/Office of (DSAR) Extramural Program Office of Extramural Research National Institutes of Health National Institutes of Health Bethesda, MD Bethesda, MD Misty L. Heggeness, PhD Sarah Shane Labor Economist Executive Assistant to OEP Director Office of Extramural Research/Office of Office of Extramural Programs Extramural Program National Institutes of Health National Institutes of Health Bethesda, MD Bethesda, MD Contractors Contractor support for this report was provided under the NET ESOLUTIONS CORPORATION (NETE) NIH Prime Contract HHSN276201300089U. NETE was supported by its subcontractors, Thomson Reuters and Catalyst Research & Communications. Individual team members include: NET ESOLUTIONS (NETE): Sandeep Somaiya, Contract Program Manager; Meghan Hudson, Task Coordinator; Sydney Gomes and Chrissy Juarez, Graphic Designers. Thomson Reuters: Joshua Schnell, PhD., Subcontract Director and Task Lead; Elmer Yglesias, David Jones, Leo DiJoseph, and Di H. Cross. Catalyst Research & Communications: Glora Stables, PhD, RD, Subcontract Director; Donna Lloyd- Kolkin, PhD, Task Lead and Report Writer; Heather Handel, MHS, Researcher. Meeting support for this contract was provided by Palladian Partners under Contract HHSN2632012000201.