National Institutes of Health funding for cardiothoracic surgical research

Ratcliffe, Mark B.; Howard, Cheryl; Mann, Michael J.; Nido, Pedro J. del

doi:10.1016/j.jtcvs.2008.04.009

Cited by 40 publications

(31 citation statements)

References 12 publications

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“…Historically, surgeons have not applied as often as their nonsurgical peers. 4,5,11 This likely contributes to the fact that only 46% of all faculty surveyed, and 69% of basic scientists, had extramural funding. Although “success” in basic research is difficult to define, we use federal funding as a proxy, but accept that alternative revenue sources (private industry, philanthropy, clinical revenue) can sustain productive basic research programs.…”

Section: Discussionmentioning

confidence: 99%

The Future of Basic Science in Academic Surgery

et al. 2017

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Objective The aim of this study was to examine the challenges confronting surgeons performing basic science research in today’s academic surgery environment. Summary of Background Data Multiple studies have identified challenges confronting surgeon-scientists and impacting their ability to be successful. Although these threats have been known for decades, the downward trend in the number of successful surgeon-scientists continues. Clinical demands, funding challenges, and other factors play important roles, but a rigorous analysis of academic surgeons and their experiences regarding these issues has not previously been performed. Methods An online survey was distributed to 2504 members of the Association for Academic Surgery and Society of University Surgeons to determine factors impacting success. Survey results were subjected to statistical analyses. We also reviewed publicly available data regarding funding from the National Institutes of Health (NIH). Results NIH data revealed a 27% decline in the proportion of NIH funding to surgical departments relative to total NIH funding from 2007 to 2014. A total of 1033 (41%) members responded to our survey, making this the largest survey of academic surgeons to date. Surgeons most often cited the following factors as major impediments to pursuing basic investigation: pressure to be clinically productive, excessive administrative responsibilities, difficulty obtaining extramural funding, and desire for work-life balance. Surprisingly, a majority (68%) did not believe surgeons can be successful basic scientists in today’s environment, including departmental leadership. Conclusions We have identified important barriers that confront academic surgeons pursuing basic research and a perception that success in basic science may no longer be achievable. These barriers need to be addressed to ensure the continued development of future surgeon-scientists.

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Section: Discussionmentioning

confidence: 99%

The Future of Basic Science in Academic Surgery

et al. 2017

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“…Importantly, NIH’s new investigator policies pertain only to R01’s, and do not apply to training grants such as K-awards. Recent publications have shown trends toward diminishing K-award funding within transplant, endocrine, and cardiothoracic surgery, with clinical responsibilities cited as the primary barrier to research (22–25). Our data corroborate these findings by noting a one-third reduction in K-awards over the last decade, a decline surpassed among clinical departments only by pathology.…”

Section: Discussionmentioning

confidence: 99%

Recent trends in National Institutes of Health funding for surgery: 2003 to 2013

Edwards

Brooks

et al. 2015

The American Journal of Surgery

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BACKGROUND The purpose of this study is to compare the compositions of federally-funded surgical research between 2003 and 2013, and to assess differences in funding trends between surgery and other medical specialties. DATA SOURCES The NIH RePORTER database was queried for grants within core surgical disciplines during 2003 and 2013. Funding was categorized by award type, methodology, and discipline. Application success rates for surgery and five non-surgical departments were trended over time. RESULTS Inflation-adjusted NIH funding for surgical research decreased 19% from $270M in 2003 to $219M in 2013, with a shift from R-awards to U-awards. Proportional funding to outcomes research almost tripled, while translational research diminished. Non-surgical departments have increased NIH application volume over the last 10 years; however, surgery’s application volume has been stagnant. CONCLUSIONS To preserve surgery’s role in innovative research, new efforts are needed to incentivize an increase in application volume.

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“…34 Our finding that surgical specialties’ choice was also independently associated with a lower likelihood of full-time faculty appointment may reflect, at least in part, perceptions that surgical specialists face particular difficulties in successfully pursuing academic careers as surgeon-scientists. 35–38 …”

Section: Discussionmentioning

confidence: 99%

Variables Associated With Full-Time Faculty Appointment Among Contemporary U.S. Medical School Graduates: Implications for Academic Medicine Workforce Diversity

et al. 2010

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Purpose The authors sought to identify variables independently associated with full-time faculty appointment among recent medical graduates. Method With institutional review board approval, the authors developed a database of individualized records for six midwestern medical schools’ 1997–2002 graduates. Using multivariate logistic regression, they identified variables independently associated with full-time faculty appointment from among demographic, medical-school-related, and career-intention variables. They report adjusted odds ratios (OR) and 95% confidence intervals (CI). Results Of 1,965 graduates in the sample, 263 (13.4%) held full-time faculty appointments in 2007–2008, including 14.4% (123/853) of women graduates and 8.6% (17/198) of underrepresented minority (URM) graduates. Women (OR: 1.386, 95% CI: 1.023–1.878), MD/PhD program graduates (OR: 2.331, 95% CI: 1.160–4.683), and graduates who reported a career-setting preference for “full-time university faculty” on the Association of American Medical Colleges’ Graduation Questionnaire (OR: 3.164, 95% CI: 2.231–4.486) were more likely to have a full-time faculty appointment. Graduates who chose family medicine (OR: 0.433, 95% CI: 0.231–0.811) and surgical specialties (OR: 0.497, 95% CI: 0.249–0.994) were less likely to have a full-time faculty appointment. URM race/ethnicity was not independently associated with full-time faculty appointment (OR: 0.788; 95% CI: 0.452–1.375). Conclusions Efforts to increase representation of women graduates in academic medicine seem to have met with greater success than efforts to increase representation of URM graduates. Greater participation of URM students in MD/PhD programs and in interventions during medical school that promote interest in academic-medicine careers may increase URM graduates’ representation in academic medicine.

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National Institutes of Health funding for cardiothoracic surgical research

Cited by 40 publications

References 12 publications

The Future of Basic Science in Academic Surgery

The Future of Basic Science in Academic Surgery

Recent trends in National Institutes of Health funding for surgery: 2003 to 2013

Variables Associated With Full-Time Faculty Appointment Among Contemporary U.S. Medical School Graduates: Implications for Academic Medicine Workforce Diversity

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