Rabinowitz Howard K, Becker Julie A, Gregory Naomi D, Wender Richard C
Department of Family and Community Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA.
Ann Fam Med. 2006 Sep-Oct;4(5):437-42. doi: 10.1370/afm.555.
We wanted to analyze National Institutes of Health (NIH) awards to departments of family medicine.
We obtained the list of NIH awards to departments of family medicine in 2003, and collected additional information from the Internet regarding each principal investigator (PI), including whether he or she worked primarily in a core (central) organizational component within a family medicine department.
One hundred forty-nine NIH awards were granted to 45 departments of family medicine, for a total of 60,085,000 dollars. Of 146 awards with a designated PI, approximately two thirds of awards (89, 61%) and awarded dollars (39,850,000 dollars, 70%) went to PIs who were either not full-time family medicine faculty primarily working in family medicine departments, or they were not working in core family medicine organizational components. Few awards to physician PIs in these non-core areas were to family physicians (4 of 37, 11%), whereas most awards to physician PIs in core family medicine areas went to family physicians (40 of 45, 89%). In contrast, most K awards (research career programs) went to PIs in core areas (19 of 23, 83%), and most to family physicians (17 of 23, 74%). Nationally, only 17 R01 awards (research project, traditional) went to family physicians.
Most NIH awards to family medicine departments went to PIs in noncore organizational components, where most physician PIs were not family physicians. Family medicine departments interested in increasing NIH funding may want to consider 4 models that appear to exist: individual faculty in core departmental components, K awards, core faculty also working in university-wide organizational components that provide research infrastructure, and integrating noncore administrative components into the department.
我们希望分析美国国立卫生研究院(NIH)对家庭医学系的资助情况。
我们获取了2003年NIH对家庭医学系的资助名单,并从互联网上收集了关于每位主要研究者(PI)的其他信息,包括其是否主要在家庭医学系的核心(中心)组织部门工作。
45个家庭医学系获得了149项NIH资助,总计60,085,000美元。在146项有指定PI的资助中,约三分之二的资助(89项,61%)及资助金额(39,850,000美元,70%)授予了那些要么不是主要在家庭医学系全职工作的家庭医学教员,要么不在家庭医学核心组织部门工作的PI。在这些非核心领域,很少有授予医生PI的资助是给家庭医生的(37项中的4项,11%),而在家庭医学核心领域授予医生PI的大多数资助是给家庭医生的(45项中的40项,89%)。相比之下,大多数K奖(研究职业项目)授予了核心领域的PI(23项中的19项,83%),且大多数是给家庭医生的(23项中的17项,74%)。在全国范围内,只有17项R01奖(研究项目,传统型)授予了家庭医生。
NIH对家庭医学系的大多数资助授予了非核心组织部门的PI,其中大多数医生PI不是家庭医生。对增加NIH资助感兴趣的家庭医学系可能需要考虑4种似乎存在的模式:核心部门的个体教员、K奖、也在提供研究基础设施的全校性组织部门工作的核心教员,以及将非核心行政部门整合到系里。