Surgical Oncology Program, National Cancer Institute, NIH, Bethesda, MD.
Office of Portfolio Analysis, Division of Program Coordination, Planning, and Strategic Initiatives, Office of the Director, NIH, Bethesda, MD.
J Am Coll Surg. 2021 Mar;232(3):265-274.e2. doi: 10.1016/j.jamcollsurg.2020.12.015. Epub 2021 Feb 12.
Recent literature suggests that the future of surgeon-scientists in the US has been threatened for the past several decades. However, we documented an overall increase in NIH funding for surgeon-scientists, as well as the number of NIH-funded surgeons, from 2010 to 2020.
NIH-funded principal investigators (PIs) were identified for June 2010 and June 2020 using the NIH internal data platform iSearch Grants (version 2.4). Biographical sketches were searched for key terms to identify surgeon-scientists. Grant research types and total grant costs were collected. American Association of Medical Colleges data were used to determine total surgeon and physician populations. Bivariate chi-square analyses were performed using population totals and were corroborated using z-tests of population proportions using JMP (version 13.0.0). A 2-tailed p value <0.05 was considered significant.
In June of 2020, a total of 1,031 surgeon-scientists held $872,456,710 in NIH funding. The percentage of funded surgeons significantly increased from 2010 (0.5%) to 2020 (0.7%) (p < 0.05), and the percentage of funded other physicians significantly decreased from 2.2% in 2010 to 1.6% in 2020 (p < 0.05). All surgeons sustained R grant funding at both time points (58% in 2020 and 60% in 2010), and specifically maintained basic science-focused R grants (73% in 2020 and 78% in 2010).
Our study found surgeon-scientists are increasing in number and NIH funding and are becoming more diverse in their research efforts, while maintaining a focus on basic science.
最近的文献表明，过去几十年，美国外科医生科学家的未来一直受到威胁。然而，我们记录到，2010 年至 2020 年，美国国立卫生研究院（NIH）为外科医生科学家提供的资金以及 NIH 资助的外科医生数量总体上有所增加。
使用 NIH 内部数据平台 iSearch Grants（版本 2.4），于 2010 年 6 月和 2020 年 6 月确定 NIH 资助的主要研究者（PI）。通过搜索传记概要中的关键词来识别外科医生科学家。收集了研究类型和总资助金额。使用美国医学院协会的数据来确定外科医生和医师的总人数。使用 JMP（版本 13.0.0）进行基于人口总数的双变量卡方分析，并使用人口比例的 z 检验进行验证。双侧 p 值 <0.05 被认为具有统计学意义。
在 2020 年 6 月，共有 1031 名外科医生科学家获得了 87245.671 亿美元的 NIH 资助。获得资助的外科医生的比例从 2010 年的 0.5%显著增加到 2020 年的 0.7%（p<0.05），获得资助的其他医师的比例从 2010 年的 2.2%显著下降到 2020 年的 1.6%（p<0.05）。所有外科医生在这两个时间点都获得了 R 资助（2020 年为 58%，2010 年为 60%），并且特别维持了以基础科学为重点的 R 资助（2020 年为 73%，2010 年为 78%）。
我们的研究发现，外科医生科学家的数量和 NIH 资助都在增加，他们的研究工作也越来越多样化，同时保持了对基础科学的关注。
