Kalantari Roya, Tigno Xenia, Colombini-Hatch Sandra, Kiley James, Aggarwal Neil
Division of Lung Diseases, National Heart, Lung, and Blood Institute, National Institutes of Health, Bethesda, Maryland; and.
Office of Research on Women's Health, Division of Program Coordination, Planning, and Strategic Initiatives, National Institutes of Health, Bethesda, Maryland.
ATS Sch. 2021 Sep 1;2(3):415-431. doi: 10.34197/ats-scholar.2020-0158OC. eCollection 2021 Sep.
The National Institutes of Health (NIH) Loan Repayment Programs (LRPs) were established by Congress in 2000 to help attract and retain highly qualified health professionals in biomedical careers by relieving financial pressure incurred from educational loans obtained during medical school and other advanced-degree clinical training programs. In 2019, the NIH LRP Program increased the maximum repayment from $35,000 per year to $50,000 per year for an individual's educational debt in return for two years of research performed in an NIH mission-relevant area (https://www.lrp.nih.gov/eligibility-programs). In addition, in 2020, the National Heart, Lung, and Blood Institute (NHLBI) increased its participation in the LRP by adding the Health Disparities Research Program to Clinical Research and Pediatric Research Programs. Before these substantive changes took effect, we sought to determine the impact of the NHLBI's participation in the LRP program on retention of scientists in the biomedical research workforce over the past 20 years. NHLBI LRP applicant cohorts from 2003 and 2008 were carefully examined with a 10-year follow-up period to measure the impact of applying for and obtaining NIH LRP funding on subsequent K- and R-level application and award rates, publication number, and average relative citation ratio as metrics to assess recruitment and retention of scientists in the biomedical research workforce. Obtaining the LRP award was strongly associated with increased submission of and success in obtaining K- and RPG-grant funding and publications for both the 2003 and 2008 NHLBI LRP cohorts. An analysis of subgroups in the 2008 LRP cohort without prior F, K, or RPG funding revealed a consistently strong association between obtaining an LRP award and subsequent K- or RPG-award submission and success as well as potential synergy between obtaining an LRP award and participation on a T grant toward subsequent K- or RPG-award success rates. The LRP award appears to enhance retention in the biomedical research workforce when measured using metrics of grant application and award rates as well as research publications over a 10-year period.
美国国立卫生研究院(NIH)贷款偿还计划(LRPs)于2000年由国会设立,旨在通过减轻医学院及其他高级学位临床培训项目期间所获教育贷款带来的经济压力,帮助吸引和留住生物医学领域的高素质卫生专业人员。2019年,NIH LRP计划将个人教育债务的最高偿还额从每年35,000美元提高到每年50,000美元,以换取在与NIH使命相关领域进行两年的研究(https://www.lrp.nih.gov/eligibility-programs)。此外,2020年,美国国立心肺血液研究所(NHLBI)通过将健康差异研究计划纳入临床研究和儿科研究计划,增加了其在LRP中的参与度。在这些实质性变化生效之前,我们试图确定NHLBI参与LRP计划对过去20年生物医学研究人员队伍中科学家留用情况的影响。对2003年和2008年NHLBI LRP申请人队列进行了仔细研究,并进行了为期10年的随访,以衡量申请并获得NIH LRP资金对随后K级和R级申请及奖励率、发表论文数量以及平均相对引用率的影响,以此作为评估生物医学研究人员队伍中科学家招募和留用情况的指标。获得LRP奖励与2003年和2008年NHLBI LRP队列中K级和RPG资助申请及获得成功以及发表论文数量的增加密切相关。对2008年LRP队列中之前没有F、K或RPG资助的亚组进行分析发现,获得LRP奖励与随后提交K级或RPG奖励申请及获得成功之间始终存在强烈关联,并且获得LRP奖励与参与T资助项目对随后K级或RPG奖励成功率之间存在潜在协同作用。当使用资助申请和奖励率以及10年期间研究论文发表数量等指标衡量时,LRP奖励似乎能提高生物医学研究人员队伍中的留用率。