Ramsey Tam, Ostrowski Tyler, Akhtar Saad, Panse Drishti, Nasim Rafae, Mortensen Melissa
Department of Otolaryngology - Head and Neck Surgery, Albany Medical Center, Albany, NY, USA.
Ann Otol Rhinol Laryngol. 2023 May;132(5):536-544. doi: 10.1177/00034894221100024. Epub 2022 Jun 3.
To compare NIH funding in the field of Otolaryngology to other medical and surgical specialties between 2009 and 2019.
Data was collected from the NIH RePORTER database on funding dollars received by each specialty from 2009 to 2019. Along with data on total active physicians per specialty using the Physician Specialty Data Book, comparisons were drawn between Otolaryngology and other medical and surgical specialties with regards to trends in total funding and NIH funding dollars per physician. The distributions of grant funding, within Otolaryngology from various NIH institutes among principal investigators, organizations, and subspecialties were further explored.
There were 3810 grants (1147 unique projects) for a total of $1 276 198 555 funded by the NIH to Otolaryngology departments from 2009 to 2019. Statistically insignificant funding increases ( > .05) caused otolaryngology to fall from first to fourth in funding among studied specialties. The National Institute on Deafness and Other Communication Disorders funded 57% of all unique projects, and 57.2% of all unique NIH projects were otology related. Most projects were basic science related. The top 10 principal investigators obtained 22.3% of the total NIH funding for Otolaryngology. The top 3 organizations over the studied period comprised 26.55% of the total funding, generating a combined 729 grants. Among principal investigators, 63.0% had a PhD degree, 25.3% had an MD, and 9.6% had an MD/PhD.
NIH funding in Otolaryngology has remained stable and is highly concentrated among a small number of organizations, geographic regions, and principal investigators. Recent initiatives by academic communities have sought to address funding disparities by incorporating diversity and inclusion into clinician-scientist pipelines. We urge our colleagues to strive toward identification of the factors that contribute to successful acquisition of funding and implementation of a more conducive institutional infrastructure to produce research.
比较2009年至2019年间美国国立卫生研究院（NIH）在耳鼻咽喉科领域与其他医学和外科专业的资金投入情况。
从NIH RePORTER数据库收集各专业在2009年至2019年期间获得的资金数据。利用《医师专业数据手册》获取各专业活跃医师总数的数据，对耳鼻咽喉科与其他医学和外科专业在总资金趋势和每位医师的NIH资金投入方面进行比较。进一步探讨了耳鼻咽喉科内来自NIH各研究所的资助在主要研究者、机构和亚专业之间的分布情况。
2009年至2019年，NIH向耳鼻咽喉科部门提供了3810项资助（1147个独立项目），总计1276198555美元。资助增长在统计学上不显著（>0.05），导致耳鼻咽喉科在研究的专业中资金排名从第一降至第四。国立耳聋及其他交流障碍研究所资助了所有独立项目的57%，所有独立的NIH项目中有57.2%与耳科学相关。大多数项目与基础科学相关。前10位主要研究者获得了耳鼻咽喉科NIH总资金的22.3%。在研究期间，前3个机构获得了总资金的26.55%，共产生了729项资助。在主要研究者中，63.0%拥有博士学位，25.3%拥有医学博士学位，9.6%拥有医学博士/哲学博士学位。
NIH在耳鼻咽喉科的资助保持稳定，且高度集中在少数组织、地理区域和主要研究者中。学术界最近的举措试图通过将多样性和包容性纳入临床科学家培养渠道来解决资金差距问题。我们敦促同行努力找出有助于成功获得资金的因素，并建立更有利的机构基础设施以开展研究。
