Abstract
Understanding mechanisms of childhood disease and development of rational therapeutics are fundamental to progress in pediatric intensive care specialties. However, Division Chiefs and Department Chairs face unique challenges when building effective laboratory-based research programs in Neonatal and Pediatric Intensive Care, owing to high clinical demands necessary to maintain competence as well as financial pressures arising from fund flow models and the current extramural funding climate. Given these factors, the role of institutional support that could facilitate successful transition of promising junior faculty to independent research careers is ever more important. Would standardized guidelines of such support provide greater consistency among institutions? We addressed preliminary questions during a national focus group, a workshop and a survey of junior and senior academicians to solicit recommendations for optimal levels of protected time and resources when starting an independent laboratory. The consensus was that junior faculty should be assigned no more than 8 wk clinical service and should obtain start-up funds of $500K–1M exclusive of a 5-y committed salary support. Senior respondents placed a higher premium on protected time than junior faculty.
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References
Avery ME, Mead J. Surface properties in relation to atelectasis and hyaline membrane disease. AMA J Dis Child 1959;97(5, Part 1):517–23.
Gluckman PD, Wyatt JS, Azzopardi D, et al. Selective head cooling with mild systemic hypothermia after neonatal encephalopathy: multicentre randomised trial. Lancet 2005;365:663–70.
Shankaran S, Laptook AR, Ehrenkranz RA, et al.; National Institute of Child Health and Human Development Neonatal Research Network. Whole-body hypothermia for neonates with hypoxic-ischemic encephalopathy. N Engl J Med 2005;353:1574–84.
Daniels, R.J. A generation at risk: young investigators and the future of the biomedical workforce. Proc Natl Acad Sci USA 2015; 112; 313–8.
Garrison HH, Deschamps AM. NIH research funding and early career physician scientists: continuing challenges in the 21st century. FASEB J 2014;28:1049–58.
Morel PA, Ross G. The physician scientist: balancing clinical and research duties. Nat Immunol 2014;15:1092–4.
Oishi PE, Klein OD, Keller RL ; University of California San Francisco Neonatology and Pediatric Critical Care Early Faculty Development Committee. Developing physician-scientists in the fields of neonatology and pediatric critical care medicine: an effort to formulate a departmental policy. J Pediatr 2013;163:616–7.e1.
Alberts B, Kirschner MW, Tilghman S, Varmus H. Rescuing US biomedical research from its systemic flaws. Proc Natl Acad Sci USA 2014;111:5773–7.
Alberts B, Kirschner MW, Tilghman S, Varmus H. Opinion: Addressing systemic problems in the biomedical research enterprise. Proc Natl Acad Sci USA 2015;112:1912–3.
Hobin JA, Deschamps AM, Bockman R, et al. Engaging basic scientists in translational research: identifying opportunities, overcoming obstacles. J Transl Med 2012;10:72.
Nathan DG, Wilson JD. Clinical research and the NIH–a report card. N Engl J Med 2003;349:1860–5.
Zemlo TR, Garrison HH, Partridge NC, Ley TJ. The physician-scientist: career issues and challenges at the year 2000. FASEB J 2000;14:221–30.
Nichols DG, Lister G. The physician-scientist workforce and board certification. JAMA Pediatr 2015;169:417–8.
Cornfield DN, Lane R, Rosenblum ND, et al. Patching the pipeline: creation and retention of the next generation of physician-scientists for child health research. J Pediatr 2014;165:882–4.e1.
Milewicz DM, Lorenz RG, Dermody TS, Brass LF ; National Association of MD-PhD Programs Executive Committee. Rescuing the physician-scientist workforce: the time for action is now. J Clin Invest 2015;125:3742–7.
Tsen LC, Borus JF, Nadelson CC, Seely EW, Haas A, Fuhlbrigge AL. The development, implementation, and assessment of an innovative faculty mentoring leadership program. Acad Med 2012;87:1757–61.
Acknowledgements
We acknowledge the support of the Pediatric Academic Societies that sponsored our workshop at the 2015 national meeting, our invited guests for their thoughtful input, and all the participants of the focus group, workshop, and electronic survey. We are grateful to Mary Ulman for administrative assistance.
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Christou, H., Dizon, M., Farrow, K. et al. Sustaining careers of physician-scientists in neonatology and pediatric critical care medicine: formulating supportive departmental policies. Pediatr Res 80, 635–640 (2016). https://doi.org/10.1038/pr.2016.147
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DOI: https://doi.org/10.1038/pr.2016.147
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