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Enhancing Stewardship: New Efforts to Promote a Stronger and More Stable Biomedical Research Workforce 5th Joint Meeting (4th CRAN) of the National Advisory Council on Alcohol Abuse and Alcoholism, National Cancer Advisory Board, and the National Advisory Council on Drug Abuse May 3 rd , 2017 Lawrence A. Tabak, DDS, PhD Principal Deputy Director, NIH Department of Health and Human Services 1
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EnhancingStewardship:NewEffortstoPromoteaStrongerandMoreStableBiomedicalResearch

Workforce

5thJointMeeting(4thCRAN)ofthe NationalAdvisoryCouncilonAlcoholAbuseandAlcoholism,NationalCancerAdvisoryBoard,andtheNationalAdvisoryCouncilonDrugAbuse

May3rd,2017

LawrenceA.Tabak,DDS,PhDPrincipalDeputyDirector,NIH

DepartmentofHealthandHumanServices1

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NIHisentrustedtomaximizetheimpactoftheresearchdollars

thatweexpend

Wearealsocommittedtodevelopandsustainthemostqualifiedbiomedicalresearchworkforce

possible

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Thelong-heldbuterroneousassumptionofnever-endingrapidgrowthinbiomedicalsciencehascreatedanunsustainablehypercompetitivesystemthatisdiscouragingeventhemostoutstandingstudentsfromenteringourprofession…Thisisarecipeforlong-termdecline...ItistimetoconfontthedangersathandandrethinksomefundamentalfeaturesoftheUSbiomedicalresearchsystem.

Alberts B et al. PNAS. 2014;111:5773-7

TheObservation

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4OER SARB

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TheObservation

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OurprocessidentifiedtwocoreproblemsthattheUSbiomedicalresearchcommunityfaces:Toomanyresearchersvyingfortoofewdollars.Toomanypostdocscompetingfortoofewfaculty.

Kimbleetal.

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AgeofInvestigatorsFundedbyNIH

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%ofFun

dedInvestigators

YearOER SARB

Not solely due to Baby Boom demographics

Multiple analyses indicate established PIs are outcompeting other groups

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SkewedDistributionofResources

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10%ofPIsgetover40%ofthefunding

OER SARB

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Theconcentrationofresourcesamongourmostseniorinvestigatorschallengesourabilitytomaintaina

futurebiomedicalresearchworkforce

But,doesthisskeweddistributionofresourcesyieldoptimalproductivity?

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– PublicationCounts:field-dependent,use-independent

– ImpactFactor:journal-levelnotarticle-level– CitationRates:field- andtime-dependent– h-index:field-dependentandtime-dependent– RelativeCitationRatio*:articlelevelandfieldindependent

*Hutchinsetal.,2016,PLOSBiology

Canbibliometricsbeusedtocomparetheinfluenceofpublicationsorproductivityofanaward?

Commonlyusedmeasures

Office of Portfolio Analysis

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OERSARB 10

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OERSARB 11

Well-fundedinvestigatorsareveryproductive,butwhenNIHisthinkingaboutawardingagrant,onaverage,willwegetagreaterreturnbyawardingafourthgranttosomeone,orbyawardingagranttoahighlypromisinginvestigatorwhowouldotherwisehavenoresources?

Incrementinproductivityisreducedasinvestigatorsreceivemoreresources

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ESIswhoaresuccessfulatobtaininganNIHRPGarenomorelikelytocomefromwell-fundedlabs

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ESI a

war

dees

(men

tees

) pe

r men

tor

Mentor direct costs (in millions, binned)

ESIRPGawardeespermentor versustheFY16directcostsoftheirRPG-fundedmentors

Office of Portfolio Analysis

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Impactwasgenerallyadeceleratingfunctionoffunding.Impactperdollarwasthereforelowerforlargegrant-holders.Further,theimpactofresearcherswhoreceivedincreasesinfundingdidnotpredictablyincrease.

Fortin and Currie. PLoS One. 2013;8(6):e65263

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Weshowthatthreemeasuresofproductivity,thenumberofpublications,theimpactfactorofthejournalsinwhichpapersarepublishedandthenumberofcitations,areallpositivelycorrelatedtogroupsize,althoughtheyallshowapatternofdiminishingreturns—doublinggroupsizeleadstolessthanadoublinginproductivity.

PeerJ 3:e989; DOI 10.7717/peerj.989

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HowdoweIncreasetheNumberofEarly-CareerFundedScientists?

HowdoweStabilizetheCareerTrajectoriesofScientists?

HowdoweMaximizetheImpactofNIHFunding?

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ApproachestoConsider

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OurprocessidentifiedtwocoreproblemsthattheUSbiomedicalresearchcommunityfaces:Toomanyresearchersvyingfortoofewdollars.Toomanypostdocscompetingfortoofewfaculty.Ourrecommendationsaredesignedtoreversethesetrendsbyredistributingfundstosupportbothjuniorinvestigatorsandpioneeringprojects.Thatredistributionwillbepainful,especiallyforestablishedseniorinvestigators,butnecessarytosupportthenextgenerationandcuttingedgeresearch.

Kimbleetal.

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ApproachestoConsider

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RequestforInformation(RFI):OptimizingFundingPoliciesandOtherStrategiestoImprovetheImpactandSustainabilityofBiomedicalResearch

NoticeNumber:NOT-OD-15-084

KeyDatesReleaseDate: April2,2015ResponseDate:May17,2015

CappingthenumberofNIHgrantsoramountoffundsaPIcanhavewereamongthemostcommonsuggestionsbybothindividualandinstitutionalrespondents.

ApproachestoConsider

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ApproachestoConsider

19Alberts B et al. PNAS. 2014;111:5773-7

Agenciesshouldbesensitivetothetotalnumbersofdollarsgrantedtoindividuallaboratories…—althoughdifferentresearchactivitieshavedifferentcosts—atsomepoint,returnsperdollardiminish.

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TheProposedPlan

§ NIHiscommittedtosupportinvestigatorsatallcareerstages§ Wewillcarefullytrackfundingpatternsofscientistsacrossallcareerstages

§ ICOswillcontinuetousecurrentapproachesto“bendthecurves”including:§ AdherencetotheESIpolicy

§ ExpansionofR01investigatorinitiatedresearchatthe“expense”ofInstitute-solicitedFOAs

§ EncouragingR56BridgeAwardsforESIstoincreaseR01resubmissionsuccessrates

§ TargetingR35awardforMid-career“EmergingInvestigators”

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TheProposedPlan(cont.)

§ NIHiscommittedtosupportinvestigatorsatallcareerstages§ Noneofthecurrentapproachesaddressesdirectlytheissueofdiminishingreturnsinthelabsofhighlyfundedinvestigators

§ MosthighlyfundedinvestigatorsaresupportedbytwoormoreICOs§ Therefore,wewillinstituteanewtrans-NIHpolicythatresetsexpectationsforthesupportprovidedtoanysingleinvestigator

§ Thiswillbeginwithapplicationsbeingsubmittedthisfall;applicationofthepolicywillbe“rolling”withsubmissionofanewapplicationoracompetitiverenewal

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TheGrantSupportIndex(GSI)

§ MeasureofPI’sgrantsupport

§ Effectively,amodifiedgrantcounttoestimatethe“bandwidth”ofprincipalinvestigators

§ Notsimplymeasureofdollars

§ Somescienceismoreexpensive

§ BenchmarkedtoR01(7points)

§ R03,R21less

§ R35,P50more

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TheGrantSupportIndex(GSI)(cont.)

SomeOutstandingIssues§ Howbestdoweaccountforcomplexclinicaltrialnetworks

andothercomplexinfrastructureprograms?

§ Howcanweaccountforteamscience?

§ Arespecialconsiderationsrequiredtoaccountfortheneedtoattracthighlytalentedinvestigatorsintonewfieldsofscience?

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We are seeking input to help us work through the implementation

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TheProposedPlan(cont.)

§ Resettingexpectationsforthesupportprovidedtoanysingleinvestigator

§ MonitorlevelsofPI“bandwidth”usingtheGrantSupportIndex(GSI)

§ NIHwillautomaticallycalculateGSIforeveryPI

§ Workwiththeapplicanttolimitthe“bandwidth”ofanysinglePItoaGSIof21(roughly,equivalentto3RO1s)

§ ApplicantsthatdesignateinvestigatorsaboveaGSIof21willpresentaplanwithanyneworcompetingapplicationthatmitigatesanyincreasetosuchinvestigators’GSI

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TheProposedPlan(cont.)

§ Resettingexpectationsforthesupportprovidedtoanysingleinvestigator§ Arigorous“exceptions”processcanbeinitiatedbyICODirectors,thattakesintoaccount:

§ TheuniqueresearchrequirementsofanICO

§ ThesuccessoftheICOtosupportinvestigatorsatallcareerstages

§ Theneedtomaximizeproductivityofgrantresources

§ FinaldecisionswillbemadecentrallybytheNIHDirector’sOffice

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TheProposedPlan(cont.)

§ IfthemaximumGSIacrossallofNIHwas21andallmechanismswereincluded:§ Weestimatethat~6%ofinvestigatorswouldbeaffected

§ Thiswouldfreeupresourcestomake~1600newawardsoverthenextseveralyears

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AnanalogousprogramwillbeputintoplacefortheNIHIntramuralprogram

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SummaryandImplementationConsiderations

§ NIHremainscommittedtoassuringtherobustnessandstabilityofthenextgenerationofbiomedicalscientists

§ Further,weremaincommittedtooptimizingtheuseofourresourcestoobtainthemaximumimpactpossible

§ Wewilluseavarietyofapproachesto“bendthecurves”includingresettingexpectationsonsupportprovidedtoanyoneinvestigator

§ Wewillmonitorandtrackallresourcesusedforthispurposetoidentifyandmitigateunintendedconsequences

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Acknowledgements

§ Dr.JamesAnderson– DPCPSI§ Dr.JodiBlack– OER§ Dr.JosephineBriggs– NCCIH§ Mr.JohnBurklow– OCPL§ Dr.NoniByrnes– CSR§ Ms.MeganColumbus– OER§ Dr.RobertFinkelstein– NINDS§ Dr.ValerieFlorance- NLM§ Ms.JillGeorge– OCPL§ Dr.PatriciaHaggerty– NIAID§ Ms.AdrienneHallett– OLPA§ Dr.RichardIkeda– OER§ Dr.StephenKatz– NIAMS§ Ms.RebeccaKolberg– OCPL§ Dr.MichaelLauer– OER

§ Dr.AvivaLitovitz – DPCPSI§ Dr.JonLorsch– NIGMS§ Dr.JohnJ.McGowan– NIAID§ Dr.AndrewMiklos– NIGMS§ Dr.LaurenMilner– IMOD§ Ms.JulieMuroff – OGC§ Ms.RenateMyles– OCPL§ Ms.KatrinaPearson-Robinson– OER§ Dr.RodericPettigrew– NIBIB§ Dr.Deepshikha Roychowdhury – OER§ Dr.GeorgeSantangelo – DPCPSI§ Dr.TaraSchwetz– IMOD§ Dr.BrentStanfield– NIDDK§ Dr.NeilThakur– OER§ Dr.CarrieWolinetz– OSP

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NIH…Turning Discovery Into Health

[email protected]

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