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PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

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The Pediatric Scientist Development Program under the aegis of AMSPDC
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Page 1: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

The Pediatric Scientist Development Program

under the aegis ofAMSPDC

Page 2: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Goals of the PSDP

• To provide pediatricians with an intensive research experience in basic, translational, or clinical/epidemiologic science applicable to diseases of childhood.

• To enlarge the cadre of NIH- or CIHR-funded pediatricians in US and Canadian departments.

• To nurture the next generation of academic pediatricians throughout North America.

Page 3: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

PSDP Funding Consortium

• NICHD

• American Pediatric Society

• American Academy of Pediatrics

• March of Dimes

• Paediatric Chairs of Canada

• Sick Kids Foundation

• St. Jude Children’s Research Hospital

Page 4: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

PSDP Eligibility Criteria

• U.S. citizen, permanent resident, or Canadian citizen

• M.D. (target group) or M.D./ Ph.D.

• Committed to basic, translational, or clinical research relevant to pediatrics in an investigative setting with a senior mentor

• Dedicated to a career in academic pediatrics

• Application 17 months prior to the start of the PSDP-sponsored research component

Page 5: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Timelines for PSDP Application STANDARD TIMELINE

PSDP year 3

Feb 1- application

PSDP year 1

12-monthclinicalfellowship

PL-3 year

Nov 1- identify

PSDP year 2

17 months

PSDP year 3

Feb 1- application

PSDP year 1

Nov 1- identify

PSDP year 2

17 monthsFellow year 2

Fellow year 1

CARDIOLOGY, CRITICAL CARE, PEM, NEONATOLOGY

Page 6: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Nominating States and Programs

02468

101214161820

19971999

20012003

20052007

2009

StatesPrograms

Page 7: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

34 Nominating Programs

Page 8: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

64 Homes of 120 Graduates

Page 9: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Applicants

0

5

10

15

20

25

Applicants# Males#MD, PhD

4

Page 10: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Clinical Responsibilities

• Steering Committee reaffirms the principle of

no clinical responsibilities in years 1 and 2 of PSDP-sponsored research

• 15% clinical time allowed in year 3• Applicants to train in patient-oriented investigation

(clinical or translational) - option for 10% clinical time– how the clinical time is to be spent

– what is the population to be seen

– why the clinical time is essential to the research project

Page 11: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Salary Scale

• First year - cap of $65,000 + 15% fringe– $20,000 supplies

• Second year - cap of $70,000 + 15% fringe– $20,000 supplies

• Third year - cap of $75,000 + 15% fringe– $20,000 supplies

• Eligible to apply to the NIH Loan Repayment Program

Page 12: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

NICHD Loan Repayment Program http://www.lrp.nih.gov/

• Eligibility– U.S. citizen or permanent resident– Performing research relevant to pediatrics

(sponsored by NIH or non-profit)– Accrued debt constitutes >20% of income

• Payments – Quarterly reimbursement of loans and interest up

to $35,000 annually for two years DIRECT to lender PLUS quarterly tax payments to IRS

Page 13: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

0

10

20

30

40

50

K02 K08 K24 R29 R03 R21 R01 R41 R55 P01 P50 U01

123 NIH Grants Trainees Graduating 1988-2008

Page 14: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Recent PSDP Grants

Fellow Nominating

Department

Sponsoring

Department

Current

Department

Grants

C. Gale ‘96 U MN U MN U MN R01

B. Gomperts ‘00 Wash U Wash U UCLA R01

D. Ingram ‘01 U IN U IN U IN P50

M.Khokha ‘02 Wash U UCSF Yale 2 R01s

S. Wu ‘02 UCLA UCLA UCLA R21

T. Lu ‘03 U Penn UCSF Cornell R01

D. Hunstad ‘04 Wash U Wash U Wash U R03

Page 15: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

PSDP* Funding Rate at NIH vs. Other MD’s

0

10

20

30

40

50

60

All PSDP traineesAll PSDP appliedPSDP R seriesPSDP R-01Overall NIH Success

*Fellows entering 1987-2007 **Zerhouni EA. Science:314:1088, 2006

Perc

ent

**

Page 16: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Subspecialties in PSDP

0

2

4

6

8

10

12

14

16

18

Subspecialty

Inf DisNeoCritical CareHeme/OncGIAll/Imm/RheuCardiologyNephrologyEndoGeneticsPulmonologyDevel/BehavGenl PedsNeuroInformatics

Per

cent

Page 17: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Role of AMSPDC

• FIS CHAIR– bring a resident to AMSPDC– women, minorities, underserved subspecialties

• NOMINATING CHAIR– chair at the institution from which the candidate applies– helps the candidate to select potential mentors

• SPONSORING CHAIR– chair at the institution where the candidate will be trained– helps the candidate to select potential mentors– guarantees the candidate the protected time to complete the proposed

program in basic, translational, or clinical research– serves as a career mentor to help in transition from fellowship to

faculty

Page 18: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Role of AMSPDC:PSDP Committees

• STEERING COMMITTEE– AMSPDC representatives– Funding agency representatives: AAP, APS, MOD, Sick Kids,

St. Jude’s

• PROGRAM EVALUATION COMMITTEE– APS representatives– SPR representatives– NICHD representatives

• SELECTION COMMITTEE– AMSPDC representatives– Basic and clinical science representatives– Steering Committee representatives

Page 19: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Benefits to AMSPDC Chairs

• Faculty recruitment• Enhancement of your department’s strengths

in clinical, translational, or basic research– liaison with other depts.– well-trained faculty member

• Contributing to the continental network of pediatric physician-scientists

• Nurturing the next generation of academic pediatricians

Page 21: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...
Page 22: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

PSDP Excludes

• People who are not U.S. or Canadian citizens

• People who are not pediatricians• People who have only the Ph.D. degree

Page 23: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

New Initiative: Timing of Application

• Application as PL3 or PL4 for those sub-specialties requiring 1 year of clinical training– endocrinology, infectious diseases, pulmonology

• Application as a first-year fellow for those sub- specialties requiring 13-24 months of clinical training– cardiology, critical care, PEM, neonatology

• Must have letter from fellowship director stating the duration of clinical training

Page 24: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

Applicants Proposing Patient-Oriented Investigation

• For those applicants training in patient-oriented investigation (clinical or translational), an option for 10% clinical time will be considered, provided that the grant proposal details explicitly– how the clinical time is to be spent– what is the population to be seen – why the clinical time is essential to the research project

• What is 10% clinical time?– 1/2-day in clinic a week– 2 weeks ICU time in 1-week blocks

Page 25: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

0

10

20

30

40

50

60

70

80

90

100

1997 1998 1999 2000 2001 2002 2003 2004 2005 2006 2007 2008

% of Applicants

% Selected

Pe

rce

nt

Women in the PSDP

Page 26: PSDP and AMSPDC - Margaret K. Hostetter, MD, and Alan ...

K08 by Year of Graduation

0

10

20

30

40

50

60

70

80

90

100

2000 2001 2002 2003 2004 2005 2006 2007 2008

3-D Column 1

Perc

ent


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