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The following HTML text is provided to enhance online readability. Many aspects of typography translate only awkwardly to HTML. Please use the page image as the authoritative form to ensure accuracy. THE NATIONAL ACADEMIES PRESS NOTICE: The project that is the subject of this report was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The members of the committee responsible for the report were chosen for their special competences and with regard for appropriate balance. Support for this project was provided by the National Institutes of Health through Contract/Grant No. N01-OD-4-2139, TO#117. The views presented in this report are those of the Institute of Medicine Committee for Assessment of NIH Centers of Excellence Programs and are not necessarily those of the funding agencies. Library of Congress Cataloging-in-Publication Data NIH extramural center programs : criteria for initiation and evaluation / Committee for Assessment of NIH Centers of Excellence Programs, Board on Health Sciences Policy ; Frederick J. Manning, Michael McGeary, Ronald Estabrook, editors. p. ; cm. Includes bibliographical references. ISBN 0-309-09152-7 (pbk.) 1. National Institutes of Health (U.S.) 2. Medicine—Research—Government policy—United States. 3. Medicine—Research—United States—Evaluation. 4. Medicine—Research—United States—Finance. 5. Federal aid to medical research—United States. [DNLM: 1. Financing, Government—economics—United States. 2. Health Policy—United States. 3. Program Evaluation—United States. 4. Research Support—economics—United States. WA 540 AA1 N691 2004] I. Manning, Frederick J. II. McGeary, Michael G. H. III. Estabrook, Ronald W. IV. Institute of Medicine (U.S.). Committee for Assessment of NIH Centers of Excellence Programs. R854.U5N535 2004 610′.72′073—dc22 2004004828 International Standard Book Number 0-309-53028-8 (PDF) Additional copies of this report are available from the For more information about the Institute of Medicine, visit the IOM home page at: www.iom.edu. Copyright 2004 by the National Academy of Sciences. All rights reserved. Printed in the United States of America. The serpent has been a symbol of long life, healing, and knowledge among almost all cultures and religions since the beginning of recorded history. The serpent adopted as a logotype by the Institute of Medicine is a relief carving from ancient Greece, now held by the Staatliche Museen in Berlin.
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