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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 competencies and with regard for appropriate balance.

This report has been reviewed by a group other than the authors according to procedures approved by a Report Review Committee consisting of members of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.

The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist distinguished members of the appropriate professions in the examination of policy matters pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863 congressional charter responsibility to be an adviser to the federal government and its own initiative in identifying issues of medical care, research, and education. Dr. Kenneth I. Shine is president of the Institute of Medicine.

This study was supported by the National Institutes of Health, the former Alcohol, Drug Abuse and Mental Health Administration, the Agency for Health Care Policy and Research, the Department of Veterans Affairs, the American Cancer Society, the American Heart Association, Pfizer, Inc., and the Drug Information Association. Additional support for this project was provided by independent Institute of Medicine funds and the National Research Council Fund, a pool of private, discretionary, nonfederal funds that is used to support a program of Academy-initiated studies of national issues in which science and technology figure significantly.

Library of Congress Cataloging-in-Publication Data

Careers in clinical research: obstacles and opportunities/Committee on Addressing Career Paths for Clinical Research, Division of Health Sciences Policy, Institute of Medicine: William N. Kelley and Mark A. Randolph, editors

p. cm.

Includes bibliographical references and index.

ISBN 0–309–04890–7

1. Medicine—Research—Government policy—United States. 2. Medicine—Research—Study and teaching—Government policy—United States. I. Kelley, William N., 1939– II. Randolph, Mark A. III. Institute of Medicine (U.S.). Committee on Addressing Career Paths for Clinical Research.

[DNLM: 1. Career Choice. 2. Research. W 21 C271 1994]

R854.U5C34 1994

610'.72073—dc20

DNLM/DLC

for Library of Congress 94–13014

CIP

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