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CONTENTS
1.
INTRODUCTION AND SUMMARY OF NUMERICAL
RECOMMENDATIONS, FISCAL YEARS 1980-82
OBJECTIVES OF THE 1978 REPORT
SYNOPSIS OF PREVIOUS REPORTS
TRAINING GRANTS AND THE QUALITY OF TRAINING
Future Research
TRAINING FOR WOMEN
MIDCAREER TRAINING
OVERALL RECOMMENDATIONS FOR FEDERAL SUPPORT
Mechanisms of Support
Numerical Recommendations
ADDENDA
REVIEW OF CURRENT ACTIVITIES
Solicitation of Views from the Public
Dissemination of Market Information
Survey of Biomedical and Behavioral
Science Departments
Surveys of Doctoral and Pending
Doctoral Programs for Nurses
Survey of Health Services Research
Conference on Health
Personnel
Services Research
Meeting on Veterinary Research
Meeting on Dental Research
Meeting on Psychiatry Research
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1
1
2
4
8
9
10
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11
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23
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24
Personnel
Personnel
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PAGE
RELATED STUDIES
Study of Postdoctorates
NIH Market Survey
NIMH Professional Training
FOOTNOTE
2. BASIC BIOMEDICAL SCIENCES
ASSESSMENT OF THE CURRENT MARKET
FOR BASIC BIOMEDICAL SCIENTISTS
THE 1978 OUTLOOK FOR PH.D.'S
Assessment
IMPACT OF LOST TRAINING GRANT SUPPORT
Impact on Enrollments
Impact on Program Activities
Impact on Training Quality
PRIORITY FIELDS FOR RESEARCH TRAINING
Biomathematics/Biostatistics
Toxicology
Other Fields
RECOMMENDATIONS
Predoctoral
Training Levels
Postdoctoral Training Levels
Training Grants and Fellowships
Priority Fields and Announcement Areas
Predoctoral
Training
Postdoctoral Training
Coordination of MIH Support for
Predoctoral Training
· ~
X11
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29
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46
and Epidemiology 4 7
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51
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53
53
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55
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PAGE
Multidiscip' inary Training Grants
Fe l lowship Appl ications
FOOTNOTES
3. BEHAVIORAL SCIENCES
INTRODUCTION
OUTLOOK FOR THE BEHAVIORAL SCIENCES
Ph. D. Production
Postdoctorals
Academic Labor Force
Enrollments
Pro j ections of Academic Demand
FINDINGS FROM THE SURVEY OF BEHAVIOBAL
SCIENCE DEPARTMENTS
Labor Market I s sue s
Factors Inf ~ uencing Predoctoral Support
Impact of Lost Training Grant Support
THE MARKET FOR BEHAVIORAL SCIENCE PERSONNEL
57
57
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61
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69
RECENT TRENDS IN RESEARCH ON BEHAVIOR AND HEALTH 7 3
RECOMMENDATIONS
Predoctoral/Postdoctoral Support
Trainee ships/Fe! iowships
Minority Research Training Support
CLINICIANS IN MENTAL HEALTH RESEARCH
Classif ication of Predoctoral
Applications by ADAMHA
Clinical P psychology
Psychiatry
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82
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Recruitment
Sites for Training
FOOTNOTES
4. CLINICAL SCIENCES
Disincentives
83
84
86
89
DEFINITION/CLASSIFICATION OF CLINICAL SCIENCES 91
Need for Clinical Investigation
Classification of Clinical Sciences
THE 1978 OUTLOOK FOR THE CLINICAL SCIENCES
92
92
93
Revisions to Demand Model for Clinical Faculty 93
Revised Projections
96
Supply of Clinical Investigators 100
Training for Clinical Investigators 101
RECOMMENDATIONS
Medical Scientist Training Program
RESEARCH AGENDA
103
105
106
Supply of Clinical Researchers 106
Role of Non-M.D. Investigators
Dental Research Personnel
Attitudes of Students and House Staff
107
107
108
Personnel Needs for Veterinary Scientists 109
FOOTNOTE S
5. HEALTH SERVICES RESEARCH PERSONNEL
I NTRODUCTION
DEFINITION OF HEALTH SERVICES
RESEARCH AND TRAINING
XIV
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111
111
113
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CURRENT FEDERAL EFFORTS IN
HEALTH SERVICES RESEARCH TRAINING
NRSA Authority
NIH
ADAMHA
Divi sion of Nurs ing
Other Federal Ef forts
FINDINGS FROM THE INVITATIONAL CONFERENCE
ON HEALTH SERVICES RESEARCH PERSONNEL
Estimating the Number of HER Personnel
Estimating Employment Opportunities in HSR
Impact of Lost Training Grant Support
RECOMMENDATIONS
Predoctoral/Postdoctoral Training
Traineeships/Fellowships
Midcareer Research Training
FOOTNOTES
NURSING RESEARCH PERSONNEL
INTRODUCTION
TRENDS IN DOCTORAL EDUCATION FOR NURSES
FINDINGS FROM THE SURVEYS OF DOCTORAL AND
PENDING DOCTORAL PROGRAMS FOR NURSES
RECOMMENDATIONS
Predoctoral/Postdoctoral Training
Trainee ships
Fellowships
Midcareer
FOOTNOTES
Research Training
xv
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116
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142
143
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PAGE
BIBLIOGRAPHY
145
MEMBERSHIP OF ADVISORY PANELS AND COMMITTEE ST~F 161
APPENDIXES
.
XVI
167
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TABLES
TABLE
1. i NIH/;AD~HA/HRA Trainee and Fellowship Awards
for FY 1977
PAGE
14
1.2 Committee Recommendations for NIH/ADAMHA/HRA
Traineeship and Fellowship Awards for FY 1980-82 15
l.3 Percentage Distribution of Recommended NIH/ADAMHA/
HRA Traineeship and Fellowship Awards for FY 1980-82 17
1.4 Estimated Cost of Recommended NIH/ADAMHA/HRA
Programs for FY 1980-82, Based on FY 1976 Costs 18
1. 5 Authorization ~ Appropriation / and Corrunittee
Recommendations for Training Expenditures, 1975-82 19
2.l
Assessment of the Current Market for Biomedical
Scientists--Department Survey and NTH/Westat
Survey Results
2.2 Current Trends in Supply/Demand Indicators for
Biomedical Science Ph.D.'s
2.3
Projected Growth in Biomedical Science Ph.D.
Vacua by' 1976-83, Based on Projections of
Enrollment and R and D Expenditures
34
35
41
2.4 Panel Recommendations for NIH and ADANHA
Predoctoral and Postdoctoral Traineeship and
Fellowship Awards in the Basic Biomedical Sciences 52
2.5 NIH and ADAb5HA Postdoctoral Traineeship and
Fe] lowship Awards, ~ 975-77, in the Basic
Biomedical Sciences
3.l
,^
Current Trends in Supply/Demand Indicators for
Behavioral Science PheDe ~ s
a 2 Pro jected Growth in Nonclinical Behavioral Ph.D.
Faculty, 1976-83 `, Based on Pro jections of
Enrollment and Faculty/Student Ratios
3O3
Work Activities of 1971-7 5 Behavioral Science
Ph. D. Recipients by Employment Sector
3.4 Health-relatedness and Source of Support for
Research Conducted by 3971-75 Behavioral Ph.Dots
by Employment Sector
xv
54
70
71
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3.5
4.1
4.2
5.1
6.1
6.2
6.3
6.4
Committee Recommendations for NIH and ADAMHA
Predoctoral and Postdoctoral Awards in the
Behavioral Sciences
Current Trends in Supply/Demand
the Clinical Sciences
Indicators in
Projected Growth in Clinical Faculty, 1976-83,
Based on Projections of Medical School Enrollment,
Clinical R and D Expenditures, and Medical Service
Income in Medical Schools
Committee Recommendations for ADAMHA Predoctoral
and Postdoctoral Awards in Health Services Research
78
90
99
124
Schools of Nursing with Doctoral Programs, 1977-78 132
Selected Schools of Nursing with Doctoral or
Pending Doctoral Programs
Total Number of Doctoral Students and Research
Faculty Number of Federally Financed Research
Grants and Contracts in Selected Schools of Nursing
with Doctoral Programs (October 1977)
Committee Recommendations for BRA Division of
Nursing Predoctora] and Postdoctoral Awards in
Nursing Research
· · ~
xv ~
133
136
139
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FIGURES
F IGURES
1.1
2.1
2.2
3.1
4.1
4.2
4.3
5.1
6.1
Summary of Committee recommendations for NIH,
ADAMHA, and HRA research training awards
Ph. D. faculty/student ratio in the bioscience
f ields as a function of life science R and D
expenditures in colleges and universities,
1962-76
Biomedical enrollment, R and D expenditures
and academic employment 1961-76, with projec-
tions to 1983
Behavioral science (psychology, sociology, and
anthropology) enrollment' R and D expenditures,
and academic employment, 1961-76, with projec-
tions to 1983
Comparison of the Committee's projections made
in last year's report with recent data on medical
school enrollments, R and D expenditures, and
clinical faculty
Medical service income and medical school
R and I) expenditures, 1 961-76, with projections
to 1983
Medical student enroll Iment and Cal inical faculty,
1961-7 6, with pro jections to 198 3 .
Pr imary disciplines of health service s research
training and ma j or research problem areas
Schools of nursing with doctoral or pending
doctoral programs, 1977-78
x'x
PAGE
16
38
39
65
97
.98
1 1 J
134
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ABBREVIATIONS
NEBHE
NHLBI
NIA
N IAAA
NICHE
NIDA
NIDR
N I EMS
AAAS American Association for the Advancement of Science
AAMC Association of American Medical Colleges
ADAMHA Alcohol, Drug Abuse, and Mental Health Administration
AMA Ameri can Medical Association
APA American Psychological Association
CHR Commission on Human Resources (NRC)
CIC Committee on Institutional Cooperation
CMHC Community Mental Health Center
DHEW Department of Health, Education, and Welfare
EPA Environmental Protection Agency
F/S Faculty/Student ratio
FY Fiscal Year
HCFA Health Care Financing Administration
HRA Health Resources Administration
HSA Health Systems Agency
HER Health Services Research
IOM Institute of Medicine
J AMA Journal of the American Medical Association
MSTP Medical Scientist Training Program
NAS National Academy of Science s
NCHSR National Center for Health Services Research (Office
of the Assi stant Secretary for Health, DHEW)
New England Board on Higher Education
National Heart Lung and Blood Institute (NIH)
National Institute on Ag i ng ~ N IH ~
National Institute on Alcoholism and Alcohol Abuse
(ADAMHA)
National Institute of Child Health and Human
Development (NIH)
National Institute on Drug Abuse (ADAMHA)
National Institute of Dental Research (NIH)
National Institute of Environmental Health Sciences
(NIH)
NIGMS National Institute of General Medical Sciences (NIH)
NIB National Institutes of Health
NIMH National Institute of Mental Health (ADAMHA)
NLM National Library of Medicine (NIH)
NRC National Research Council
NRSA National Research Service Award
NSF -National Science Foundation
OSTP Office of Science and Technology Policy
PBB Polybrominated Biphenyls
PHS Public Health Service
R and D Re search and Development
SREB
VA
WCH EN
WICHE
Southern Reg ionaI Education Board
Veterans Admin i strat ion
Western Council for Higher Education for Nursing
Western Interstate Commission on Higher Education
xx