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Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×

A Healthy NIH Intramural Program

Structural Change or Administrative Remedies?

Report of a Study by a Committee of the Institute of Medicine

Division of Health Sciences Policy

National Academy Press

Washington D.C.

1988

Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×

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 advisor to the federal government and its own initiative in identifying issues of medical care, research, and education.

This project (Evaluation Project No. NIH 88–310 for Contract Number NO1-OD-8-2104) received support from the evaluation set-aside Section 513, Public Health Service Act.

2101 Constitution Avenue, N.W.

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IOM 88-08

Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×

INSTITUTE OF MEDICINE
COMMITTEE TO STUDY STRATEGIES TO STRENGTHEN THE SCIENTIFIC EXCELLENCE OF THE NATIONAL INSTITUTES OF HEALTH INTRAMURAL RESEARCH PROGRAM

HAROLD T.SHAPIRO, (Chairman), President,

Princeton University, Princeton, New Jersey.

MICHAEL S.BROWN,* Professor of Genetics,

University of Texas Health Science Center, Dallas, Texas.

JOHN T.DUNLOP,* Lamont University Professor, Emeritus,

Harvard University, Cambridge, Massachusetts.

GERALD D.FISCHBACH, Chairman of Anatomy and Neurobiology,

Washington University, St. Louis, Missouri.

MARIAN E.KOSHLAND, Professor and Chair,

Department of Microbiology and Immunology, University of California, Berkeley, California.

CHARLOTTE V.KUH, Executive Director,

Educational Testing Service, Princeton, New Jersey.

ROBERT I.LEVY,* President and Chief Executive Officer,

Sandoz Research Institute, East Hanover, New Jersey.

WALTER E.MASSEY, Vice President for Research and for Argonne National Laboratory,

The University of Chicago, Chicago, Illinois.

ROBERT G.PETERSDORF,* President,

Association of American Medical Colleges, Washington, D.C.

PAUL GRANT ROGERS,* Partner,

Hogan & Hartson, Washington, D.C.

BENNO C.SCHMIDT,* Managing Partner,

J.H.Whitney & Company, New York, New York.

LLOYD H.SMITH,* Associate Dean and Professor of Medicine,

University of California at San Francisco, San Francisco, California.

ELMER B.STAATS, Former U.S. Comptroller General,

Washington, D.C.

P.ROY VAGELOS,* Chairman and Chief Executive Officer,

Merck and Company, Rahway, New Jersey.

*

Member, Institute of Medicine

Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×

STUDY STAFF

RUTH ELLEN BULGER, Director,

Division of Health Sciences Policy

MICHAEL L.MILIMAN, Study Director

JESSICA TOWNSEND, Associate Study Director

CARLOTTA C.MOLITOR, Research Associate

WALLACE K.WATERFALL, Editor,

Institute of Medicine

CONSULTANTS

ALAN L.DEAN

MICHAEL FINN

HELEN HOFER GEE

HAROLD SEIEMAN

ROBERT A.WALKINGTON

Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×
Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×

FIGURES

Figure I-1

 

NIH Organizational Chart

 

17

Figure 3-1

 

U.S. and Foreign Fellows, 1983 and 1988

 

51

Figure 3-2

 

Attrition Rates 1983–1987 for Tenured M.D.s and Ph.D.s

 

55

Figure 3-3

 

Salaries for M.D.s and Ph.D.s, 1987, NIH vs Academic Centers,

 

60

Figure 4-1

 

NBS Personnel Management Demonstration Project

 

128

TABLES

Table I-1

 

NIH Obligations by Institute 1977–1987

 

21

Table 2-1

 

Percent Papers Among Most Highly Cited 10 Percent

 

37

Table 2-2

 

Ratio Intramural to Academic Average Citations Per Paper

 

37

Table 3-1a

 

Personnel Systems Under Which NIH Tenured Scientists Are Employed

 

83

Table 3-1b

 

Salary Rates for Permanent NIH Scientists Under the General Schedule and Senior Executive Service

 

86

Table 3-2

 

NIH Fellows by Title and Degree as of End of Fiscal Years 1983–1988

 

87

Table 3-3

 

Non-Tenured Intramural Employment

 

88

Table 3-4

 

Time Line for Trainees at NIH

 

90

Table 3-5

 

NIH Medical Staff Fellowship Program Statistics, 1977–1988

 

91

Table 3-6a

 

Rates of Conversion of NIH Staff Fellows to Permanent GS and CO Appointments

 

92

Table 3-6b

 

Conversions of NIH Fellows to Full-Time Permanent Appointments in General Schedule (GS/GM), Commissioned Corps (CO) Positions. Fiscal Years 1983–1987

 

93

Table 3-7

 

Grades Within Senior Investigator Category

 

94

Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×

Table 3-8

 

Selected Employment Data for Current Full-Time Permanent NIH Tenured Scientists in Intramural Positions by Grade, 1983–1988

 

95

Table 3-9

 

Selected Employment Data for Full-Time Permanent NIH Tenured Scientists Who Left NIH Intramural Positions by Grade, Fiscal Years 1983–1987

 

101

Table 3-10

 

Attrition of NIH Full-Time Permanent Tenured Scientists (M.D.s and Ph.D.s) in Intramural Positions by Grade, Fiscal Years 1983–1987

 

106

Table 3-11

 

Appointments of Scientists to NIH Intramural Positions by Grade and Degree. Fiscal Years 1983–1987

 

111

Table 3-12

 

Appointment of Scientists to NIH Intramural Programs. Distribution by Grade. 1983–1987

 

112

Table 3-13

 

Comparative Salaries of Research Scientists

 

113

Table 3-14

 

Change in Average Annual Salaries Reported by Doctorates at NIH in 1981 by Type of Employer in 1987

 

114

Table 3-15

 

Comparison of Physician Compensation: NIH and American Medical Schools

 

115

Table 3-16

 

Comparison of Ph.D. Pay: NIH and American Medical Schools

 

116

Table 3-17

 

Allied Health Specialists Salary Comparison—Washington, D.C. Area. January 1988

 

117

Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×

ACKNOWLEDGEMENTS

The committee appreciates the cooperation and assistance it received from many individuals and organizations. Space prevents acknowledging them all, although every input contributed to the overall report. A few warrant special mention.


More than 50 organizations and individuals (Appendix A) provided testimony to the committee regarding the NIH Intramural Program within a very brief timeframe; we offer them each our thanks.


The National Institutes of Health responded to our many requests for data. We would like to thank Philip S.Chen, Associate Director for Intramural Affairs; Richard G.Wyatt, Special Assistant for Intramural Affairs; Kurt Habel, Chief, Program Planning Branch; John D.Mahoney, Associate Director for Administration; Norman D.Mansfield; Director, Division of Financial Management; and Robert T.Dillon, Chief, Staffing Management Branch, Division of Personnel Management, and his staff. Our thanks extend to the other NIH staff who generously provided insights for the committee, and especially to Sean Donohue, Office of Science Policy and Legislation, Program Planning Branch, who, by facilitating our many requests, smoothed project progress.


Bradie Methany, Coordinator of the Delegation for Basic Biomedical Research, offered direction leading to staff interviews with private biomedical research laboratories, while Susan Racca, Director of Special Projects, Industrial Biotechnology Association, provided yet other insights into this sector.


Representatives of a number of the nation’s most prestigious postdoctoral fellowships gave generously of their time for interviews: The American Cancer Society, Damon Runyon-Walter Winchell Cancer, Helen Hay Whitney, Jane Coffin Childs, Leukemia Society of America, Markey Charitable Trust, and the Pharmaceutical Manufacturers Association Foundation, Inc.


A very special acknowledgement must go to Jean M.Haddock, Manager, American Society for Clinical Investigation (ASCI), who through a major effort made possible a survey of the more than 2,000 ASCI members, to which its membership responded overwhelmingly. Lynn Morrison, Director for Public Policy, American Federation for Clinical Research, provided the committee with additional perspectives.

Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×

Paul Jolly, Associate Vice President for Operational Studies, Association of American Medical Colleges, provided valuable data. Mark Abramson, Executive Director, Center for Excellence in Government, offered his observations.


Among the staff of government agencies who shared their experiences with the IOM staff and committee, we wish to recognize Harold J.Reese, Chief, Labor Management Relations and Staff Services, National Bureau of Standards (presently the National Institute of Standards and Technology) ; Kenneth E.Kinnamon, Uniformed Services University of the Health Sciences; Charles Levine, Deputy Director of the National Commission on the Public Service; William M.Tolles, Associate Director of Research, Strategic Planning, Naval Research Laboratory, Washington, D.C.; and Sheldon B. Clark, Ph.D., Senior Research Scientist, Labor and Policy Studies Program; Manpower, Education, Research, and Training Division, Oak Ridge Associated Universities.


Harold T.Shapiro

Chairman

Committee to Study Strategies to Strengthen the Scientific Excellence of the NIH Intramural Research Program

Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×
Page R1
Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
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Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
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Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
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Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
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Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
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Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×
Page R7
Page viii Cite
Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×
Page R8
Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
×
Page R9
Suggested Citation:"Front Matter." Institute of Medicine. 1988. A Healthy NIH Intramural Program: Structural Change or Administrative Remedies? Report of a Study. Washington, DC: The National Academies Press. doi: 10.17226/9929.
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