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MANY OF THE ~1
lhe Soiree for Ye Stay of PA for Clinical Investigation
was coast by Be Institute of Medicine In Dense to a Quest by
the National Aim; of Herald for an art of Be availability
of appropriate Err for Rae relate to patients. In the
heals acid, Here are many ~ni~1 advance Cat offer
considerable hope for the future if appropriate Rae are available
for clinical investigation.
Major cordons have been raised about He future of clinics
investigation ~ e Bite States because of (a) final changes In
He organization of health Ore In the Undo Statics (b) major efforts
at cost containment in all areas of clinical Medicine, (c) rapidly
Elating expenses Assyria ~1 with drug devel ~ nt in this country,
and (~) a reduction in the number of individuals pursuing a career in
clinical investigation.
In its mandate, the Committee was asked to consider the following
questions:
1. What changes in the health care system have had an impact on the
environment for clinical investigation or the resources necessary for
such Roth? How should furring for Dali and cad be in Great ad?
2. How can the NIH increase ~n~=rest in clinical investigation
among medical students and residents? How can the training of young
clinical investigators be improved to optimize their c ~ s of sur--cc
in the peer review process?
3. What might the NIH do to stimulate and facilitate the
translation of basic research advances to clinical practice?
4. How might the NIH foster interaction between industry and
clinical investigators involved in federally-funded research in order to
exploit scientific opportunities while safeguarding federal stewardship
of public monies?
5. How should research involving patient care be organized to
provide optimal scientific return?
6. How can the NIH stimulate ingress In outdone aunt of new
and established treatment programs?
Ye National Astir; of Health do the ~nrni~ee to palace
expeditiously, relying on Herons to provide their collective j~nt
on Be challenges facing clinical investigation. Soiree ma;
were ask ~ to su ~ it papers which were considered at the boo meetings
of the Committee (and reprinted herein as Appendixes) and, along with
the data supplied by the National Institutes of Health, contributed to
the findings and recommendations in this report.
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