Strengthening Research in Academic OB/GYN Departments (1992) / Chapter Skim
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APPENDIX B - NATIONAL INSTITUTES OF HEALTH SUPPORT OF RESEARCH IN DEPARTMENTS OF OBSTETRICS AND GYNECOLOGY
APPENDIX B - NATIONAL INSTITUTES OF HEALTH SUPPORT OF RESEARCH IN DEPARTMENTS OF OBSTETRICS AND GYNECOLOGY
Pages 269-306
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From page 269... ...
Id 1989, 60 percent of funds for biomedical research in academic imitations came from NISI, coward m~ 8 percent from private, non-profit sores and 6 percent from indus~y.~ 1h medical schools, over 75 percent of fimds for sponsored research comes from He foal government, the ~jonty Tom NIH.2 NIX support in FY 1989 included over SSOO million for clinics trials, S245 million to support research training, $90 million for career development awards and S120 million to support beginning resmrchers.3 Since it is peer reviewed in national competition, ASH support is considered a standard of excellence. For this reason it can be used to leverage over support: *
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From page 270... ...
~-~ "~of~, ~=of_~, ~ _1 ~= or ~ ~, ~ -~ ~ -A ~ Solvay_ ~ I_ fir _ ~- is _ ~ Aft ~ ~ _~ am ~ ~ ~ ~' ~ ~ of Acid - ~ ~1 ~ _.
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From page 271... ...
Id addition to the general problems related to NIH support of clinical resmtch "d the physician-sciendst, specific concerns have been expressed about He paucity of research conducted In departments of OBIGYN. The IOM Plug Committee for the curt study concluded that departments of OB/GYN lagged in Seeing support Tom NIH for research and ppecl~lam4 that: Possible causes related to the portion of problems relating to the sums of the fetus, lack of org~i~onal focus for rep~duc~ve research at NIH, the lack of a national consensus conceding the Local issues Iaised by some reproductive research ...
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From page 272... ...
While Me success rated varied greatly from year to year, for 3 of the 6 years Me fate for OB/GYN was substantially lower Man that of the other d~ar~nents. The decline in success rams between 1980 and 198S was grower for OB/GYN than the three other depardnents studied.
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From page 273... ...
PP~ZD~Y B 273 TABT ~ B-1: Potage of Full TO Faculty in Clinical Debts Who are PIs on NUI/ADMHA Awards (1988) Total Full TO Faculty Total M.D.s Depar~t No.
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From page 274... ...
linked with SAC record of research grants ASH and ADAMHA) and Contracts (NIH)
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From page 275... ...
1h addidon to the political, and ethical Unifications of some areas of OB/GYN research, many OB/GYNs in medical schools believe that N] H lacks intent in reproductive issues "d women's health in general.
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From page 276... ...
. Between 1968 and 1989 OB/GYN departments slightly increased Heir Share of NIH fimds current dolly s~port to OB/GYN d~tments grew by 570 percent wale overall NIH research support grew by only approximately 550 percent.
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From page 277... ...
OBIGYN faculty received approx~n=~ly 2.7 percent of the NIH/ADAMHA awards to clinical Garments. However, the depar~ts received slightly less then would be expected on He basis of size of faculty, since OB/GYN departments had ~pro~tely 3.7 percent of the total full time medical schools faculty and 4.8 percent of the full time faculty ~ clinical depart in 1988.
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From page 278... ...
The Heat, Long and Blow rustic ~3I) and the Division of Research Resources ERR also showed major increases, the latter due largely to ~ grant and a cooperative agreement with Emory University for Support of animal resources available to all qualified mvestiga$ors without regard to scientific disciplines or disease orientation..
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From page 279... ...
The number of research grants Cease, but Me number of contacts declined from 11 to 7, although contract dollar support more den doubled. Awards for Gaining grants and fellowships combined fell ~ both number and dollars.
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From page 280... ...
16 1989 only 4 d~ents had more then 10 awards while 15 had only one award, 17 had two awards and 9 had tier" awards. This distribution is Alar to, but somewhat more concenba~ Am, Me distribution of total NIH fimds: 20 medical schools received 50 percent of ~ e~c~amural fimds going to medical schools in FY 1989.
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From page 281... ...
Ph.D.s also achieved a higher success rate then M.D.s (Table B-5)
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From page 282... ...
282 STRENG77IENI~G RESE~RC}1 IN~G{DE}U1C OB/GYNDE:Pf~A! E~15 T/UBIJE Bus: Sucked Pkdes of CkDn~peing AppUcadons from OB/GYl~ rhqpIimen~ by Degree of P\inciF~]
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From page 283... ...
Applications from decrements of OB/GYN to NHLBI and NIAID were less success in winning awards (Table Add. No Mend in success rates by institute over the dowse was discernible.
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From page 284... ...
1h 1989 these four Bugs reviewed 125 out of He 247 Silicons submitted, win Reproductive Biology reviewing the largest number. Table B-7 shows He success rates (number of awards divided by number of applica$ions3 for applications from OB/GYN departments sent to the four IRGs which review die greatest number of applications from OB/GYN departments.
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From page 285... ...
all saw Heir workload from departments OB/GYN increase in &e middle of the He "d &en decrease to Be previous level or Eighty lower in the last several years. OB/GYN Departments Compared with Other Clinical Department Another way to assess the succor of OB/GYN departments in He competition for tori funds is to compare them with other clinical departments.
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From page 286... ...
286 SI~G RESE~RCII INA~IC OB/~D=~ TABLE B-? : NIH Combing Applications from OB/GYN DeE~runents, Success Rates by Selected IRGS, l9SC~1989 Success Yew Submitted Awarded Rate Sew Rat of OBIGYN All lRGs Reproduclive Biology 1980 401434.1 % 37.8% 1981 491734.0 21.8 1982 501530.0 27.8 1983 521732.7 27.6 1984 611524.6 28 ~ 1985 591525.4 20.2 1986 431227.9 25.2 1987 411432.6 28.7 1988 441227.3 27.6 1989 40615.0 20.9 Total 47913728.6 Reproductive Endocrinology 1985 1200.0% 20.2 9E 1986 21942.9 2S.2 1987 26519.2 28.7 1988 24520.8 27.6 1989 26415.4 20.9 Total 1092321.0 26.2
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From page 287... ...
PPEMZ) 1X B TABLE B-7 (Condaued)
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From page 288... ...
Radiology dots had al hvice as ninny f~ll-time faculty as decrements of OB/GYN. TABLE B-8: Full TO Faculty and C:ompedag Applications, Selected Clinical Departments, 1980- 1989 Full lone Faculty 1988 Dot Number Percent Competing Applications 198~1989 Number Percent OB/GYN 2,265 7 2,667 6 Pediatrics 5,724 19 6,801 15 Radiology 3,884 13 3,325 7 Surgery 5,031 17 6,117 13 Medicine 13,448 44 27,238 59 Total 30,352 100 46,148 100 Dots of mterna1 medicine submitted a disproportionately large number of applications (59 percent of the total with 44 percent of faculty)
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From page 289... ...
APPENDS B 289 TABT T; B-9: Success Rams of Competing Applications from Selected C1inical D - rtments Overall and by Degree of Principal Investigator, 198~1989 1 Dent All Applications Number of No. of Success Applications Awards Ram OB/GYN2,669706 26.5 % Medicine27,24010,242 37.6*
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From page 290... ...
TABLE 13-10: Percent of Total Faculty that am M.D.s Compared with Percentage of Grant Applications to NIH Submitted by M.D.s, Selected Clinical Departments, 198~1989 M.D. Grant Applications as M.D.s Pent of as Percent of D - runent's De}~tmeDt Full Tim Faculty Applications .
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From page 291... ...
Again, applications for ROls ham OB/GYN departments declined in competitiveness dunug the later years of He die. TABLE B-11: Success Rates of RO1 AppJicabons, Selected Clinical Departments, 1980- 1989 Number ofNo of Success Depar~t ApplicationsAwards Roe All Applications OB/GYN 1,954458 23.4 % lateral Medicine 16,3365,145 31.5*
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From page 292... ...
Between 1980 and 1989, OB/GYN departments e~cpenenced a comparatively low success Me (Table B-1 lithe differences between OB/GYN and Me other four d~partn3ents were statically significant. However, Ph.D.s from
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From page 293... ...
This compares with FY 1980 when fading totaled S182.8 million, or 6.6 percent of the extramural budget. Tog support is in the form of fellowships which HI awards directly to individuals, and Gaining grants which NIH awards to institutions which ~ turn select individuals an trainees.
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From page 294... ...
In 1980 all career development awards were made to individuals; however, since 1984 a few institutional awards, each of which generally supports several individuals, have been made. Individual awards continue to predominant"
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From page 295... ...
The number of Modified Research Camer Development Awards (K04s3 declined dig Me decade while the number of Clinical Investigator Awards (awes) "d Physician Scientist Awards (Ku)
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From page 296... ...
. Number of ~dinduals ~ DeparUnents of OB/GYN with NIT Training Support It is difficult to determine He number of people in documents of OBIGYN whose research Paining has bees helped by NIH SUppOrte While NIH codes ~ on the recipients of traineeships and fellowships on its records, and also has data on career development awards, those at NIEI most familiar with these data files do not consider Hem to be reliable.
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From page 297... ...
Program project grants (P01s3 are bmad-based, long term multidisciplinary research activities organized around a Tic theme. The individual surpass or components ·...must have scientific merit and essential elements of Sty and mter~pendence Bat constitute a system of research activities and projects directed toward the overall goal of the program..
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From page 298... ...
, Between 1980 and 1989 OB/GYN depar~ts were relatively successful ~ Me competition for program project grants (Pot) , web success As falling approximately in tibe middle of We five comparison deE=rtm~ts CIable B-14)
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From page 299... ...
OB/GYN d~arUnents were compeubve for P30 and P50 grants, hang had He highest success rate of any of the five departments between 1980 and 1989. lIowever OBIGYN departments submitted on average only Free applications per year (Table B-143.
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From page 300... ...
On the positive side, between 1980 and 1989 Me increase in fimding of OB/GYN departments exceeded He NDI increase in fimding of all clinical departments. The percentage of NUI support to medical schools received by OBIGYN departments remained relatively consent since He late 1960s, at about 1.S pacent of the total.
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From page 301... ...
~1 ~of~4.8~of-~_ _ of ~ Is ~ Ivy gay ~ 2.7 ~ of A_. Me ~ ~ ~ aim ~ ~ _ of OBEY =_~r~_~_~ 19~ lg89 is I_ _~1~1~ of ~ =~ odes_, ~- Wave of __.
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From page 302... ...
One pertains to research grants submitted by M.D.s, pa~c~rly ROls and R29s, which have ~ relatively low success rate. Me second relates to program project grants, center grants, career development grants, and to some dense fellowships, for which the problem is not success in obtaining f~d~.g but lather He fact Tut M.D.s from OB/GYN debts submit very few plow.
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From page 303... ...
While its not clear if, or how, He lack of intramural OB/GYN affects extramural OBIGYN research, some people claim that it leads to a Ark of mtema1 advocates for OB/GYN and +~t NEl staff doing win OB/GYN grants feel isolated. Moreover, since the OBIGYN msearch commit is the NIH ~client.
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From page 304... ...
3. OB/GYN ~de~c leaders should review the career development award (Ks)
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From page 305... ...
Washington, D.C.: A-oc=hon of Amcacan Medical Colleges.
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From page 306... ...
2;~. A - ociation of American Medical Colleges.
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