Summary of the June 2000 Meeting of the Clinical Research Roundtable (2000) / Chapter Skim
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Summary of the June 2000 Meeting of the Clinical Research Roundtable
Summary of the June 2000 Meeting of the Clinical Research Roundtable
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The group, chaired by Dr. William Gerberding, President Emeritus of the University of Washington, consists of individuals from the academic health community, federal agencies sponsoring and regulating clinical research, privatesector sponsors of clinical research, foundations, public-sector and private-sector insurance programs, health plans and insurance companies, corporate purchasers of health care, and representatives of patient interests.
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began the open portion of the meeting with a brief overview of the Graylyn Report, product of the Clinical Research Summit Project, which is a joint effort of the AAMC and the American Medical Association in collaboration with Wake Forest University School of Medicine. The project organized and conducted 10 focus groups involving more than 150 representatives of public-sector and private-sector groups and institutions involved in clinical research in the fall of 1998; followed by a conference that eventually reached consensus on a definition of clinical research, nine important problems, and a set of goals and objectives designed to strengthen clinical research.
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took quite a different approach when they recently sought data on the number and types of clinical research projects being performed at their institution (Taylor et al., "An Estimation of NIH Revenues Supporting Clinical Research at the Massachusetts General Hospital: Techniques for Evaluation and Varying Definitions," unpublished manuscript, 20001. Instead of relying on MGH databases, they went to the publicly accessible and searchable NIH database describing all funded grants (CRISP)
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Crowley in his talk~iminishing numbers of young physician-scientists and high debt levels faced by medical school graduates, for example. The report contains recommendations for improving the appeal of research to medical students, encouraging postgraduate research training by a program of debt forgiveness, expanding financial support for training and mentoring, improving the prestige of clinical research in AHCs, and gathering additional data with which to evaluate corrective actions.
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She argues for and the Johns Hopkins Central Clinical Trials Of lice has begun~evelopment of positions and staff to facilitate clinical research across departments, and centralization of common tasks like patient recruitment, staff training, and assuring regulatory compliance. An additional major hurdle is convincing the deans to recognize the importance of industry-sponsored trials, outcomes research, and other steps involved in turning basic science insights into improved health care.
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At the other end of the technology spectrum, he noted, we must recognize that many poor people have no contact with organized health care at all. Remedying the many existing disparities in health care will demand a different kind of clinical research, certainly one that includes a heavy emphasis on health promotion and disease prevention.
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