PROCEEDINGS
OF THE 30TH BETHESDA CONFERENCE. THE FUTURE OF ACADEMIC
CARDIOLOGY. BETHESDA, MARYLAND, OCTOBER 26-27, 1998.
JACC Vol. 33, No. 5, April 1999:1091-1135
30th
Bethesda Conference:
The Future of Academic Cardiology*
Task
Force 2: Research
Jeffrey
S. Borer, MD, FACC, Co-Chair, Robert A. Vogel,
MD, FACC, Co-Chair
EFFECT
OF CURRENT NATIONAL MEDICAL PRIORITIES AND REIMBURSEMENT
STRATEGIES ON CARDIOVASCULAR RESEARCH ACTIVITIES IN
ACADEMIC MEDICAL CENTERS
SUMMARY
RECOMMENDATIONS
Academic
medical centers must
- Develop
and support clinician-investigators, that is, well
trained researchers who also provide patient care.
- Expand
the focus and contribution of clinician-investigators
by initiating formation of interdisciplinary clinician-investigator
groups comprising basic scientists, epidemiologists/statisticians,
clinician-investigators and others, focused on complex,
multidisciplinary patient-related research.
- Provide
clinical education for nonclinician researchers involved
in the interdisciplinary groups, and rigorous training
in research methodology for clinician-investigators.
- Develop
a cost accounting structure for currently unremunerated
academic activity.
The
American College of Cardiology must
- Encourage
expansion of the National Institutes of Health extramural
clinical research budget, and expansion of parallel
public funding sources for cardiovascular clinical
research.
- Encourage
and participate in provision of parallel patient-oriented
research support from quasi-public and nonprofit sources.
- Develop
mechanisms and supporting dialogue to enable and enhance
industrial funding for investigator-initiated research,
as well as enhanced industry-initiated research.
- Organize
interactions with the nonmedical public to heighten
public awareness of the value of cardiovascular research.
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