ROSTER OF PANEL MEMBERS

I.   EXECUTIVE SUMMARY

1. Charge to the NIH Director's Panel on Clinical Research

2. The Panel's Definition of Clinical Research

3. Panel Subcommittees--Composition and Charges

1. NIH Mechanisms for Funding Patient-Oriented Research
2. Training/Job Opportunities for Patient-Oriented Research
3. General Clinical Research Centers (GCRCs) and the NIH Clinical Center (CC)
4. Funding Sources and Public Information

4.   Panel meetings and reports

5.   Panel Recommendations

1. Recommendations Concerning Data on and Review of Clinical Research
2. Recommendations Concerning Training and Support for Clinical Investigators
3. Recommendations Concerning the GCRCs and the Clinical Center
4. Recommendations Concerning Partnerships

II.   INTRODUCTION

III.   DISCUSSION OF THE PANEL RECOMMENDATIONS

(A) Recommendations Concerning Data on and Review of Clinical Research

Recommendation #1

Table 1. Clinical research indexing data, including clinical trials as a subset

Table 2. FY 1996 NIH funding of clinical research (CR): selected major types of competing grant applications

Table 3. FY 1996 NIH competing clinical research awards by degree of the principal investigator

Table 4. Site of review of NIH competing R&D awards, FY 1996

(B) Recommendations Concerning Training and Support for Clinical Investigators

Recommendation #2

1. Introduction of medical students to clinical research
2. The length of time needed for clinical, including specialty and subspecialty, training
3. Fewer opportunities for recognition and promotion of clinical investigators than for basic researchers
4. The high level of debt with which physicians leave medical school

Recommendation #3

Recommendation #4

Recommendation #5

1. Partnerships in Training
2. NIH Support Mechanisms for Young Clinical Investigators
3. Mid-career Support

Recommendation #6

(C) Recommendations Concerning the General Clinical Research Centers and the Clinical Center

General Clinical Research Centers (GCRCs)
Recommendation #7

Clinical Center
Recommendation #8

(D) Recommendations Concerning Partnerships

Recommendation #9

Recommendation #10

IV. FUTURE DIRECTIONS

1. The role of the medical schools and the teaching hospitals (AHCs)
2. The role of study sections and the NIH Clinical Center
3. Recruitment of minorities into clinical research
4. The relationship of the Director of NIH to managed care organizations, private foundations and the pharmaceutical industry

V. CONCLUSION

REFERENCES