NIH funding in family medicine: an analysis of 2003 awards.
OBJECTIVE
We wanted to analyze National Institutes of Health (NIH) awards to departments of family medicine.


METHODS
We obtained the list of NIH awards to departments of family medicine in 2003, and collected additional information from the Internet regarding each principal investigator (PI), including whether he or she worked primarily in a core (central) organizational component within a family medicine department.


RESULTS
One hundred forty-nine NIH awards were granted to 45 departments of family medicine, for a total of 60,085,000 dollars. Of 146 awards with a designated PI, approximately two thirds of awards (89, 61%) and awarded dollars (39,850,000 dollars, 70%) went to PIs who were either not full-time family medicine faculty primarily working in family medicine departments, or they were not working in core family medicine organizational components. Few awards to physician PIs in these non-core areas were to family physicians (4 of 37, 11%), whereas most awards to physician PIs in core family medicine areas went to family physicians (40 of 45, 89%). In contrast, most K awards (research career programs) went to PIs in core areas (19 of 23, 83%), and most to family physicians (17 of 23, 74%). Nationally, only 17 R01 awards (research project, traditional) went to family physicians.


CONCLUSIONS
Most NIH awards to family medicine departments went to PIs in noncore organizational components, where most physician PIs were not family physicians. Family medicine departments interested in increasing NIH funding may want to consider 4 models that appear to exist: individual faculty in core departmental components, K awards, core faculty also working in university-wide organizational components that provide research infrastructure, and integrating noncore administrative components into the department.
Rabinowitz
Howard K
HK
Department of Family and Community Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, PA 19107, USA. Howard.Rabinowitz@jefferson.edu
Becker
Julie A
JA
Gregory
Naomi D
ND
Wender
Richard C
RC
D001363:Awards and Prizes; D005194:Family Practice / Q000191:economics*; D005380:Financing, Government / Q000706:statistics & numerical data*; D006801:Humans; D007388:Internal Medicine / Q000191:economics; D009316:National Institutes of Health (U.S.) / Q000191:economics*; D012108:Research Personnel; D012109:Research Support as Topic / Q000191:economics* / Q000706:statistics & numerical data; D012577:Schools, Medical / Q000191:economics*; D014481:United States