Can Lung Transplant Surgeons Still Be Scientists? High Productivity Despite Competitive Funding
DOI:
https://doi.org/10.1532/hsf.2024Abstract
Background: Today’s declining federal budget for scientific research is making it consistently more difficult to become federally funded. We hypothesized that even in this difficult era, surgeon-scientists have remained among the most productive and impactful researchers in lung transplantation.
Methods: Grants awarded by the NIH for the study of lung transplantation between 1985 and 2015 were identified by searching NIH RePORTER for 5 lung transplantation research areas. A grant impact metric was calculated for each grant by dividing the sum of impact factors for all associated manuscripts by the total funding for that grant. We used nonparametric univariate analysis to compare grant impact metrics by department.
Results: We identified 109 lung transplantation grants, totaling approximately $300 million, resulting in 2304 papers published in 421 different journals. Surgery has the third highest median grant impact metric (4.2 per $100,000). The department of surgery had a higher median grant impact metric compared to private companies (P <.0001). There was no statistical difference in the grant impact metric compared to all other medical specialties, individual departments with multiple grants, or all basic science departments (all P >.05).
Conclusions: Surgeon-scientists in the field of lung transplantation have received fewer grants and less total funding compared to other researchers but have maintained an equally high level of productivity and impact. The dual-threat academic surgeon-scientist is an important asset to the research community and should continue to be supported by the NIH.
References
Ben-Menachem G, Ferguson SM; Balakrishnan K. 2006. Doing business with the NIH. Nat Biotechnol 24(1):17-20.
Cooper DKC. Transplantation of the heart and both lungs: I. Historical review. 1969. Thorax 24(4):383-90.
Dark JH, Patterson GA, Al-Jilaihawi AN, Hsu H, Egan T, Cooper JD. 1986. Experimental en bloc double-lung transplantation. Ann Thorac Surg 42(4):394-8.
Dilling DF, Glanville AR. 2011. Advances in lung transplantation: the year in review. J Heart Lung Transplant 30(3):247-51.
Division of Planning E, and Analysis Statistical-Analysis and Reporting Branch Table #208 NIH Reserach Project Grants Competing Acppliations, Awards, and Success Rates by Medical School Department Name National Institutes of Health RePORT; 2016. https://report.nih.gov/success_rates/
Evers BM. 2015. The evolving role of the surgeon scientist. J Am Coll Surg 220(4):387-95.
Garrison HH, Deschamps AM. 2014. NIH research funding and early career physician scientists: continuing challenges in the 21st century. FASEB J 28(3):1049-58.
Gittes GK. 2006.The surgeon-scientist in a new biomedical research era. Surgery 140(2):123-31.
Gruber PJ. 2008. Idealism versus reality: the modern surgeon-scientist. Ann Thorac Surg 85(4):1151-2.
Hardy JD, Webb WR, Dalton ML Jr, Walker GR Jr. 1963. Lung homotransplantation in man: report of the initial case. JAMA 186(12):1065-74.
Hartert M, Senbaklavaci O, Gohrbandt B, Fischer BM, Buhl R, Vahl CF. 2014. Lung transplantation: a treatment option in end-stage lung disease. Dtsch Arztebl Int 111(7):107-16.
Kaltman JR, Evans FJ, Danthi NS, Wu CO, DiMichele DM, Lauer MS. 2014. Prior publication productivity, grant percentile ranking, and topic-normalized citation impact of NHLBI cardiovascular R01 grants. Circ Res 115(7):617-24.
Keswani SG, Moles CM, Morowitz M, et al. 2017. The future of basic science in academic surgery: identifying barriers to success for surgeon-scientists. Ann Surg 265(6):1053-9.
Kodadek LM, Kapadia MR, Changoor NR, et al. 2016. Educating the surgeon-scientist: A qualitative study evaluating challenges and barriers toward becoming an academically successful surgeon. Surgery.;160(6):1456-65.
Kron IL. 2000. Getting funded. J Thorac Cardiovasc Surg 119(4 Pt 2):S26-8.
Kron IL. 2001. Getting promoted. J Thorac Cardiovasc Surg 121(4 suppl):S17-8.
Menger MD, Schilling MK, Schafers HJ, Pohlemann T, Laschke MW. 2012. How to ensure the survival of the surgeon-scientist? The Homburg Program. Langenbecks Arch Surg 397(4):619-22.
Narahari AK, Charles EJ, Mehaffey JH, et al. 2018. Cardiothoracic surgery training grants provide protected research time vital to the development of academic surgeons. J Thorac Cardiovasc Surg 155(5):2050-6.
Narahari AK, Mehaffey JH, Hawkins RB, et al. 2018. Cardiothoracic and vascular surgeons achieve high rates of K award conversion into R01 funding. Ann Thorac Surg 106(2):602-7.
Narahari AK, Mehaffey JH, Hawkins RB, et al. 2018. Surgeon scientists are disproportionately affected by declining NIH funding rates. J Am Coll Surg 226(4):474-81.
NIH RePORTER. 2017. [Bethesda, (MD)]: NIH. [updated 2018 Oct 18 {version 7.34.0}; accessed 2018 Nov 17]. https://projectreporter.nih.gov/reporter.cfm.
Ranking Tables of NIH Funding to US Medical Schools in 2016 as compiled by Robert Roskoski Jr. Horse Shoe (NC): Blue Ridge Institute for Medical Research; 2017 [created 2017 Jan 14; updated 2017 May 3; accessed 2018 Oct 3]. Table 1, Total NIH Awards to all Departments of a Given Discipline. http://www.brimr.org/NIH_Awards/2016/NIH_Awards_2016.htm
Reitz BA, Wallwork JL, Hunt SA, et al. 1982. Heart-lung transplantation: successful therapy for patients with pulmonary vascular disease. N Engl J Med 306(10):557-64.
Toronto Lung Transplant Group. 1986. Unilateral lung transplantation for pulmonary fibrosis. N Engl J Med 314(18):1140-5.
