@article{f8920fb328064ada9e0233fc0e57af0d,
title = "Emergency medicine research: 2030 strategic goals",
abstract = "All academic medical specialties have the obligation to continuously create new knowledge that will improve patient care and outcomes. Emergency medicine (EM) is no exception. Since its origins over 50 years ago, EM has struggled to fulfill its research mission. EM ranks last among clinical specialties in the percentage of medical school faculty who are National Institutes of Health (NIH)-funded principal investigators (PIs; 1.7%) and the percentage of medical school departments with NIH-funded PIs (33%). Although there has been a steady increase in the number of NIH-funded projects and total NIH dollars, the slowing growth in the number of NIH-funded PIs and lack of growth in the number of EM departments with NIH-funded PIs is cause for concern. In response, the Association of Academic Chairs of Emergency Medicine (AACEM) Research Task Force proposes a set of 2030 strategic goals for the EM research enterprise that are based on sustaining historic growth rates in NIH funding. These goals have been endorsed by the AACEM Executive Committee and the boards of Society for Academic Emergency Medicine (SAEM), American College of Emergency Physicians (ACEP), and American Academy of Emergency Medicine (AAEM). The 2030 strategic goals include 200 NIH-funded projects led by 150 EM PIs in at least 50 EM departments with over $100M in annual funding resulting in over 3% of EM faculty being NIH-funded PIs. Achieving these goals will require a targeted series of focused strategies to increase the number of EM faculty who are competitive for NIH funding. This requires a coordinated, intentional effort with investments at the national, departmental, and individual levels. These efforts are ideally led by medical school department chairs, who can create the culture and provide the resources needed to be successful. The specialty of EM has the obligation to improve the health of the public and to fulfill its research mission.",
author = "Neumar, {Robert W.} and Blomkalns, {Andra L.} and Cairns, {Charles B.} and Gail D{\textquoteright}Onofrio and Nathan Kuppermann and Lewis, {Roger J.} and Newgard, {Craig D.} and O{\textquoteright}Neil, {Brian J.} and Rathlev, {Niels K.} and Rothman, {Richard E.} and Wright, {David W.}",
note = "Funding Information: RN, AB, CC, GD, NK, RL, CN, BO, NR, RR, and DW{\textquoteright}s institutions have received grant funding from the National Institutes of Health, AHRQ, CDC, DOD, HRSA, SAMHSA, PCORI, EMF, and SAEM for investigator initiated research. RL is the Senior Medical Scientist at Berry Consultants, LLC, and a special government employee of the U.S. Food and Drug Administration. Funding Information: Individual NIH institutions have established career development awards tailored toward the needs of early career emergency physicians. For example, the National Institute on Aging (NIA) developed the GEMSSTAR program to provide support for early career physician‐scientists trained in medical or surgical specialties, including EM, to launch careers as future leaders in aging‐ or geriatric‐focused research. The GEMSSTAR award is intended to offer support in a particularly vulnerable time in a new clinical faculty member{\textquoteright}s career. The GEMSSTAR program also provides an opportunity for a companion award for a professional development plan (PDP). These PDP awards are supported by professional societies and coordinated by the American Geriatric Society. The EM GEMSSTAR PDP awards are supported by the SAEM Foundation. Another NIA program to develop specialty‐based (including EM) research career awards includes the Paul B. Beeson Emerging Leaders Career Development Award in Aging, which is supported by the NIA, American Federation for Aging Research, and the John A. Hartford Foundation. 15 16 17 18 Funding Information: While the NIH provides most of the research funding to the specialty of EM, other federal and nonfederal sources are strategically important. Federal funding from the Agency for Healthcare Research and Quality (AHRQ), Centers for Disease Control and Prevention (CDC), Veterans Administration (VA), Department of Defense (DOD), Biomedical Advanced Research Development Authority (BARDA), Patient‐Centered Outcomes Research Institute (PCORI), Health Resources and Service Administration (HRSA), and Substance Abuse and Mental Health Services Administration (SAMHSA) provides important research funding to EM investigators, especially for research areas not typically funded by the NIH. Figure S3 illustrates historical funding trends for AHRQ and CDC. Since its inception in 2010, PCORI has awarded 10 grants to nine different EM PIs in seven U.S. departments of EM. While similar data for VA, HRSA, SAMHSA, BARDA, and DOD funding are not publicly available, these all provide significant funding for emergency care research. 19 Publisher Copyright: {\textcopyright} 2021 Society for Academic Emergency Medicine",
year = "2021",
doi = "10.1111/acem.14367",
language = "English (US)",
journal = "Academic Emergency Medicine",
issn = "1069-6563",
publisher = "Wiley-Blackwell",
}