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August 21, 2002

Funding Priorities for Medical Research

Author Affiliations

Stephen J.LurieMD, PhD, Senior EditorIndividualAuthor

JAMA. 2002;288(7):832. doi:10.1001/jama.288.7.828

To the Editor: Dr Nathan1 described barriers to the career pathways of physicians who seek to perform translational clinical research, and he proposed some ways to encourage their development. However, there is widespread agreement that in the number of translational researchers continues to decrease. More effective ways for supporting and rewarding careers in clinical investigation are needed. Thus, Nathan's suggestion for a new approach by "establishing appropriate core resources and a new collaborative working environment for translational clinical researchers" is welcome indeed. Although we strongly agree with his proposal for stimulating clinical research, we suggest that it does not go nearly far enough in changing the fundamental premises of the current medical research program.