FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 357:1042-1047 September 6, 2007 Number 10 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear PubMed Citation

The U.S. biomedical research community, redolent of opportunity and brimming with optimism during the years from 1998 to 2003 when the budget of the National Institutes of Health (NIH) doubled, is now facing the prospect of an unprecedented fifth straight year of no real growth in NIH appropriations.¹ If so, the agency's purchasing power will have fallen more than 13% since fiscal year 2003. Fueled by NIH budgets that had increased annually since 1971 at an average nominal rate of nearly 9%² (or 3.34% adjusted for inflation³), the nation's biomedical research enterprise has never experienced a recession of this . . . [Full Text of this Article]

Riding Out the Storm

Surveying the Research Landscape

Increased Demand, Decreased Supply

Policy Considerations

Recommendations

The Case for Increasing Appropriations

Possible Responses from Academic Medicine

Conclusions

Source Information

From the Association of American Medical Colleges, Washington, D.C.

This article has been cited by other articles:

• Ibrahim, T. (2008). Academic Internal Medicine in the United States: Current Trends, Future Implications for Academic Nephrology. CJASN 3: 1887-1894 [Full Text]  
• Chapman, A. B., Guay-Woodford, L. M. (2008). Nurturing Passion in a Time of Academic Climate Change: The Modern-Day Challenge of Junior Faculty Development. CJASN 3: 1878-1883 [Full Text]  
• Goldstein, L. B. (2008). Reducing Death and Disability From Stroke: The Role of Governmental Advocacy. Stroke 39: 2898-2901 [Abstract] [Full Text]  
• Andriole, D. A., Whelan, A. J., Jeffe, D. B. (2008). Characteristics and Career Intentions of the Emerging MD/PhD Workforce. JAMA 300: 1165-1173 [Abstract] [Full Text]  
• Clearfield, M. B., Smith-Barbaro, P., Guillory, V. J., Cavalieri, T. A., Wood, D. L., Hahn, M. B. (2008). Response. JAOA: Journal of the American Osteopathic Association 108: 355-357 [Full Text]  
• Stanbrook, M. B. MD PhD, Hebert, P. C. MD MHSc (2007). Getting serious about Canadian health research. CMAJ 177: 825-825 [Full Text]  
• Stanbrook, M. B. MD PhD, Hebert, P. C. MD MHSc (2007). La recherche en sante au Canada : un peu de serieux. CMAJ 177: 827-827 [Full Text]