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Washington Highlights: February 22, 2008

AAMC, Health Organizations Urge Increased FY 2009 Health Funding

The AAMC joined over 440 organizations in a Feb. 19 letter to Congress urging increased funding for all federal public health activities and programs. The coalition recommends a $5.3 billion increase in the FY 2009 discretionary funds allocated for health. The letter cautions that the President's budget for FY 2009 continues to underfund and undermine these important initiatives. The letter notes that the recommended increase will:

  • restore funding to public health programs cut in FY 2006;
  • restore lost purchasing power that flat-funding for at least five years has eroded; and
  • provide investments that begin to truly meet health challenges facing the nation.

Information:
Dave Moore, Senior Associate Vice President
AAMC Government Relations
dbmoore@aamc.org
(202) 828-0525

NIH Advisory Committee Proposes Major Changes in NIH Peer Review System

The Working Group on Peer Review of the NIH Advisory Committee to the Director (ACD) Feb. 21 presented draft recommendations for enhancing the NIH peer review system to the full ACD. The ACD accepted the working group's recommendations and will present a written report to NIH Director Elias Zerhouni, M.D., on Feb. 29. Dr. Zerhouni announced that he will form an implementation team and report back to the ACD in 4-6 weeks on implementation details and timelines.

The working group's recommendations follow extensive consultation with stakeholder communities, including the extramural community, advocacy groups, professional societies, and NIH staff, to collect input and ideas. The panel was co-chaired by Keith Yamamoto, Ph.D., Executive Vice Dean, University of California San Fransisco School of Medicine, and Lawrence Tabak, D.D.S., Ph.D., Director, National Institute of Dental and Craniofacial Research.

Among the most controversial of the Working Group's proposals is a minimum percent effort on NIH-funded research project grants. Principal Investigators (PIs) would be required to devote at least 20 percent effort, unless they can provide an explicit justification to the relevant institute or center (IC) for a lower percent effort. Other recommendations include allowing peer review groups to provide a "not recommended for resubmission" decision option, providing ratings for all applications, and eliminating amended application status by considering all applications as being "new." The group also urged a revision to the peer review rating system so that it focuses on impact, investigator(s), innovation, plan, and environment (including information on institutional support for the applicant). To support new investigators, the working group recommended that NIH:

  • continue to fund more R01 grants for early career investigators;
  • consider the merits of reviewing early career investigators separately to enhance innovation and risk-taking by applicants; and
  • consider the merits of ranking early career investigators against each other.

The working group urged NIH to examine salary support for PIs, "recognizing the diversity of business models employed by applicant organizations." The panel also urged NIH to analyze its contribution to the optimal biomedical workforce by evaluating the total number of graduate students and postdoctoral fellows being supported, and to develop a census of research associates/staff scientists as an initial step towards exploring approaches to providing more stable support for these individuals.

Information:
Tony Mazzaschi, Senior Associate Vice President
AAMC Biomedical Health Sciences Research
tmazzaschi@aamc.org
(202) 828-0059

FDA Issues "Good Reprint Practices" Draft Guidance

The Food and Drug Administration (FDA) Feb. 15 issued draft guidance on "Good Reprint Practices" for industry use in the distribution of medical or scientific journal articles and reference publications that involve unapproved uses of FDA-approved drugs and medical devices.

The FDA's "Good Reprint Practices" draft guidance recommends principles manufacturers should follow when they distribute scientific or medical journal reprints, articles, or reference publications. Some of the principles include ensuring that the article or reference be published by an organization that has an editorial board. The organization also should fully disclose any conflicts of interest or biases for all authors, contributors or editors associated with the journal article. In addition, the draft guidance discourages distribution of special supplements or publications that have been funded by one or more of the manufacturers of the product in the article.

The FDA retains legal authority to determine whether distribution of an article or publication constitutes promotion of an unapproved "new use," or whether such activities cause a product to be considered misbranded or adulterated under the Federal Food, Drug and Cosmetic Act.

Public comments should be submitted within 60 days of the Feb. 20 Federal Register notice announcing the availability of the draft guidance.

Information:
Irena Tartakovsky, Clinical Research Program Manager
AAMC Division of Biomedical and Health Sciences Research
itartakovsky@aamc.org
(202) 862-6134

On the Hill...

Rep. John Shadegg (R-Ariz.) Feb. 21 reversed his decision not to run for reelection in response to a letter signed by 146 of his colleagues in the House and a second letter signed by the leaders of 33 different conservative organizations. Shadegg had announced his retirement Feb. 11.