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Joaquín Arenas Barbero
Subdirector General de Evaluación y Fomento de la
Investigación
FIG. 1. POLICY CONSEQUENCES OF THE BUSH DOCTRINE
ISSUE
Emphasis/
investments
Recruitment and
retention
Clinical
research
Populations
NIH
Basic research funded
2:1 vs. clinical research
Basic researchers
Intramural programs
and draft
Import patients with
rare diseases; no
health care system
affiliations
Medical schools
Facilitated basic
research promotions
and space allocation
Ph.D.’s nearly
exclusively
Nonexistent
Left to AHCs
AHCs
Facilitated basic vs. clinical
research space allocation
and core infrastructures
M.D./Ph.D.’s => ? clinical
investigators of the future
Largely relegated to industry
and pharmaceutical trials
Left to industry
Proof of principle
General Clinical Research
Centers (came later)
1. The Mayo Clinic Center forTranslational Science Activities
1. National Institutes Health Cinical and Translational Science Awards
Tool Box: “Best Practice” for medical research in Europe:
Primary goals:
•Strong basic research
•Strong clinical research
•Strong translational research: bringing basic research
knowledge into clinical practice, and vice versa
-- all three of the above being facilitated by interdisciplinary
research and public–private partnerships
Tool Box: “Best Practice” for medical research in Europe:
Tools to reach these goals: people
•Career track schemes with attractive possibilities for
researchers taking advantage of co-funding strategy
•European Medical Scientific Training Programme (EMSTP)
for physicians and scientists scaling up existing successful
initiatives
•The highest level of research ethics, and no scientific
misconduct
EMRC and medical and translational sciences
training
Training and career track schemes with attractive possibilities for researchers
i) Specific measures to reinforce training of medical doctors (MDs) in science, and
training of scientists in medicine or more clinical disciplines, to enhance the
continuum from basic to translational and clinical research and vice versa.
University hospitals, will play a major role in combining high-level training
programmes and world-class research centres.
ii) Well-defined recruitment policies to establish a balance between short-term and
tenured or longer-term career positions, with more visibility and career prospects,
iii) Incentives for encouraging geographic as well as inter-sector mobility of
researchers during their professional lives
Outlook: Future Policy Challenges
•Keep up with increasing number of publications/patents
•Keep up with established trend of GERD funds, from >1% of GDP to reach 2% y 2010
•Identify reasons for brain drain of young researchers
•Lack of private initiative (funding) compared to countries like United Kingdom or France
•Reform of university hospitals in Spain and increase the number of biomedical research institutions
•Create a clear professional career for the biomedical researcher
•Increase the numbers of medical doctors who divide their activity between practice and research
MUCHAS GRACIAS