The Pediatric Scientist Development Program under the aegis of AMSPDC

1. The Pediatric Scientist Development Programunder the aegis ofAMSPDC

2. Goals of the PSDP • To provide pediatricians with an intensive research experience in basic, translational, or clinical/epidemiologic science applicable to diseases of childhood. • To enlarge the cadre of NIH- or CIHR-funded pediatricians in US and Canadian departments. • To nurture the next generation of academic pediatricians throughout North America.

3. PSDP Funding Consortium • NICHD • American Pediatric Society • American Academy of Pediatrics • March of Dimes • Paediatric Chairs of Canada • Sick Kids Foundation • St. Jude Children’s Research Hospital

4. PSDP Eligibility Criteria • U.S. citizen, permanent resident, or Canadian citizen • M.D. (target group) or M.D./ Ph.D. • Committed to basic, translational, or clinical research relevant to pediatrics in an investigative setting with a senior mentor • Dedicated to a career in academic pediatrics • Application 17 months prior to the start of the PSDP-sponsored research component

5. PSDP year 3 PSDP year 2 PSDP year 1 Fellow year 2 17 months Fellow year 1 Feb 1- application Nov 1- identify Timelines for PSDP Application CARDIOLOGY, CRITICAL CARE, PEM, NEONATOLOGY STANDARD TIMELINE PSDP year 3 PSDP year 2 PSDP year 1 12-month clinical fellowship 17 months PL-3 year Feb 1- application Nov 1- identify

6. Nominating States and Programs

7. 34 Nominating Programs

8. 64 Homes of 120 Graduates

9. Applicants 4

10. Clinical Responsibilities • Steering Committee reaffirms the principle of no clinical responsibilities in years 1 and 2 of PSDP-sponsored research • 15% clinical time allowed in year 3 • Applicants to train in patient-oriented investigation (clinical or translational) - option for 10% clinical time • how the clinical time is to be spent • what is the population to be seen • why the clinical time is essential to the research project

11. Salary Scale • First year - cap of $65,000 + 15% fringe • $20,000 supplies • Second year - cap of $70,000 + 15% fringe • $20,000 supplies • Third year - cap of $75,000 + 15% fringe • $20,000 supplies • Eligible to apply to the NIH Loan Repayment Program

12. NICHD Loan Repayment Program http://www.lrp.nih.gov/ • Eligibility • U.S. citizen or permanent resident • Performing research relevant to pediatrics (sponsored by NIH or non-profit) • Accrued debt constitutes >20% of income • Payments • Quarterly reimbursement of loans and interest up to $35,000 annually for two years DIRECT to lender PLUS quarterly tax payments to IRS

13. 123 NIH Grants Trainees Graduating 1988-2008

14. Recent PSDP Grants

15. PSDP* Funding Rate at NIH vs. Other MD’s Percent ** *Fellows entering 1987-2007 **Zerhouni EA. Science:314:1088, 2006

16. Subspecialties in PSDP Percent

17. Role of AMSPDC • FIS CHAIR • bring a resident to AMSPDC • women, minorities, underserved subspecialties • NOMINATING CHAIR • chair at the institution from which the candidate applies • helps the candidate to select potential mentors • SPONSORING CHAIR • chair at the institution where the candidate will be trained • helps the candidate to select potential mentors • guarantees the candidate the protected time to complete the proposed program in basic, translational, or clinical research • serves as a career mentor to help in transition from fellowship to faculty

18. Role of AMSPDC:PSDP Committees • STEERING COMMITTEE • AMSPDC representatives • Funding agency representatives: AAP, APS, MOD, Sick Kids, St. Jude’s • PROGRAM EVALUATION COMMITTEE • APS representatives • SPR representatives • NICHD representatives • SELECTION COMMITTEE • AMSPDC representatives • Basic and clinical science representatives • Steering Committee representatives

19. Benefits to AMSPDC Chairs • Faculty recruitment • Enhancement of your department’s strengths in clinical, translational, or basic research • liaison with other depts. • well-trained faculty member • Contributing to the continental network of pediatric physician-scientists • Nurturing the next generation of academic pediatricians

20. www.psdp.yale.edu margaret.hostetter@yale.edu 203-785-4638 lisa.delizio@yale.edu 203-785-6053

22. PSDP Excludes • People who are not U.S. or Canadian citizens • People who are not pediatricians • People who have only the Ph.D. degree

23. New Initiative: Timing of Application • Application as PL3 or PL4 for those sub-specialties requiring 1 year of clinical training • endocrinology, infectious diseases, pulmonology • Application as a first-year fellow for those sub- specialties requiring 13-24 months of clinical training • cardiology, critical care, PEM, neonatology • Must have letter from fellowship director stating the duration of clinical training

24. Applicants Proposing Patient-Oriented Investigation • For those applicants training in patient-oriented investigation (clinical or translational), an option for 10% clinical time will be considered, provided that the grant proposal details explicitly • how the clinical time is to be spent • what is the population to be seen • why the clinical time is essential to the research project • What is 10% clinical time? • 1/2-day in clinic a week • 2 weeks ICU time in 1-week blocks

25. Women in the PSDP Percent

26. K08 by Year of Graduation Percent