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7. Putting Principles into Practice
Pages 121-128

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From page 121...
... Although the present Committee concluded that in some ways NIH as currently structured presents some difficult management and programmatic challenges, it also concluded 121
From page 122...
... As set out in Chapter 1, the Committee concluded that NIH's principal mission is to serve as a mechanism for efficiently and effectively deploying federal resources across a wide array of institutions and individuals in the nation's scientific community to advance the scientific frontier and ensure research training of special relevance to human health needs. It then provided as "principles" nine basic policies or goals that would allow NIH to achieve its mission.
From page 123...
... In addition to continuing generous funding for investigator-initiated research projects, the Committee finds compelling the case for multiyear planning that would mobilize coordinated funding from many ICs for a strategic, but revolving set of highpriority trans-NIH projects. Planning and implementation of such initiatives should involve substantial input from the scientific community and the public, and Congress should ensure the necessary funding to conduct the process.
From page 124...
... Open competitive peer review should be the usual mechanism guiding extramural funding decisions. In general, the Committee concluded that the existing peer review system serves the extramural community well, although it has the potential to deter high-risk research outside the mainstream of scientific consensus.
From page 125...
... In the Committee's view, the IRP should not be merely an internal extension of the extramural community but rather should perform distinctive research that the extramural community cannot or will not undertake. The Committee recommends that each IC's IRP have research and training components that distinguish it from the extramural community while complementing extramural programs and taking advantage of the unique environment provided at NIH for intramural research.
From page 126...
... The Committee concluded that, at the current time, the costs of a wholesale consolidation of NIH are likely to outweigh the benefits. Nevertheless, NIH should have sufficient flexibility to consider additions, reductions, or consolidations of NIH administrative units.
From page 127...
... The Committee concludes that there should be a more formal and systematic approach to making changes in NIH's organizational structure. The Committee recommends that on receiving a congressional request or at the discretion of the NIH director in responding to a public request, the director should initiate a public process to evaluate its scientific needs, opportunities, and consequences, the likelihood of available resources, and the level of public support to create a new institute, center, or office, or to consolidate or dissolve units.
From page 128...
... The degree of convergence and divergence will continue to be influenced by other factors such as annual appropriations. The recommendations made in this report are intended to help NIH to continue to be responsive, accountable, and effective in its leading role in the vast international humanitarian enterprise aimed at a better understanding of the human condition, the prevention and relief of the burdens of disease, and at the promotion of good health throughout the stages of life.


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