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5 Findings and Recommendations
Pages 91-98

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From page 91...
... In forming its conclusions, the Committee on Alternative Funding Strategies for DOD's Peer Reviewed Medical Research Programs relied on the information gathered during the workshop, during conversations with CDMRP staff and stakeholders, and from the scientific literature addressing issues related to the funding of medical research. Because the literature on the benefits and costs of different research support mechanisms or the effects of leveraging of federal research and 91
From page 92...
... Augmentation of funding that increases public health, for example, by creating a critical mass of knowledge or skills, or by joining complementary resources that are needed to solve a problem, or by enabling results that would not otherwise be possible, is more desirable than augmentation that only serves to extend program funds, especially if the additional funds are not newly applied to biomedical research and are simply shifted from other biomedical research uses. CDMRP occupies a niche in the spectrum of federally-funded medical research: it emphasizes high-risk exploratory research and new ideas by supporting projects that have little or no preliminary data and new investigators without an established track record in research.
From page 93...
... For example, the committee did not assess how CDMRP might achieve greater progress in research by leveraging the resources of NIH and other federal biomedical research programs or by working out a more productive division of labor among the federal agencies that have similar program goals. The committee also did not look at the extent to which program rules and procedures could be revised to reduce the administrative burden on applicants and awardees and free additional time and other resources for research at applicant institutions -- important issues that would need to be addressed elsewhere.
From page 94...
... Experience with cost sharing in other federal basic research programs shows that requiring recipients to provide significant percentages of the cost of projects to augment federal funds imposes additional expenses on both the recipient and the funder. This requirement also can have unintended -- and often undesired -- consequences (such as discouraging the submission of outstanding proposals from researchers at institutions with limited means)
From page 95...
... The Henry M Jackson Foundation for the Advancement of Military Medicine was established to be the recipient of funding for medical research and education projects from other federal and nonfederal sources, but only on behalf of the faculty of the Uniformed Services University of the Health Sciences, researchers at Walter Reed Army Institute of Research, and other intramural DOD researchers.
From page 96...
... Jackson Foundation could be expanded to include fundraising for CDMRP or USAMRMC extramural research programs. Based on the experience of similar foundations for other agencies, however, expectations of substantial donations to such a foundation should be modest.
From page 97...
... Although collaborations with outside funders would be a useful adjunct to CDMRP efforts, their benefits should outweigh the additional costs involved, and the primacy of scientific excellence and program relevance can and should be maintained. Any pressure to shift program priorities away from basic exploratory research in order to maximize outside funding should be resisted.
From page 98...
... 1997. A Review of the Department of Defense's Program for Breast Cancer Research.


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