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  Vol. 135 No. 11, November 2009 TABLE OF CONTENTS
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Better Than Buffett?

A Report on the Success of the American Head and Neck Society Research Grant Program

Michael E. Kupferman, MD; Daniel J. Moskovic, MA; Randal S. Weber, MD; Jay Boyle, MD

Arch Otolaryngol Head Neck Surg. 2009;135(11):1082-1086.

It has been well established that a crisis exists in the biomedical research enterprise of clinical surgery departments: the extinction of the surgeon-scientist. A number of factors, including dwindling research funding, decreasing reimbursement from insurance providers, shrinking salaries for researchers, waning interest in academia among graduating residents, and financial pressures on departments for greater clinical productivity, have contributed to this phenomenon in recent years.1 More importantly, the growing number of basic scientists who are competing with clinicians for investigator-initiated funding from the National Institutes of Health (NIH), along with the competitive advantage of clinicians from internal medicine specialties for these funds, has led to fewer awards to surgeons for research funds.2 The downturn in the United States economy in 2008 has made these issues more pronounced, threatening the viability of many academic medical centers and the research enterprise in many surgical departments.


Author Affiliations: Departments of Head and Neck Surgery, The University of Texas M. D. Anderson Cancer Center, Houston (Drs Kupferman and Weber), and Memorial Sloan-Kettering Cancer Center, New York, New York (Dr Boyle); Office of Student Affairs, Baylor College of Medicine, Houston (Mr Moskovic); and Columbia Business School, New York (Mr Moskovic).



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