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Dr. Meador makes excellent points regarding our article addressing the state of clinical research in neurology.1 The results of the survey showed that some areas of clinical research had clearly worsened over the last 10 years, such as time spent on research or number of early career applicants to the NIH. These results are consistent with a recent report by Dr. Meador2 addressing the decline of clinical research in academic medical centers. However, survey respondents reported improvement in other areas, including adequate support by institutional grants and the availability of training opportunities.1 I agree that it will be important to monitor and address the drop in the pipeline of neurologists and neuroscientists focused on neuroscience research. I also agree that additional work is needed to distinguish changes within subgroups of researchers (such as between pharmaceutical-sponsored and investigator-initiated research), to clearly distinguish and to evaluate changes in funding mechanisms other than K or R awards over time, and to investigate individual pressures that decrease available time for research, such as the electronic medical record. Continued vigilance in these areas is critical to ensuring a robust network of clinical researchers in neuroscience that can bring the advances we need for our neurologic patients.
Footnotes
Author disclosures are available upon request (journal{at}neurology.org).
- © 2018 American Academy of Neurology
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