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Between Bench and Bedside: Building Clinical Consensus at the NIH, 1977-2013.

Todd M Olszewski¹

¹Health Policy and Management Department, Providence College, Providence, Rhode Island, 02918.

Journal of the History of Medicine and Allied Sciences

|August 21, 2018

Summary

The NIH Consensus Development Program (CDP) aimed to depoliticize medical research and practice. It explored how to share scientific findings with clinicians without regulating their work.

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Area of Science:

Health Policy
Medical Research Dissemination
History of Medicine

Background:

Post-WWII, the National Institutes of Health (NIH) became a key funder of biomedical research.
NIH administrators faced challenges in disseminating research findings and managing clinician relationships.
The Office of Medical Applications of Research (OMAR) was established to bridge research and practice.

Observation:

The NIH Consensus Development Program (CDP) operated from 1978 to 2012.
The CDP was an unusual effort to depoliticize biomedical research and practice during a contentious period.
Program administrators aimed to introduce new knowledge without appearing to regulate clinical practice.

Findings:

The CDP navigated the complex task of extending NIH's responsibility from research to clinical application.
The program's history reveals strategies for balancing knowledge dissemination with clinical autonomy.
This initiative prompted a reevaluation of the NIH's role and mission.

Implications:

The CDP's history offers insights into postwar biomedical research dynamics.
It sheds light on health politics and the institutional evolution of the NIH.
Understanding the CDP informs current approaches to medical knowledge translation and policy.