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Factors Associated With R01 Submission Among Pediatric Critical Care Medicine Career Development Award Recipients
Elizabeth Y Killien1,2, Erin F Carlton3, Richard W Pierce4
1Division of Pediatric Critical Care Medicine, Department of Pediatrics, University of Washington, Seattle, WA.
Critical Care Medicine
|March 26, 2026
Summary
Pediatric critical care physicians who received individual National Institutes of Health (NIH) career development awards (K awards) were more likely to submit R01 grants. Factors like basic science research and fewer night shifts also supported this transition to research independence.
Area of Science:
- Medical research
- Physician-scientist training
- Critical care medicine
Background:
- Advancing medical science relies on clinician-scientists.
- Transitioning to research independence is crucial for clinician-scientists.
- Factors influencing this transition in pediatric critical care medicine (PCCM) are not well understood.
Purpose of the Study:
- To identify factors associated with National Institutes of Health (NIH) R01-level award submission among PCCM physicians.
- To understand the transition to research independence for clinician-scientists in critical care.
Main Methods:
- A cross-sectional web-based survey was administered to PCCM physicians.
- Participants were K award recipients between 2014 and 2023.
- Multivariable generalized linear regression analyzed factors associated with R01 submission.
Main Results:
- Of 102 respondents, 69.7% submitted an R01.
- Individual K awards (vs. institutional only) were associated with higher R01 submission (aRR, 2.38).
- Basic science research, NIH Loan Repayment Program awards, fewer division K awardees, and fewer night shifts were also associated with R01 submission.
Conclusions:
- Both individual and institutional factors influence R01 submission in PCCM.
- These findings suggest targets for supporting clinician-scientist transitions.
- Supporting K award recipients can bolster the clinician-scientist workforce.
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