Addressing the Nation's Changing Needs for Biomedical and Behavioral Scientists (2000) / Chapter Skim
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Appendix F: Personal Statement Concerning Research Training in the Behavioral and Social Sciences, John F. Kihlstrom
Appendix F: Personal Statement Concerning Research Training in the Behavioral and Social Sciences, John F. Kihlstrom
Pages 101-108
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From page 101... ...
I believe, however, that the committee has not fully considered the actual and potential contributions that the behavioral and social sciences can make to health and health care and the implications of these contributions for the National Research Service Award (NRSA) training program and related training activities sponsored by the National Institutes of Health, the Agency for Healthcare Research and Quality, and the Health Resources and Services Administration.
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From page 102... ...
involved in primary care; the impact of third-party payments on the practice of medicine; the rise of evidence-based medicine and other aspects of "managed" care; the "carving up" of health care through disease management and other programs; the advertising of pharmaceuticals directly to patients; the increasing acceptance of dietary supplements, herbal remedies, and other alternatives to traditional medications; and the availability of vast amounts of medical information, of variable quality, over the Internet. The advent of managed care creates at least the appearance of conflict between the ethical responsibilities of doctors to their patients and their financial responsibilities to their families and their employers.
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From page 103... ...
Although most health care episodes may not entail such a dramatic conflict of cultures, the point remains that, in twenty-first-century American society, effective strategies for the prevention and treatment of disease require that health care providers be sensitive to cultural differences that may exist between their patients and themselves. BEHAVIORAL AND SOCIAL SCIENCE TRAINING AT THE NATIONAL INSTITUTES OF HEALTH Considerations such as these suggest that the behavioral and social sciences are just as much basic sciences for health as the traditional "biomedical" fields are.
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From page 104... ...
cipients in the biomedical and behavioral sciences in 1995 who received funding from the NRSA program during graduate school.8 According to this information, federal agencies and NIH institutes provided NRSA training support to 1,194 individuals who received Ph.D.s in the biomedical sciences (83.8 percent of the biomedical and behavioral Ph.D.s who received NRSA funding) and 231 individuals who received Ph.D.s in the behavioral and social sciences (16.2 percent of those with NRSA funding)
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From page 105... ...
I believe, however, that the committee should have taken the opportunity to recommend policies that would redirect more current and future students in these fields into research training more directly related to health and health care. With the establishment of the Office of Behavioral and Social Science Research, NIH has taken an important step forward in recognizing the contributions of the behavioral and social sciences to health and health care and in promoting these fields within the institutes.
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From page 106... ...
5. Although the committee' s report and this addendum have focused on NRSA support for research training support specifically related to health, it should be understood that basic research in the behavioral and social sciences, no less than basic research in the physical and biological sciences, lays the foundation for health-related research.
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From page 107... ...
6. Allocation of additional funds for research training in the behavioral and social sciences will not have its intended effect unless academic institutions apply for them, and academic institutions will not apply for 107 training support unless there is a reasonable chance of success.
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