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. 2017 Apr;92(4):556-562.
doi: 10.1097/ACM.0000000000001473.

Transition to Independence: Characteristics and Outcomes of Mentored Career Development (KL2) Scholars at Clinical and Translational Science Award Institutions

Affiliations

Transition to Independence: Characteristics and Outcomes of Mentored Career Development (KL2) Scholars at Clinical and Translational Science Award Institutions

Carol Sweeney et al. Acad Med. 2017 Apr.

Abstract

Purpose: To describe the transition from mentored to independent research funding for clinical and translational scholars supported by institutional KL2 Mentored Career Development programs.

Method: In 2013, faculty leaders at Clinical and Translational Science Award institutions completed an online survey, reporting characteristics of scholars in their KL2 programs from 2006 to 2013. The primary outcome variable was a report that the scholar had received independent funding as a principal investigator. Data analysis included descriptive summaries and mixed-effects regression models.

Results: Respondents from 48 institutions (of 62 eligible; 77%) provided information about 914 KL2 scholars. Of those, 620 (68%) were medical doctors, 114 (12%) had other clinical training, and 177 (19%) were nonclinician PhDs. Fifty-three percent (487) were female; 12% (108/865) were members of racial or ethnic groups underrepresented in medicine (URM). After completing KL2 training, 96% (558/582) remained engaged in research. Among scholars who completed KL2 training two or more years earlier, 39% (149/374) received independent funding. Independent funding was from non-National Institutes of Health (NIH) sources (120 scholars) more often than from NIH (101 scholars). The odds of a nonclinician attaining independent funding were twice those of a clinician (odds ratio 2.05; 95% confidence interval 1.11-3.78). Female and URM scholars were as likely as male and non-URM scholars to attain independent funding.

Conclusions: KL2 programs supported the transition to independent funding for clinical and translational scientists. Female and URM scholars were well represented. Future studies should consider non-NIH funding sources when assessing the transition to research independence.

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Figures

Figure 1
Figure 1
Grants awarded to mentored clinical and translational scholars who completed their KL2 training from 2007–2013, by year since completion of KL2 training. Based on data from 601 scholars; excluded are 40 scholars for whom incomplete grant information was reported and 3 scholars with missing data on the year of completion of KL2 training.
Figure 2
Figure 2
Grants awarded to mentored clinical and translational scholars who completed their KL2 training from 2007–2013, by type of previous clinical and/or PhD training. Based on data from 601 scholars; excluded are 40 scholars for whom incomplete grant information was reported and 4 scholars with missing data on previous clinical and/or PhD training.

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