1. WORKSHOP SUMMARY NHGRI Training and Career Development Programs Workshop held 10-11 April 2013 5635 Fishers Lane Rockville, MD Presented by Training and Career Development Team

2. Presentation Content Purpose of Workshop Overview of Select NIH Training and Career Development Programs Examples of Genomic Science and Genomic Medicine Training Programs Future of NHGRI Research Training and Career Development Activities – Challenges – Recommendations – Overarching Principles – Recurring Themes

3. Purpose of Workshop Review training and career development programs Make recommendations on how to align programs with the strategic plan

4. Definition of F, T, and K Activity Codes F30Individual MD/Ph.D fellowship F31Individual regular/diversity Ph.D fellowship F32Individual postdoctoral fellowship K01/K25Mentored Career Development Award K22/K99Two-phased Career Transition Award T32Institutional Training Grant

5. Overview of Selected NIH and Institute Programs Trans-NIH Initiatives National Heart Lung and Blood Institute National Institute of General Medical Sciences National Cancer Institute National Library of Medicine

6. Example of a Genomic Science Training Program (M. Boehnke, U. Michigan) Program interfaces mathematics and human genomics/genetics Graduates major in one discipline and have sufficient foundation in a complementary discipline Students matriculate one semester early Program has multiple program enhancements 42/46 past trainees are in research Additional funding is important for recruiting/retaining URMs.

7. Example of a Genomic Medicine Training Program (Jeffery Vance, U. Miami) MS in genomic medicine and MD curricula run concurrently Curriculum includes didactic courses, online modules, and small group discussions with faculty Benefits: – Students are pioneers in genomic medicine – Genomic medicine is recognized as being integral to medicine Challenges: – Serious time commitment – Costs

8. Future of NHGRI Training and Career Development Activities Challenges Recommendations Overarching Principles Recurring Themes

9. Unique Challenges for NHGRI Pace of genomic advances Need to target multiple audiences Reduction in appropriation dollars Need to identify NHGRI’s niche within the strategic plan

10. Key Issues for Discussions What knowledge and skills are needed? What are the most effective ways and environments to integrate genomic science with genomic medicine? How best to leverage training in the clinical areas? What are the most effective ways to enhance training in the foundational sciences for basic and clinical trainees and researchers? What percentage of the extramural budget should be allotted to training and career development?

11. Career Development: Recommendations Expand the K01 to cross-train clinicians and genomicists in genomic medicine Continue to support K01s, K25s and K99/R00s Support individuals interested in technology development Support individual K awards initially

12. Career Development: Key Elements of Training Defined general approach that is applicable across diseases Defined curriculum and training plan Environment rich in genomic research Access to critical resources Dual mentoring in complementary disciplines

13. Research Training: Recommendations Expand training to encompass genomic medicine Continue training in the foundational sciences Support individual and institutional training Allow flexibility in course requirements Strengthen the foundation in genomic medicine by supporting training in the data sciences and ELSI Limit training in genomic medicine to PhDs, MDs or their equivalents

14. Genomic Medicine: Key Elements of Training There should be two paths for training: (1) genomic medicine researcher and (2) master clinical genomicist Didactic training is essential ELSI training should be required Training may vary between two to three years Four trainees were considered a critical mass for a viable training program

15. Genomic Medicine: Key Elements of Training (continued) Clinicians should: – enter during their fellowship – devote 75% or more time to research – devote up to 25% time to maintain clinical credentials – use clinical time to apply genomics in the clinic

16. Short Courses: Recommendations Continue to support courses Pursue new methods of disseminating information Collaborate with professional societies to conduct courses in genomic medicine

17. Overarching Principles Fund more training and career development activities The goals should be: – Expand the base of knowledge in genomic medicine – Continue to support the foundational sciences – Develop leaders

18. Overarching Principles (continued) Train “broadly and deeply” Train behavioral and health services researchers Develop a professional network of trainees and K awardees Support the Diversity Action Plan

19. Recurring Themes Increase diversity Use a variety of metrics to measure success Educate practicing physicians Collaborate with other NIH units to leverage NHGRI support

20. Percent of IC Extramural Dollars for Training and Career Development NIH Unit F Awards T Awards K Awards Total GM0.9 7.61.0 9.5 NCI 3.0 NLM 20.06.026.0 HG0.1 2.00.3 2.4 NIH0.5 2.40.7 3.6

21. NHGRI’S TRAINING AND CAREER DEVELOPMENT BUDGET FOR FY12 Activity Number of Awards Total $M % Extramural Budget Average Cost of Award in $M K01/K2230.40.10.15 K22/K9970.60.20.08 T32137.62.00.59 F120.60.10.05 Total459.22.4NA Does not include training in ELSI CEER’s program; does include ELSI NRSA F and K Awards

22. ELSI Training and Career Development Initiatives This workshop did not address ELSI training and career development. The ELSI program is collaborating with its community to devise a plan for future training and career development initiatives.

23. Comments Co-Chairs of the Workshop – Gail Jarvik – Robert Waterston Training and Career Development Team – Tina Gatlin – Heather Junkins Council Members