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The Road To Funding

The Road To Funding. E. Brooke Lerner, PhD Professor, Emergency Medicine and Pediatrics Medical College of Wisconsin. Objectives. See research as a series of steps Consider what you need to know first, to ask the big questions/get the big grant

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The Road To Funding

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  1. The Road To Funding E. Brooke Lerner, PhD Professor, Emergency Medicine and Pediatrics Medical College of Wisconsin

  2. Objectives • See research as a series of steps • Consider what you need to know first, to ask the big questions/get the big grant • Identify that there are lots of sources of funding and explore what might be available to you

  3. Your Research Career Should Follow a Path

  4. More Likely…..

  5. Lesson 1: Find your own passion

  6. Identified cases through trauma registry • Hand linked 2,925 cases to EMS records • Location • Completed missing times Lesson 2: Take every opportunity and if you really care, invest some shoe leather

  7. Your Home Base • Ask about funding • Endowments • Quasi endowment • Budget dust • Ask about resources • Stats • Research coordinator • Enrollers • Etc.

  8. CDC Expert Meeting • Realized there is government support for triage issues • Seemed timely for a proposal • Acute Injury Care RFP released Lesson 3: Keep your ears open for opportunities and be ready – try, even if you aren’t sure

  9. Acute Care Grant • I got it! • Objective: Determine predictive value of Mechanism of Injury step of the Field Triage Decision Scheme

  10. Methods • 2 year prospective observational study • Regional trauma center in 3 midsized communities: • Milwaukee, WI • Rochester, NY • Royal Oak, MI Lesson 4: Build a network of like interested and minded collaborators

  11. Outcome–Trauma Center Need • Composite Measure • Non-orthopedic surgery within 24 hours • ICU admission • Died • Injury Severity Score >15 • Calculated based on ICD-9

  12. Mechanism Criteria Overall • *91% Over-triage • **4% Under-triage

  13. Research Gaps • Field triage poorly studied • Primary focus adults • No common outcome definition and results change when outcome changes • Need national consensus on who needs a trauma center

  14. Moving to Study Kids • Went to PECARN --- Rejected • Needed to demonstrate I could do it – Needed a pilot Lesson 5: Rejection sucks, but learn from it and move on Lesson 6: Know your local pilot funding sources and apply for them

  15. Staying Local • CTSI • Institution Funds • AHW • Centers that fund pilots • Faculty with funds for pilots (i.e., endowed chairs) • Foundations • Hospital Foundations • Non-Federal Specialty Organizations • EMF • SAEM • APA --Ken Graff

  16. From the Pilot back to CDC Lesson 7: If you have an opportunity, grab it even if it isn’t NIH

  17. Need for a Gold Standard

  18. Pseudo Validation Lesson 8: Consider working with students/learners and learner funding (e.g., local or EMRA) to grab low hanging fruit

  19. Consider Being the Student • Career Development Awards • Federal • K12 • Actual NIH career development

  20. NIH • Applied for an R01 • First application a few points below the funding line • Second application higher than the first but the funding line moved -- still a few below • Pulled up due to interest in topic • Now applying for next steps

  21. Summary • Find your own passion • Take every opportunity and if you really care invest some shoe leather • Keep your ears open for opportunities and be ready - try, even if you aren’t sure • Build a network of like interested and minded collaborators

  22. Summary • Rejection sucks, but learn from it and move on • Know your local pilot funding sources and apply for them • If you have an opportunity, grab it, even if it isn’t NIH • Consider working with students/learners and learner funding (e.g., local or EMRA) to grab low hanging fruit

  23. Questions? eblerner@mcw.edu

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