Hi Holly and Steve,

I think we might want to revisit the paper by Marc Gastonguay, Jeff Barrett et 
al regarding this.  They enumerated programs that were available worldwide 
(although it is always changing).  Their suggestion for a shared program to 
take advantage of different areas of expertise (and to really expose trainees 
to the key experts in each of the various aspects related to pharmacometrics 
and quantitative pharmacology) is very much along the lines of what is being 
proposed here.  However, you have touched on some of the key issues - and these 
issues extend to how well aligned the various institutions are at sharing 
(i.e., how does one distribute resources in a shared curriculum across 
institutions - how is this vetted if one wants to provide an "accredited" Ph.D. 
degree in this area - so how are the various contributions recognized across 
institutions as being appropriate and sufficient to contribute to the Ph.D. 
from any given institution that is participating).  There are already curricula 
established that could be used to show the core need for training across 
multiple sites (see the Metrum Institute curriculum - perhaps Marc can comment 
on this further).  In addition, Jeff Barrett has incorporated into the UPENN 
CTSI a training program (Ph.D.) in pharmacometrics - although I believe there 
are additional funded needs to get this fully established and the CTSI at 
Indiana has created a disease modeling program that is focused on quantitative 
pharmacology approaches (encompassing pharmacometrics) as a key for training at 
least at the post-doctoral fellowship level.

As for the attrition rate in academia - it is substantial - it is also viewed 
as quite unfriendly to this area at least in the U.S. - there are several 
institutions in the U.S. that I am aware of that have open faculty slots that 
they are unable to find qualified and willing individuals to fill.  This is a 
significant problem that poses a challenge at least from the standpoint of U.S. 
institutions.  The typical attrition rate in academia is about 75% (i.e., 1 in 
four who start as a tenure track assistant professor will succeed - it was 
actually lower in the school of medicine at the University of Pittsburgh).  

As for the suggestion regarding Bill Gates - typically the grants from the Bill 
and Melinda Gates Foundation focus on public health issues that affect 
populations in terribly underserved populations (malaria in Africa for example, 
HIV in the third world) so I'm not sure our current focus fits into this 
exactly.  An  issue with NSF funding is that typically (although not always - 
sometimes you can persuade them to produce an RFA that will allow this) any 
indication of applicability to biomedical sciences is not viewed positively (it 
usually kills the grant) - they are really focused on the very basic 
theoretical/fundamental types of problems where there is not an obvious 
application in this area.

Perhaps a useful strategy would be to see if the NIH would see this shared 
program as something that a modified multi-institution (and international) T32 
mechanism could suit.  The current T32 mechanism is really focused on single 
institutions/departments - so this would have to be addressed with perhaps a 
modification of the funding mechanism that comes from the level of 
program/council to address this?  

At any rate - I welcome your comments on this.

Best Regards,

Rob

________________________________________
From: [email protected] [[email protected]] On Behalf Of 
Stephen Duffull [[email protected]]
Sent: Thursday, October 15, 2009 3:58 AM
To: Kimko, Holly [PRDUS]; [email protected]
Subject: [NMusers] RE: post-ACoP: How to train future pharmacometricians

Hi Holly

Education in pharmacometrics is obviously an important role to maintain the 
health of M&S in the future of both industry and academia.

Many academic centres offer pharmacometric research training to graduate 
students during the course of their PhD.  This in many cases takes the form of 
a 1:1 mentoring programme.

> I wonder if we can extend this NJ example to a Global University where
> Pharmacometrics - at least, concept - can be taught free of charge to
> students all over the world by pharmacometricians in industry, academia
> and regulatory agencies. Later, we may further consider to have a one-
> to-one mentoring program. AAPS supports webinars on many interesting
> topics. Maybe ACoP can support pharmacometrics webinar?  Maybe National
> Science Foundation? Or, Bill Gates?  :-)

Perhaps, rather than starting something new, what we need is better financial 
support for those academic centres that are currently offering research 
opportunities (and hence training) in pharmacometrics.

Does anyone know:
1) how many pharmacometric positions exist in industry + academia?
2) what the attrition rate is from these positions?

Armed with this knowledge, and factoring in some growth and applying an 
equilibrium model, we can predict the required training rate...

Regards

Steve

--
Professor Stephen Duffull
Chair of Clinical Pharmacy
School of Pharmacy
University of Otago
PO Box 913 Dunedin
New Zealand
E: [email protected]
P: +64 3 479 5044
F: +64 3 479 7034

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