CIHR Institute of Health Services and Policy Research. Peer Review Forum

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1 CIHR Institute of Health Services and Policy Research Peer Review Forum Dr. Robyn Tamblyn Scientific Director, CIHR Institute of Health Services and Policy Research Professor and James McGill Chair Departments of Medicine and Epidemiology & Biostatistics, McGill University March 14, 2011

2 Peer review

3 NPI From 2000/2001 to 2010/2011 In Open Grant Program (OGP/MOP) Clinical 695 NPI $370,338,896 $533k Health services 372 NPI $139,959,267 $376k Biomedical 3348 NPI $3,517,162,514 $1,051k 66% 82% 9% 3% 14% 7% 4711/5071* NPI $4,300,777,728 Total Commitment 0.4% 6% 10% Population Health 507 NPI $255,738, k 3% Blank 149NPI $17,578,187 *Note: 4711 unique NPI but some identify themselves with more than one pillar; hence 5071

4 Differences in Peer Review Rating by Community Pillars 1/2 Consensus Pillars 1/2 Computed Pillars 3/4 Consensus Pillars 3/4 Computed Sept04 Mar05 Sept06 Sept07 Mar08 Sept08 Figure. Average consensus and computed ratings of selected Pillar 1/2 and Pillar 3/4 committees. (N.B., No data were sampled from September 2005, March 2006 and March 2007 adjudications). Source (internal document). Final report on the evaluative study on CHANGE IN OGP FUNDING ALLOCATION METHOD AND EFFECTS ON DISTRIBUTION OF FUNDED APPLICATIONS ACROSS PEER REVIEW COMMITTEES (September 2009)

5 HS1 HS2 HS3 PH2 PH1 PB2 PB1 CHI HLE BSA CID NUT GSH BSC ABH KTR RC1 BSB CPT CIC PLC BME HDK CBT G SDA CT2 DOL MOV PS IT E NSC PT MCC MID CIA NSA CSB CBM CSC CIB MPI VVP GMX NSB BCA BMA BMB DEV RS CP CSA % Non-fundable Applications (<3.5) MOP 100.0% 90.0% 80.0% 70.0% 60.0% 50.0% 40.0% 37.2% (mean) 30.0% 20.0% 10.0% 0.0% (HS1-3) Health Services Evaluation and Interventions Research (PH1-2) Public, Community and Population Health (PB1-2) Psychosocial, Sociocultural & Behavioural Determinants of Health (CHI) Social & Developmental Aspects of Children s & Youth s Health (HLA) Humanities, Law, Ethics and Society in Health (CSA) Cardiovascular System (CP) Cell Physiology (RS) Respiratory System (DEV) Developmental Biology (BMA/BMB) Biochemistry and Molecular Biology (NSB) Molecular and Cellular Neuroscience (GMX) Genomics

6 Proportion of Grants Rated as Non-Fundable by Pillar

7 Proportion of Grants Rated as Non-Fundable in Mainly Pillar 4 Committees by Year

8 Proportion of Grants Rated as Non-Fundable in Mainly Pillar 3 Committees by Year

9 Proportion of Grants Rated as Non-Fundable in Mainly Pillar 2 Committees by Year

10 Proportion of Grants Rated as Non-Fundable in Mainly Pillar 1 Committees by Year

11 total applications Health systems/services Open Applications Number of Applications by Funding Status by University Not Fundable Fundable, Not Funded Funded

12 Health systems/services Open Applications Proportion of Applications by Funding Status by University % 90% 10% 11% 9% 9% 11% 9% 14% 11% 7% 9% 10% 6% 12% 6% 80% 70% 41% 39% 39% 41% 33% 37% 34% 43% 31% 39% 31% 43% 29% 47% 60% 50% 40% 30% 20% 10% 0% 48% 50% 52% 50% 56% 54% 52% 46% 62% 52% 59% 51% 59% 48% % of Not Fundable

13 Cohort of NPI Receiving Funds In OGP in Relative % Average Of NPI from 2000 to % 90% 80% 70% 60% 50% 40% 30% 92% 85% 83% 83% 84% 68% 66% 62% 75% 50% 50% 40% 67% 62% 36% 36% 30% 27% 20% 26% 10% 17% 0% 1Year Later 2 Years Later 3 Years Later 4 Years Later 5 Years Later Biomedical Clinical Health services Population Health

14 Cohort of New NPI Receiving Funds In OGP By Average % Average Of NPI from 2000 to % 90% 80% 95% 95% 94% 90% 93% 84% 83% 82% 83% 70% 67% 60% 64% 59% 56% 50% 50% 40% 41% 30% 33% 30% 34% 28% 20% 20% 10% 0% 1 Year Later 2 Years later 3 Years Later 4 Years Later 5 Years Later Biomedical Clinical Health services Population Health

15 Distribution of New NPI Researchers From 2000 to 2009 In OGP By Pillars 158 NPI or 10% Biomedical $141,298,022 or 12% 399 NPI or 26% $48,188,727 or 4% 79 NPI or 5% $112,071,787 or 9% 888 NPI or 59% $909,037,588 or 75% 19 NPI or 4% 36 NPI or 8% Clinical $9,308,293 or 4% $50,548,700 or 21% $29,323,113 or 12% 204 NPI or 43% 214 NPI or 45% $146,982,569 or 63% 23 NPI or 8% 22 NPI or 7% Health services $15,932,974 or 14% $9,767,627 or 9% $36,027,974 or 32% 174 NPI or 57% 85 NPI or 28% 28 NPI or 7% 25 NPI or 6% $52,343,014 or 45% Population Health $12,253,658 or 6% $20,060,517 or 10% $39,392,331 or 20% 168 NPI or 42% 181 NPI or 45% $120,959,684 or 64% IN IN/OUT IN/END One time

16 Distribution Of All NPI From 2000/2001 to 2010/2011 By pillars $938,827,852 (16%) Biomedical 3965 NPI $5,706,287,002 $266,771,630 (5%) 2,168 NPI (54%) 1,254 NPI (32%) $4,500,687,521 (79%) 543 NPI (14%) $145,612,220 (11%) $530,439,475 (42%) Clinical 1224NPI $1,268,536, NPI (32%) 341 NPI (28%) $592,484,448 (47%) NPI (40%) $48,078,652 (9%) Health Services 833 NPI $514,879, NPI (28%) 151 NPI (18%) $182,157,477 (35%) $284,643,447 (56%) 450 NPI (54%) $400,233,259 (46%) $83,984,750 (10%) Population Health 1082 NPI $860,112, NPI (28%) 219 NPI (20%) $375,894,703 (44%) 563 NPI (52%) OGP Only Others Only Others and OGP

17 Average of Relative Citations It's not about poor quality research Specialization index and average of relative citations for top 10 countries publishing in access to appropriate care, Sw itzerland 1.3 United States Italy Netherlands United Kingdom 1 France Canada Sweden Australia 0.9 Germany Specialization Index

18 Improving the Peer Review Process: Next Steps Peer review is controlled by our communities together we can make improvements Proposed activities to improve the quality of peer review: 1. Researcher consultation Online consultation / survey 2. Raising awareness of peer review performance CAHSPR session Community forums 3. Working with Chairs, Scientific Officers and CIHR peer review staff to improve processes and performance 4. Training and Rewarding excellence in peer review Case-based web training module Peer review performance assessment by Chairs/SOs Peer review recognition award

19 Questions? Comments? Robyn Tamblyn, CIHR-IHSPR Scientific Director

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