BACKGROUND AND OBJECTIVES: While U.S. physician scientists have made enormous contributions to biomedical research, this workforce is thought to be getting smaller. However, among kidney researchers, changes have not been fully quantified.
DESIGN: We mined NIH RePORTER to explore demographic changes of early career and established, physician and non-physician principal investigators doing kidney-focused research. We searched for NIDDK-funded K series and R01 awards focused on the kidney that were active between 1990 and 2020 and determined if their focus was basic or clinical science. We then used public databases available on the internet to determine if these funded investigators were physicians or non-physicians, the year in which received either their M.D. (physicians) or their terminal graduate degree (non-physicians), their sex and whether they received their terminal degree from a U.S. or an international institution.
RESULTS: Kidney-focused R01-funded PIs are aging, particularly among physicians. Moreover, the relative representation of physicians among both early career and established PIs is falling, particularly among those doing basic science research. In contrast, the number and relative representation of non-physician scientists is increasing. There is also greater representation of women and international graduates among physician and non-physician R01-funded, kidney-focused NIDDK investigators. However, while there are greater numbers of women physician PIs doing both basic as well as clinical research, women physician PIs are increasingly more likely to do clinical rather than basic science research.
CONCLUSIONS: The physician-scientist workforce is increasingly made up of women and international medical graduates. However, this workforce is older, and represents a smaller proportion of the total PI workforce, particularly among those doing basic science research.