Funding decisions rely heavily on peer review scores, but there is more to the story. NIH Institutes and Centers (ICs) weigh those scores together with ensuring their entire research portfolio addresses the wide array of diseases, conditions, or other research areas within its mission. They also account for unmet scientific needs and build on recent unexpected breakthroughs as part of prudent planning. When public health needs emerge, such as for the opioid epidemic or a microbial outbreak, ICs must be nimble enough to respond. Training, work force, and infrastructure needs are also thrown into the mix.
We present FY 2018 data on R01-equivalent applications and R56-Bridge awards, showing percentiles for both funded and unfunded applications.