Helpful Hints for
NHLBI Midcareer Investigator
Award in Patient-Oriented Research (K24)

Revised: May 2008

These Helpful Hints were written to help potential K24 candidates who are planning to submit applications to the National Heart, Lung, and Blood Institute (NHLBI). This document clarifies some of the NIH K24 program guidelines; it does not replace those guidelines. Candidates MUST follow the instructions in the National Institutes of Health (NIH) K24 Program Announcement. As a reference in developing a K24 application, the NHLBI has identified a model K24 application.

Requirement for "Patient-Oriented" Research - The K24 candidate must interact directly with the study participants, preferably in ongoing clinical activities. Candidates who propose to only analyze extant databases or biological specimens, see study participants briefly (e.g., for a blood draw), or design a patient questionnaire that will be administered by other medical support staff, are not conducting research that is eligible for this award. Epidemiologic, nutrition, behavioral and social science research are included in the spectrum of patient-oriented research supported by the K24 award as long as the candidate interacts directly with study participants.

Budget - Career awards use the JUST IN TIME process, but do not use modular budgets.

The NHLBI requires that grantees devote between 25 and 50 % effort to the research and mentoring being supported by the K24 award. The remaining percent effort may be devoted to research and research-related activities such as teaching, patient care, or other administrative activities. The salary that may be requested and awarded can be 25% to 50% of the recipient's institutional salary, exclusive of fringe benefits, up to the maximum allowable annual salary rate in effect at the time of award. For awards in 2008, the maximum allowable annual salary at 50 percent effort is $95,650. Fringe benefits are separate from the salary and are based on the salary requested. Facilities and Administrative Costs are 8% of the direct costs.

The NIH K24 Program Announcement contains additional information about salary supplementation.

Biographical Sketches - The following information on all current and pending patient-oriented research support must be listed in the "Biographical Sketch:" sources of funding; start and end dates; total amount of award; and role on grant. Candidates must have adequate funding for patient-oriented research in order to fulfill the research aims and to support junior faculty research activities. Candidates without adequate support will be less competitive for the K24 award than candidates with adequate funding.

Candidate - Candidates must meet all NIH eligibility criteria, including U.S. citizenship requirements. Candidates should be accomplished clinical scientists, typically at the associate professor level, who are actively engaged in patient-oriented research in an academic environment. They should have completed subspecialty training not more than 15 years prior to submitting applications for the K24 award, although exceptions are allowed on a case-by-case basis, for example, if there has been a change in career direction. Candidates with a Ph.D. degree must present evidence of their direct interaction with patients/subjects in research activities. Individuals within 2-3 years of having completed an NIH Mentored Career Development Award or K-award (e.g., K08, K23) or equivalent are generally not eligible. This award is intended for individuals who are at the midcareer stage, not individuals who have only recently become independent investigators. When in doubt about eligibility, candidates are strongly encouraged to contact the NHLBI program representative listed at the end of this document prior to preparing an application.

Candidate must have:

  • an established record of peer-reviewed Federal or private research grant funding as Principal Investigator (PI) or as a co-investigator/project leader with a significant role in a project on multi-project/collaborative grants;
  • a record of publications in patient-oriented research;
  • demonstrated the need for a period of intensive research focus to enhance their clinical research career, and for protected time to devote to mentoring activities; and
  • a record of supervising junior clinical researchers and a commitment to mentoring the next generation of patient-oriented researchers.

K24 candidates should have independent peer-reviewed support at the time they submit their K24 application.

Information about the candidate's history of grant support, patient-oriented research, publications, and mentoring record should be included in the "Candidate's Background."

The candidate's immediate and long-term career objectives should be stated clearly and should serve as the basis for the proposed research and mentoring plan.

Candidates who apply for renewal of their K24 award must have independent peer-reviewed funding at the time of application.

Career Development Plan and the Mentoring Plan - This is an important section of the application and weighs heavily in assignment of the priority score. The plan should describe in detail how the candidate will identify, recruit, select, mentor, and train junior faculty in research; financially support junior faculty's research; and evaluate their progress. This section should include a list of the candidate's previous trainees/junior faculty, showing their names, dates of mentored training, areas of research, and current positions. The training and mentoring descriptions should be sufficiently detailed for reviewers to determine if the candidate is experienced and capable of mentoring junior faculty.

Candidates must state how much funding will be available to support (from all sources listed in the Biosketch) the junior faculty's research.

Letters of Reference - Letters of reference and the Research Career Award Reference Report are not required for the K24.

Environment and Institutional Commitment - Letters from the institution should describe the facilities and other resources that are available to the candidate and the availability of junior investigators who can train with the candidate. Institutional letters of commitment should state the percent effort for protected time the candidate will have to conduct patient-oriented research and to mentor junior faculty; the duties from which the candidate will be released; and the institution's commitment to the candidate as an important investigator in its patient-oriented research program. Descriptions of the institutional environment should be sufficiently detailed so that reviewers can determine if it is conducive to performing high quality, patient-oriented research. The review group reads these letters and descriptions very carefully and uses them as an important criterion in assigning a priority score.

Research Plan - The proposed research must be in scientific areas consistent with the priorities of the NHLBI and relevant to the candidate's career objectives. This section should include a description of the candidate's ongoing patient-oriented research, and the research plan's background and significance, specific aims, study design(s) and methods. Innovative approaches and research likely to advance knowledge in a field are encouraged.

The candidate should avoid use of the passive voice in the research plan. It might give reviewers the impression that the candidate will not be interacting directly with study participants. The candidate should state explicitly what he/she will do, especially in those activities involving study participants.

Preliminary data should be provided to demonstrate feasibility. Plans for patient recruitment, sample size calculations, data analysis methods, availability of adequate resources, and timelines should be described in sufficient detail for reviewers to determine if the proposed research is feasible, realistic, and methodologically sound.The application should describe the informed consent process and form(s), and include copies of consent forms when possible.

Reviewers will also evaluate whether the research meets bioethical standards, gender and minority requirements, and NIH criteria for inclusion of children. Inadequate plans for inclusion and protection of human subjects will be considered a research design flaw by the review committee. The NIH K24 Program Announcement and the section on Human Subjects, below, cite URLs that link to documents with detailed information about the requirements for human subjects, including children, minorities and women.

Candidates who apply for renewal of their K24 award must demonstrate their own and their junior faculty's productivity during the first award. Productivity includes publications, preliminary data and grant awards.


Human Subjects - The involvement of human subjects and protections from research risk relating to their participation in the proposed research will be assessed. See the "Human Subjects Sections" of the PHS 398 Research Plan component of the SF 424 (R&R), part I, 5.5.

Required Education in the Protection of Human Research Participants - Before a K24 can be awarded, the PI must verify that each individual identified as a "key person" in the proposed research has or will satisfy this requirement. Key personnel include all individuals responsible for the design and conduct of the study. Prior to award, the PI must submit a letter that lists the names of key personnel, the title of the educational program completed by each named person, and a one sentence description of the program. This letter must be signed by an authorized institutional business official. The NIH will request this letter before an award is issued. Please see the links to the NIH frequently asked questions and additional information.

Women and Minority Inclusion in Clinical Research Policy -The adequacy of plans to include subjects from both genders, all racial and ethnic groups (and subgroups), and children as appropriate for the scientific goals of the research will be assessed. Plans for the recruitment and retention of subjects will also be evaluated. See the "Human Subjects Sections" of the PHS 398 Research Plan component of the SF 424 (R&R) part I, 5.5.

In addition, the NHLBI expects participation of women and racial/ethnic minorities in study populations to reflect their representation in the U.S. population unless a compelling justification to the contrary is provided. Applications proposing research studies with human subjects that differ materially from this standard will not be funded.

Inclusion of Children Policy - NIH policy defines children as "individuals under the age of 21". Children must be included in all human subjects research conducted or supported by the NIH unless there are scientific or ethical reasons to justify their exclusion. This policy applies to all NIH conducted or supported research involving humans subjects, including research that is otherwise "exempt" in accordance with DHHS Regulations (45 CFR Part 46, Subpart D, Sections 401-409) - Federal Policy for the Protection of Human Subjects. In the research plan, the investigator should create a section titled "Participation of Children".

Data and Safety Monitoring Plan - Applications that involve participation of human subjects in clinical research must include a plan for data safety and monitoring. For interventional studies, there are requirements for a Data Safety and Monitoring Board (DSMB) and for noninterventional, observational studies, there are requirements for an Observational Safety and Monitoring Board (OSMB).

Miscellaneous - Applications should be reviewed by an editor or proofreader and trusted colleague. Poorly written applications can negatively affect the priority score.

Candidates should reread the program announcement and check that sufficient information is provided in the application for reviewers to evaluate all review criteria.

If, after submitting the application, candidates have additional preliminary data, relevant publications, or grant support, they should contact the NHLBI Scientific Review Official (SRO) about submitting this additional material prior to the review. The NHLBI SRO for K24 applications is Mark Roltsch, Ph.D. Contact Dr. Roltsch at the Review Branch, Division of Extramural Research Activities, NHLBI, telephone (301) 435-0287, or via email at roltschm@nhlbi.nih.gov.

Font Size - The Center for Scientific Review has standards for font size and spacing. Applications that do not adhere to the rules are being returned to the candidate unreviewed.

Link to NIH Application Forms, including the SF 424 (R&R)

Applications submitted in response to this Funding Opportunity Announcement (FOA) for Federal assistance must be submitted electronically through Grants.gov (http://www.grants.gov) using the SF 424 Research and Related (R&R) forms and the SF 424 (R&R) Application Guide.

The SF 424 (R&R) Application Guide for NIH and Other PHS Agencies, now includes Part 1.7 Supplemental Instructions to the SF 424 (R&R) for Preparing an Individual Research Career Development Award (CDA) Application ("K" series). Note in particular that the "Candidate" and "Research Plan" (sections A-D) combined may not exceed 25 pages. Please note that this new Application Guide is to be used with all Adobe application packages, including those for the K programs.

Application Receipt Dates: February 12, June 12, and October 12 (New applications)
March 12, July 12, and November 12 - renewal and resubmission applications.

NHLBI Office of Grants Management Contact - For questions about financial or grants management matters, please contact the NHLBI Grants Management Official:

Ms. Jackie Chia
Grants Management Specialist
Division of Extramural Research Activities
National Heart, Lung, and Blood Institute
6701 Rockledge Drive, Room 7157, MSC 7926
Bethesda, MD 20892-7926
Telephone: (301) 402-3840
Email: chiah2@nhlbi.nih.gov

NHLBI Staff Contact - For further information regarding NHLBI K24 applications, please contact the NHLBI Program Director:

Sandra Colombini Hatch, M.D.
Medical Officer
Division of Lung Diseases (responding for all NHLBI programmatic Divisions)
National Heart, Lung, and Blood Institute
National Institutes of Health
6701 Rockledge Dr., MSC 7952
Bethesda, MD 20892-7952 (for overnight delivery, use zip code 20817)
Telephone: 301-435-0222
FAX: 301-480-3557
Email: hatchs@nhlbi.nih.gov

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