TY - JOUR AU - Azoulay, Pierre AU - Zivin, Joshua S. Graff AU - Manso, Gustavo TI - NIH Peer Review: Challenges and Avenues for Reform JF - National Bureau of Economic Research Working Paper Series VL - No. 18116 PY - 2012 Y2 - June 2012 DO - 10.3386/w18116 UR - http://www.nber.org/papers/w18116 L1 - http://www.nber.org/papers/w18116.pdf N1 - Author contact info: Pierre Azoulay MIT Sloan School of Management 100 Main Street, E62-487 Cambridge, MA 02142 Tel: 617/258-9766 Fax: 617/253-2660 E-Mail: pazoulay@mit.edu Joshua S. Graff Zivin University of California, San Diego 9500 Gilman Drive, MC 0519 La Jolla, CA 92093-0519 Tel: 858/822-6438 E-Mail: jgraffzivin@ucsd.edu Gustavo Manso Haas School of Business University of California at Berkeley 545 Student Services Building #1900 Berkeley, CA 94720 E-Mail: manso@haas.berkeley.edu M1 - published as Pierre Azoulay, Joshua S. Graff Zivin, Gustavo Manso. "National Institutes of Health Peer Review: Challenges and Avenues for Reform," in Josh Lerner and Scott Stern, editors, "Innovation Policy and the Economy, Volume 13" University of Chicago Press (2013) M3 - presented at "Innovation Policy and the Economy 2012", April 17, 2012 AB - The National Institute of Health (NIH), through its extramural grant program, is the primary public funder of health-related research in the United States. Peer review at NIH is organized around the twin principles of investigator initiation and rigorous peer review, and this combination has long been a model that science funding agencies throughout the world seek to emulate. However, lean budgets and the rapidly changing ecosystem within which scientific inquiry takes place have led many to ask whether the peer-review practices inherited from the immediate post-war era are still well-suited to twenty first century realities. In this essay, we examine two salient issues: (1) the aging of the scientist population supported by NIH and (2) the innovativeness of the research supported by the institutes. We identify potential avenues for reform as well as a means for implementing and evaluating them. ER -