The Changing Emphasis in Clinical Research

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Abstract
The content of the research abstracts and selected programs of the annual meetings of 3 national organizations during 1953-1964 was classified as described in another paper. The site of each research project was classified appropriately according to geographic regions, cities institutions, and academic locale. The sources were classified according to the number of authors per project and, in the AAP [American Federation Association of American Physicans] and ASCI [American Society for Clinical Investigation], according to the sequential position, among authors, of the particular author who was a member of the organization. During the cited time interval, the number of abstracts and number of members in all 3 organizations rose, but the productivity ration of abstracts per member remained unchanged. Regionally, the east has remained the largest proportional contributor to the submitted and presented abstracts of all 3 organizations. Abstracts submitted from the Midwest and West have generally been more "clinical" than those from the East and South. The percentage of "clinical" research has declined at all the contributing institutions, the decline being greatest at medical schools and least at Veterans Administration hospitals. The percentage of "clinical" research has been lowest, among cities in the ASCI, in Dallas, and among medical schools in the AFCR [American Federation for clinical Research], at Boston, Duke, Southwestern, and Stanford Universities. The percentages of papers with 1, 2, 3, or more authors has remained essentially unchanged. Abstracts submitted to the ASCI were less "clinical" when the organizational member was 1st or last author than when the member either introduced the paper or had an intermediate authorship position.

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