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Fostering Translational Doctoral
Programmes in Health Sciences
Opportunities and Challenges at Nova Medical School, Lisbon
PAULO	PEREIRA	
ppereira@nms.unl.pt
Prevention
Diagnosis
Treatment
The	Cycle	of	Biomedical	Research		
Transla0onal	Research		
	
Individual	
Popula>on	
Genes	&	
environment	
Cell	
Animal
Strategy	
Educa>on	
products	
Mechanisms	
Drugs	
Devices	
T1 T2
Transla0onal	Research	
19 years
Basic	
Science	
Cells	&	
molecules	
Clinical	
Research	
Humans/	trials	
Health	
	community	
&	popula0on		
“Transla)onal	research	fosters	the	mul)direc)onal	and	mul)disciplinary	integra)on	of		
basic	research,	pa)ent-oriented	research,	and	popula)on-based	research,		
with	the	long-term	aim	of	improving	the	health	of	the	public”.	
Rubio	et	al.	Acad	Med.	2010	-	Evalua0on	CommiDee	of	the	Associa0on	for	Clinical	Research	Training	(ACRT)
The	“valley	of	death”	
Tomorrow’s	Medicine,	2015	
Facts	&	Figures	
•  800.000	medical	Res	papers,	2008	
•  21	new	drugs	approved	by	FDA,	2011	
•  Time	to	market:	10-15	Yrs	
•  Average	Cost:	1000	M€	
•  Failure	Rate:	90%
Changes to Portuguese scientific production by scientific area
The	Landscape	
FCT,	2013
The	Landscape:	
Medical and Health 	
FCT,	2013
A	PhD	programme	in	medical	sciences	@		
NOVA	MEDICAL	SCHOOL	
CEDOC	 IBET	
IPOLF4	
Research	center	
for	Chronic	
Diseases		
Nova	Medical	School	
Private	non	
for	profit	SME		
in	Biotechnology	
Ins0tute	for	Chemical	
and	Biological		.	
Technology	.	
Portuguese	
Oncology	
Ins0tute	
ITQB	
iNOVA	4	
Health
The	research	and	teaching	ecosystem	for	PhD	training	
Pa)ent		
Applica)on	
	
	
	
	
	
	
Student	
	
	
	
	
	
	
Molecules	&	cells	
	
Theory	
principles	
Prac)ce	
industry	
TRANSLATIONAL	BASIC	
TRANSLATIONAL	
POLICIES	
CLINICAL	
IPO/	ITQB	
Hospitals	
IBET/ITQB	
CEDOC	
Toxomics	
CEDOC	
Popula0on	studies	
Funding	to	compe00ve	transla0onal	projects
Admission	
Degree	
Core	courses	
CSRT*	
Elec0ve	courses	
CP1:	Project	Defense	
Research	Work	
Elec0ve	courses		
CP2:	Mee>ng	with	
thesis	commiQee		
Research	Work	
Elec0ve	courses		
CP2:	Mee>ng	with	
thesis	commiQee		
Research	Work	
Submit	PhD	thesis		
Viva	Voce		
*CSRT:	Clinical	Scholars	Research	Training	Program	–	Designed	and	implemented	in	collabora0on	with	Harvard	Medical	School	
Curricular	Structure	and	Milestones
Programs	and	Speciali0es	
New	policies	
for	funding	
From			PhD	programs				to						individual	studentship	
Programmes		
Ageing	and	
Chronic	Diseases	
Bioengineering	
and	Cell	Therapies	
Regenera0ng	
Medicine	
Medicine	
PhD	in	Medical	Sciences	
All	students	
All	areas	
Degree	in	Medical	Sciences	
Chronic	
diseases	 Oncobiology	 Neurobiology	 Regenera0ve	
Medicine	
Speciali>es:	
	
	
Transla0onal	
	
	
	
•  Clinical	oriented	
Medical	
speciali0es
The	way	forward:	form	discovery	to	delivery	
	Ins0tu0onal	strategies	&	Public	Policies		
¤  Facilitate	communica0on:	Forum	basic,	transla0onal,	clinical		
¤  Facilitate	access	to	resources	and	facili0es		
¤  Nurture	people	and	groups	–	do	not	punish	failure	
¤  Train	new	genera0on	of	clinicians	in	Research		
¤  Mo0vate	basic	researchers	
¤  Develop	Infrastructures	(e.g.	Clinical	Trials,	Biobanks)	
¤  Iden0fy	Research	navigators	&	Sherpa		
¤  Implement	Incubator	Programs	and	Accelerators
The	way	forward	
	Trainning	a	new	genera0on	of	scien0sts	that	can	“walk	the	walk”	
		
From	discovery	to	delivery	
The	goal	is	becoming	competent	to	interpret,	evaluate,	
and	discuss	different	types	of	research,	rather	than	
conduc)ng	it	all	yourself	D.	Rubio,	2011

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