PMID- 38103895 OWN - NLM STAT- MEDLINE DCOM- 20231219 LR - 20240229 IS - 2059-7908 (Print) IS - 2059-7908 (Electronic) IS - 2059-7908 (Linking) VI - 8 IP - Suppl 7 DP - 2023 Dec 16 TI - Lifting all boats: strategies to promote equitable bidirectional research training opportunities to enhance global health reciprocal innovation. LID - 10.1136/bmjgh-2023-013278 [doi] LID - e013278 AB - Inequities in global health research are well documented. For example, training opportunities for US investigators to conduct research in low-income and middle-income countries (LMIC) have exceeded opportunities for LMIC investigators to train and conduct research in high-income countries. Reciprocal innovation addresses these inequities through collaborative research across diverse global settings.The Fogarty International Center of the US National Institutes of Health (NIH) promotes research capacity building in LMICs. Fogarty K-grants for mentored career development in global health are available for both US and LMIC investigators, whereas the D43 is the standard grant to support institutional training programmes in LMIC. Other NIH institutes fund T32 training grants to support biomedical research training in the USA, but very few have any global health component. Most global health training partnerships have historically focused on research conducted solely in LMIC, with few examples of bidirectional training partnerships. Opportunities may exist to promote global health reciprocal innovation (GHRI) research by twinning K-awardees in the USA with those from LMIC or by intentionally creating partnerships between T32 and D43 training programmes.To sustain independent careers in GHRI research, trainees must be supported through the path to independence known as the K (mentored grantee)-to-R (independent grantee) transition. Opportunities to support this transition include comentorship, research training at both LMIC and US institutions and protected time and resources for research. Other opportunities for sustainability include postdoctoral training before and after the K-award period, absorption of trained researchers into home institutions, South-South training initiatives and innovations to mitigate brain drain. CI - (c) Author(s) (or their employer(s)) 2023. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. FAU - Muddu, Martin AU - Muddu M AD - Makerere University School of Medicine, Kampala, Uganda. FAU - Jaffari, Adiya AU - Jaffari A AD - Department of Medicine, University of Washington, Seattle, Washington, USA. FAU - Brant, Luisa C C AU - Brant LCC AD - Faculty of Medicine and Hospital das Clinicas Telehealth Center, Universidade Federal de Minas Gerais, Belo Horizonte, Brazil. FAU - Kiplagat, Jepchirchir AU - Kiplagat J AD - Moi University College of Health Sciences, Eldoret, Kenya. AD - Academic Model Providing Access to Healthcare, Eldoret, Kenya. FAU - Okello, Emmy AU - Okello E AD - Makerere University School of Medicine, Kampala, Uganda. AD - Uganda Heart Institute Ltd, Kampala, Uganda. FAU - Masyuko, Sarah AU - Masyuko S AD - Department of Global Health, University of Washington, Seattle, Washington, USA. FAU - Su, Yanfang AU - Su Y AD - Department of Global Health, University of Washington, Seattle, Washington, USA. FAU - Longenecker, Chris Todd AU - Longenecker CT AUID- ORCID: 0000-0002-9468-0179 AD - Department of Medicine, University of Washington, Seattle, Washington, USA ctlongen@uw.edu. AD - Department of Global Health, University of Washington, Seattle, Washington, USA. LA - eng PT - Journal Article DEP - 20231216 PL - England TA - BMJ Glob Health JT - BMJ global health JID - 101685275 SB - IM MH - Humans MH - *Global Health MH - Lifting MH - *Biomedical Research MH - Developing Countries PMC - PMC10729234 OTO - NOTNLM OT - Health education and promotion COIS- Competing interests: None declared. EDAT- 2023/12/17 09:44 MHDA- 2023/12/19 06:41 PMCR- 2023/12/15 CRDT- 2023/12/16 20:43 PHST- 2023/06/30 00:00 [received] PHST- 2023/11/28 00:00 [accepted] PHST- 2023/12/19 06:41 [medline] PHST- 2023/12/17 09:44 [pubmed] PHST- 2023/12/16 20:43 [entrez] PHST- 2023/12/15 00:00 [pmc-release] AID - bmjgh-2023-013278 [pii] AID - 10.1136/bmjgh-2023-013278 [doi] PST - epublish SO - BMJ Glob Health. 2023 Dec 16;8(Suppl 7):e013278. doi: 10.1136/bmjgh-2023-013278.