Clinical accountability in fragmented primary care for older adults: a practical framework for minimal multidimensional assessment and targeted testing in community and home-based settings.

It has been said that the Intramural Research Program (IRP) of the National Institutes of Health (NIH) is one of the best‐kept secrets of our nation's scientific community. Perhaps this is true because it is very small relative to the enormous extramural research funding program of the NIH, the largest funder of biomedical research in the world. Or perhaps it is because the IRP, which houses basic, translational, and clinical research and training programs in all areas of biomedical research, is not housed in a university or college and, as part of a government agency, is relatively restricted in the advertising, publicizing, and fund‐raising it is allowed to do. In any case, this summary aim to introduce the child neurology community to the NIH IRP and ensure that those who aspire to research‐intensive careers in developmental neurobiology and/or child neurology are aware of the opportunities for training and career development the NIH IRP offers. The NIH IRP comprises the IRPs of 23 of the NIH's 27 institutes and centers; one institute and three centers do not house an IRP (Table ). In 2022, the NIH IRP workforce included 1158 principal investigators and 2641 coinvestigators (Table ). Over the past five years, the NIH IRP, along with the NIH Chief Officer for Scientific Workforce Diversity and Office of Equity, Diversity, and Inclusion, have helped to increase the fraction of senior and tenure‐track scientists who are women and people of color. Of particular note is the fact that our tenure‐track investigator contingent is now 44% women, 9% Black, and 9% Hispanic, numbers that demonstrate both how far the IRP has come in the tenure‐track space and how far it has yet to go for the principal investigator contingent as a whole (Figure )., , NIH institutes and centers that house an Intramural Research Program.