Opportunity Information: Apply for PAR 18 288
The Surgical Disparities Research (R01 Clinical Trial Optional) opportunity (PAR-18-288) is a National Institutes of Health (NIH) discretionary grant that supports investigator-driven, collaborative research aimed at understanding and reducing disparities in surgical care and surgical outcomes affecting minority and other health disparity populations. The central emphasis is on identifying why inequities occur across the surgical care continuum and testing approaches that can improve equity in access, quality, and outcomes. Although clinical trials are optional under this announcement, the FOA explicitly encourages studies that move beyond describing disparities to evaluating the effectiveness of intervention strategies. At the same time, it highlights the need to look above the individual patient level by developing and assessing multi-level solutions, including interventions at the institutional level (such as hospitals, surgical departments, care teams) and at broader health system levels (such as referral networks, payment and coverage structures, and other structural or policy drivers of unequal surgical care).
The funding is positioned to support research that examines real-world surgical disparities and develops practical, scalable strategies to address them. Projects can include work that clarifies mechanisms of disparity (for example, differences in diagnosis timing, referral patterns, perioperative optimization, shared decision-making, or follow-up care) as well as studies that test interventions designed to close those gaps. The initiative is also framed to promote cross-disciplinary and multi-stakeholder collaboration, reflecting the idea that surgical disparities often stem from interacting causes that involve patients, clinicians, institutions, and systems rather than a single isolated factor.
Eligibility is broad and includes many types of U.S.-based applicant organizations. Eligible applicants listed in the source information include state, county, and city or township governments; special district governments; independent school districts; public and state-controlled institutions of higher education; private institutions of higher education; federally recognized Native American tribal governments; tribal organizations that are not federally recognized; public housing authorities and Indian housing authorities; nonprofits with or without 501(c)(3) status (other than institutions of higher education); for-profit organizations other than small businesses; small businesses; and other entities. The FOA also calls out additional eligible applicants such as Alaska Native and Native Hawaiian Serving Institutions; Asian American Native American Pacific Islander Serving Institutions (AANAPISIs); Hispanic-serving Institutions; Historically Black Colleges and Universities (HBCUs); Tribally Controlled Colleges and Universities (TCCUs); faith-based or community-based organizations; eligible federal government agencies; regional organizations; Indian/Native American tribal governments other than federally recognized; and U.S. territories or possessions. Foreign institutions are not eligible to apply, and non-U.S. components of U.S. organizations are not eligible to apply; however, foreign components (as defined in the NIH Grants Policy Statement) are allowed, meaning a U.S. applicant can include certain foreign project elements when properly justified and compliant with NIH policy.
The opportunity is cataloged under multiple CFDA numbers (93.307, 93.313, 93.361, 93.395, 93.399, 93.846, 93.865), reflecting that multiple NIH institutes, centers, or programs may participate or have aligned interests. The FOA was created on 2017-11-30, and the original closing date listed is 2019-06-07. The award ceiling and expected number of awards are not specified in the provided source text, which typically means applicants would need to consult the full FOA and NIH budget guidance for R01 mechanisms to understand practical budget expectations and any institute-specific considerations. Overall, this announcement is designed for organizations prepared to rigorously study and meaningfully improve equity in surgical care, with an explicit push toward interventions and system-level strategies that can reduce disparities rather than simply documenting them.Apply for PAR 18 288
- The National Institutes of Health in the education, health, income security and social services sector is offering a public funding opportunity titled "Surgical Disparities Research (R01 Clinical Trial Optional)" and is now available to receive applicants.
- Interested and eligible applicants and submit their applications by referencing the CFDA number(s): 93.307, 93.313, 93.361, 93.395, 93.399, 93.846, 93.865.
- This funding opportunity was created on 2017-11-30.
- Applicants must submit their applications by 2019-06-07. (Agency may still review applications by suitable applicants for the remaining/unused allocated funding in 2026.)
- Eligible applicants include: State governments, County governments, City or township governments, Special district governments, Independent school districts, Public and State controlled institutions of higher education, Native American tribal governments (Federally recognized), Public housing authorities/Indian housing authorities, Native American tribal organizations (other than Federally recognized tribal governments), Nonprofits having a 501 (c) (3) status with the IRS, other than institutions of higher education, Nonprofits that do not have a 501 (c) (3) status with the IRS, other than institutions of higher education, Private institutions of higher education, For-profit organizations other than small businesses, Small businesses, Others.
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Frequently Asked Questions (FAQs)
What is the Surgical Disparities Research (R01 Clinical Trial Optional) opportunity (PAR-18-288)?
PAR-18-288 is a National Institutes of Health (NIH) discretionary grant opportunity using the R01 mechanism. It supports investigator-driven, collaborative research focused on understanding and reducing disparities in surgical care and surgical outcomes affecting minority and other health disparity populations.
What is the main purpose of this funding opportunity?
The central purpose is to identify why inequities occur across the surgical care continuum and to test approaches that can improve equity in access, quality, and outcomes. The opportunity emphasizes moving from documenting disparities to evaluating strategies that reduce them.
What kinds of disparities is the FOA focused on?
The FOA focuses on disparities in surgical care and surgical outcomes that affect minority and other health disparity populations, with attention to inequities across the full continuum of surgical care.
What does "Clinical Trial Optional" mean for this R01?
It means applicants may propose studies that include a clinical trial, but a clinical trial is not required under this announcement.
Does the FOA prefer intervention studies over descriptive studies?
Yes. While studies that clarify mechanisms of disparity are within scope, the FOA explicitly encourages research that goes beyond describing disparities and evaluates the effectiveness of intervention strategies designed to reduce inequities.
Is the focus limited to patient-level factors?
No. The FOA highlights the need to look above the individual patient level and develop and assess multi-level solutions, including institutional and health system-level interventions.
What types of multi-level interventions does the FOA mention?
Examples include interventions at the institutional level (such as hospitals, surgical departments, and care teams) and broader system levels (such as referral networks, payment and coverage structures, and other structural or policy drivers of unequal surgical care).
What parts of the surgical care continuum can be studied?
The FOA is framed around inequities across the surgical care continuum. The provided information gives examples of mechanisms that can be studied, including diagnosis timing, referral patterns, perioperative optimization, shared decision-making, and follow-up care.
What kinds of research activities are considered responsive based on the provided description?
Responsive projects can include research that clarifies mechanisms driving disparities in real-world surgical care and research that tests practical, scalable interventions intended to close gaps in access, quality, and outcomes.
Does the FOA encourage collaborative or cross-disciplinary research?
Yes. The initiative is described as promoting cross-disciplinary and multi-stakeholder collaboration, reflecting that surgical disparities often arise from interacting causes involving patients, clinicians, institutions, and systems.
Who is eligible to apply?
Eligibility is broad and includes many types of U.S.-based applicant organizations, including government entities, educational institutions, tribal governments and tribal organizations, nonprofits (with or without 501(c)(3) status, other than institutions of higher education), for-profit organizations (other than small businesses), small businesses, and other entities listed in the provided opportunity summary.
Which government entities are eligible applicants?
Eligible government applicants listed include state governments, county governments, city or township governments, and special district governments.
Are higher education institutions eligible?
Yes. Eligible applicants include public and state-controlled institutions of higher education, private institutions of higher education, and independent school districts.
Are tribal governments and tribal organizations eligible?
Yes. The provided eligibility list includes federally recognized Native American tribal governments, Indian/Native American tribal governments other than federally recognized, and tribal organizations that are not federally recognized.
Are community-based or faith-based organizations eligible?
Yes. The FOA calls out faith-based or community-based organizations as additional eligible applicants.
Are organizations in U.S. territories or possessions eligible?
Yes. U.S. territories or possessions are explicitly listed among additional eligible applicants.
Are federal government agencies eligible to apply?
Yes. The provided information lists eligible federal government agencies among additional eligible applicants.
Are foreign institutions eligible to apply as the main applicant?
No. Foreign institutions are not eligible to apply under this opportunity.
Can a U.S. organization include non-U.S. components in its application?
Non-U.S. components of U.S. organizations are not eligible to apply. However, foreign components (as defined in the NIH Grants Policy Statement) are allowed, meaning a U.S. applicant can include certain foreign project elements when properly justified and compliant with NIH policy.
What does it mean that this is an NIH "discretionary" grant?
Based on the provided summary, the opportunity is described as an NIH discretionary grant, indicating it is a competitive NIH funding opportunity intended to support research aligned with the FOA goals and NIH priorities described in the announcement.
Are award amounts (funding ceiling) listed in the provided information?
No. The award ceiling is not specified in the provided source text.
Is the expected number of awards provided?
No. The expected number of awards is not specified in the provided source text.
How can applicants interpret budget expectations if a ceiling is not listed?
The provided summary indicates that when a ceiling is not specified, applicants typically need to consult the full FOA and NIH budget guidance for R01 mechanisms, including any institute-specific considerations.
Which CFDA numbers are associated with this opportunity?
The opportunity is cataloged under multiple CFDA numbers: 93.307, 93.313, 93.361, 93.395, 93.399, 93.846, and 93.865.
What does it mean that multiple CFDA numbers are listed?
Based on the provided information, multiple CFDA numbers suggest that multiple NIH institutes, centers, or programs may participate or have aligned interests with the FOA.
When was this FOA created?
The FOA was created on 2017-11-30.
What is the original closing date listed in the provided information?
The original closing date listed is 2019-06-07.
What is the overall emphasis of the announcement based on the summary provided?
The announcement emphasizes rigorous, real-world research aimed at meaningfully improving equity in surgical care, with an explicit push toward interventions and system-level strategies that reduce disparities rather than only documenting them.
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