Table 3.

Theme 3 Supporting Quotations by Subtheme

Theme 3: assessing the results of the new paradigm
Subtheme	Exemplar quotes
Individual benefits	(Q28) [The FRCS award recipients] go from being potentials to being amazingly successful…. The term that I thought of just while we were talking was “rocket fuel” just rocket fuel for these people. And could they have done this anyway? I would say no, because what happened is that their data acquisition rapidly accelerated, their data analysis rapidly accelerated, their grant submissions happened when they would not have happened otherwise, happened much sooner because of the award. And so, it accelerated everything that you need for success. (Female director) (Q29) I think [FRCS awardees] are publishing a lot more…I think they are able to maintain their career trajectory. They gain additional sources of funding… I have seen that it has increased their confidence that they would succeed in academic publishing which is just really encouraging. (Female director) (Q30) Some of [the FRCS program participants] have achieved the independent funding that they need to make their career really secure and progress. Many of them have used their funding to hire help with their research, either a lab technician or a study coordinator …which has been helpful for them in accelerating the rate of their research so that they have been able to complete publications and move themselves forward to meet goals that they need to remain physician-scientists and not either have to leave the university for another institution or change their career path from physician-scientist to something else. So, I think we have seen good success. (Female director)
Institutional benefits	(Q31) And then, there's a return on investment so we put a really small investment in and got a huge investment out and so we got a great ROI so, affecting the bottom line has been huge, right?…That has been very important consequence that I think could be leveraged even more. (Female director) (Q32) … I think that division directors,… if one of their members applied and for some reason didn't receive the [Doris Duke FRCS] support, would have figured out some way to do it within their internal budgets because now, they have an institutionally sanctioned model for doing that. It was like it just gave us that wedge, you know, before and after. And after there is now a model and this is how we behave…And so, I think we are in a different era now and I think that's hard to tell how much of that is, you know, general trends but I do think the existence of the [Doris Duke FRCS] fund was critical… It looks like another one of those grant applications that is available to people. It's in the model of an academic institution so that's good. It's not just a HR or employee health program but it's managed by scientists for scientists, and it sets the culture in a different direction. (Female director) (Q33) [The Doris Duke FRCS] has had… a subtle effect of …normalizing the challenges that otherwise, people had tried to keep out of the work place; challenges that they were having at home. I think there was a sense that should be separate. You shouldn't bring those to work, that you should be strong enough to overcome those things and not bring them to work with you. And I think that the Doris Duke award helped us to further demonstrate institutionally that we believe in this but also, it's like a validation when the external funding agency says this is important enough that we are going to put funding up for this. And so, it's a form of external validation for everybody to see that there has been an important funding agency putting a stake, a flag in the ground about this. (Female director) (Q34) I think the institution as a whole is realizing that there should not be any stigma associated with facing a life caregiving challenge… we have tried really hard to let [Doris Duke FRCS program participants] know that this happens to everybody and in the past we just tried to work our way through it. … So, I think they feel very supported which boosts their resiliency. I think it's almost becoming a cultural norm…I think it's like a cultural shift. (Female director)
Societal benefits	(Q35) I think these scholars' families benefit tremendously, not only the people they are giving care to but their spouses. (Male director) (Q36) Where both parents are working, you know, somebody has to take the time [to take child to medical appointments]. So, very time consuming, it's not just one visit; it's multiple. So, this [child] whose mother is able to go with her to those visits, hugely benefits … it's a big life deal and instead of being negative, the little girl is becoming an independent strong thinker herself…(Female director) (Q37) I think the scientific community is benefitting because the faculty are maintaining their productivity throughout the caregiving challenge … (Female director)