Table 4.

Theme 4 Supporting Quotations by Subtheme

Theme 4: sustaining a new paradigm of support for physician-scientist caregivers
Subtheme	Exemplar quotes
Reevaluating implementation and outcomes of the intervention	(Q37) I think it's really important to get the highest level of engagement of the key leadership, … on the research side, on the dean's side, on the physician-scientist training program side so that you have lots of points of contact. And then also the points of contact with the people who do faculty development and CTSA so that you are not recreating things that already exist, or that you are not building another silo. So, I think it's really important to figure out how to integrate this fully into the architecture of the school …and then to find all the ways to connect with departments and multiple microenvironments, and then ways to support and enable people without making extra work for them. (Female director) (Q38) So, the one part that we are … starting to look at is our mentoring set up, whether that's being successful. So, we are surveying our applicants and awardees right now to… get an idea how frequently they are meeting with their mentors, how successful that has been, … what they might find more, or less helpful. …I think a lot of our decision-making will be based on looking at the success of our awardees and … other institutions' awardees, and trying to tweak our program to improve what we have got. (Female director) (Q39) I think it probably also benefitted the institution in … shining a light on this problem. So, the Doris Duke Foundation, of course, doesn't fund anything other than human research so I think the success of this program, … has raised the institution's interest in starting a program of its own for people who are doing non-human research and people who are basic scientists rather than physician-scientists … Hopefully, the institution will start an expansion based on this program, an expansion that would be available to people that wouldn't be eligible for the Doris Duke funding. (Female director)
Reaffirming the need for a new paradigm to support physician-scientist caregivers	(Q40) You know once we have a little bit more data … we need to show those outcomes. I will present that to our dean and our research council and say, look, we believe we have the data to show this is a successful program and I think we will either look potentially for philanthropic [methods of funding the program] and … work with departments, particularly large departments, that… could do a similar program within their own department. (Male director) (Q41) I would say that meeting with … whoever at your institution would be responsible for taking in extra funding – to meet with them and nail down what they would be willing to do. Would they be willing to match funds? Would they be willing to extend at the end? Would they be willing to pay for programs; that kind of thing because I think that has been a major part of our success, is that we have been able to sort of double our funding or even quadruple our funding in some cases. (Female director)

CTSA, Clinical and Translational Science Award.