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Yale Medicine Magazine
The Fundamentals

The Fundamental Nature of Basic Science Research

A Conversation with Dean Nancy J. Brown, MD

Yale Medicine MagazineThe Fundamentals
4 Minute Read

This issue of Yale Medicine Magazine highlights the fundamental nature of basic science research. At Yale School of Medicine (YSM), basic scientists are building foundational knowledge across every field of research, and many are translating those findings into applications for human benefit.

We spoke with Nancy J. Brown, MD, the Jean and David W. Wallace Dean of Yale School of Medicine and C.N.H. Long Professor of Internal Medicine, about the essential contributions of basic science, how it builds the foundation for every discovery that follows, and the advances made possible when lab research and clinical practice meet.

Thinking about research broadly, what role does basic science play?

Basic science is foundational, as the title of this issue conveys. Without understanding basic principles and mechanisms and applying rigorous methods, research becomes, at best, descriptive. In addition, many of the most transformative diagnostic and therapeutic advances stem from basic discoveries made years or decades earlier.

How do you differentiate where basic science ends and translational or clinical research begins? Is that a fuzzy line?

It is sometimes an arbitrary line. All too often, people differentiate basic science and clinical research based on technology. Basic science seeks to understand fundamental principles without regard for immediate application. It is a fallacy, however, to believe that basic scientists do not hope that advancing knowledge will lead to impact. Similarly, a clinical researcher may be asking basic questions in humans. Both must be driven by curiosity and by agnostic hypothesis testing.

There is rich opportunity for discovery when lab research and clinical practice inform each other. How does YSM bring the two together in an effective way?

Some of the most transformative ideas and discoveries happen at this interface. We have been investing a lot of energy in increasing opportunities in this area. A few years ago, for example, we created the Office of Team Science to bring investigators together from different disciplines to learn about each other’s research and apply complementary approaches to questions.

We also have the Dean’s Workshops, which have gathered researchers from different areas around topics such as biomedical imaging, Parkinson’s disease, immunology, obesity, and organoids as disease models. Six years ago, we started the Janeway Society for career development of both physician-scientists and basic scientists. And of course, cross-disciplinary mentorship of trainees and young faculty can be very effective.

What are some examples at YSM where this approach is being done well?

Our investments in physician-scientist and scientist career development are paying dividends in terms of bringing the next generation of basic scientists and clinicians together. Similarly, several centers and programs bring basic scientists and clinical investigators together around specific pressing questions. Examples include the Vascular Biology and Therapeutics Program, the Human and Translational Immunology Program, the Center for Brain and Mind Health, and Women’s Health Research at Yale.

YSM has researchers who themselves bridge basic and clinical research. How does YSM support labs working along that spectrum?

For physician-scientists, YSM provides support to help them achieve the right balance between their research time and clinical effort. For all scientists working along this spectrum, the school provides cutting-edge cores that provide access to both advanced technology and clinical research infrastructure, as well as courses to learn new methods.

Does YSM offer opportunities for medical students to immerse in basic science research and graduate students to engage in clinical experiences?

Yes. All of our YSM medical students write a thesis to graduate, and many choose to immerse themselves in basic science during their research time. Our Office of Student Research facilitates connecting students with basic science laboratories or mentors. Similarly, graduate students interested in more clinical exposure may choose to work in the basic science laboratory of a physician-scientist. In addition, about 20% of our students complete an MD-PhD, which includes years of laboratory research.

What is YSM’s greatest strength when it comes to basic science research?

It is our intellectual environment where excellence and collaboration come together. One can have the fanciest equipment and the most beautiful spaces—and we have both—but without that intellectual environment, you will not advance discovery.

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