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Foto von Leonie Schumm bei erkranktem Kind im Krankenhaus

Clinician Scientists for Rare

Targeted promotion of young researchers

– so that someone will still be researching rare diseases tomorrow

As eight out of ten cases of rare diseases (RDs) affect children and adolescents, research into RDs is primarily a paediatric topic. However, there has long been a lack of research funding and career prospects for young doctors who wish to combine scientific research with patient care, particularly in paediatrics and adolescent medicine. Our Clinician Scientist for Rare programme aims to address this issue.

Targeted promotion of young talent in pediatric research

A lack of young talent in paediatric research is evident at all stages of the training and career path of (prospective) paediatricians in university medicine today. This is a dramatic development for those living with rare diseases. Paediatrics needs a real ‘reforestation programme’ for young scientists to ensure that someone will still be researching rare diseases in the future. This is the only way to guarantee that children and young people benefit from medical progress.

This is why promoting scientific talent in paediatrics is one of the central themes of Alliance4Rare, a research initiative for children with rare diseases launched by the Eva Luise and Horst Köhler Foundation in 2022.

Alliance4Rare – shaping the future together

Alliance4Rare sees itself as a link between the rapidly developing possibilities of modern medicine and the immense need for research into rare diseases. To this end, this civil society alliance brings together the expertise of leading university children’s hospitals and their faculties, and the philanthropic commitment of its supporting partners. Through their collaborative efforts, Alliance4Rare offers hope for a healthier future to children and young people living with rare diseases. Join the Alliance4Rare as a partner!

Gruppenfoto dreier forschender Mediziner
andrea katheder, Berlin 2023

The Clinician Scientist for Rare Program

– a structured training and career programme for paediatricians and human geneticists with strong research skills in university medicine.

The research initiative focuses on funding the further training and networking of paediatricians and human geneticists who wish to specialise in rare diseases in the long term, both clinically and scientifically. To prepare these researchers for their challenging roles, Alliance4Rare relies on a structured training and career path based on the recommendations of the German Research Foundation (Deutsche Forschungsgemeinschaft (DFG)) orientiert.

The Clinician Scientist for Rare programme gives participating physicians the freedom to conduct scientific research at a high level. Depending on their career stage, fellows are released from 25–50% of their clinical duties. During these protected research periods, they advance their scientific projects on serious rare diseases and undergo intensive training in specific topics and technologies.

While completing the local clinician scientist programmes of their medical faculties, participants also receive the specific training and networking opportunities of the CS4Rare programme.

  • Participation in the Alliance4Rare Winter School, held biennially in Berlin
  • Quarterly participation in online lectures and Jour Fixe meetings
  • Participation in the annual Rare Disease Symposium of the Eva Luise and Horst Köhler Foundation
  • Work shadowing at a collaborating research institution
  • Mentoring by experienced experts

Thanks to the commitment of the Alliance4Rare funding partners, young talent in the field of rare disease research is, for the first time, being offered structured further training and reliable career prospects that can compete with those in other research-intensive specialist areas.

The concept and implementation of the programme

Alliance4Rare gGmbH, a wholly owned subsidiary of the Eva Luise and Horst Köhler Foundation for People with Rare Diseases, sponsors the Clinician Scientist for Rare programme and acts as a link to local partners from university medicine. The gGmbH designs, coordinates and supports the entire training and networking programme, and acts as a point of contact for all participants. In cooperation with the university children’s hospitals, funding bodies and the Alliance4Rare Scientific Advisory Board, Alliance4Rare gGmbH coordinates and supports the tendering and review process, as well as handling the entire third-party funding management.

Foto von Gruppe von fünf Medizinern.
andrea katheder, Berlin 2021

Level 1: Junior Clinician Scientists for Rare (JCS4RARE)

Setting the course in good time: The JCS4RARE programme offers two years of structured training to young physicians who are actively engaged in research and have a serious interest in the field of rare diseases, either during their doctoral studies or within the first three years of their specialist training.

Promising talents are encouraged at an early stage in their career, introduced to other researchers and provided with targeted further training. The programme aims to familiarise young scientists with relevant structures, topics and methods early on, and to promote their long-term integration within the SE community and with other medical and scientific fields.

Costs

To support a junior clinician scientist, Alliance4Rare funding partners finance 25% of the regular staff position, freeing up time for scientific tasks and further training. The actual full costs of this position currently amount to approximately € 22,500 per fellowship per year. Funding partners should ideally also pay a lump sum of € 2,500 per year to cover the costs of further training and networking opportunities (e.g. travel and accommodation costs for job shadowing and winter schools). As junior clinician scientists are funded for two years, the total cost per fellowship is therefore € 45,000–50,000.

Our Junior Clinician Scientists for Rare (JCS4RARE) – Level 1

Foto: Eine Gruppe von Forschenden begutachtet ein Dokument
andrea katheder, Berlin 2023

Level 2: Clinician Scientist for Rare (CS4RARE)

The second stage of our training and career path involves intensive research and additional training. It is intended for doctors who have completed at least three years of specialist training in paediatrics or paediatric human genetics, and who have demonstrated excellent scientific achievement and a keen interest in rare diseases during this time.

The extended leave of absence from clinical activities (50%) enables CS4Rare to dedicate more time to their own research projects. They should use this time to work on questions that cannot be addressed using animal models, for example. Over the course of three years, CS4Rare will expand their network, deepen their scientific expertise, and acquire the necessary qualifications to be ready for habilitation by the end of the funding period.

Costs

Funding for a Clinician Scientist for Rare Diseases (CS4Rare) comprises 50% of a regular staff position, ensuring that this mandatory research time is available for research and further training. The actual full costs of this proportion of the post per fellowship currently amount to approximately € 50,000–60,000 per year. Ideally, funding partners would also contribute an additional lump sum of € 2,500 to cover the costs of further training and networking opportunities (e.g. travel and accommodation for job shadowing and winter schools). As clinician scientists are generally funded for three years, the costs for the Alliance4Rare funding partners therefore total around  € 155,000–165,000 per fellowship.

Our Clinician Scientists for Rare (CS4RARE) – Level 2

Foto von Forschenden bei der Arbeit

Level 3: Advanced Clinician Scientist for Rare (ACS4RARE)

Passing on and shaping knowledge: The third career stage is aimed at paediatric and human genetics specialists (possibly with specialist or additional training), as well as senior physicians who have already embarked on an academic career and have proven expertise in a rare disease or group of diseases. This stage ensures a contractually defined research commitment of 50% of working hours, providing a binding framework within which the ACS4Rare can establish an independent working group and actively contribute to the SE research area at their institution.

Through research-oriented teaching and active mentoring, the ACS4Rare will pass on their experience to the next generation of scientists, encouraging young talent to follow the challenging yet rewarding path of a Clinician Scientist for Rare Diseases.

Costs

In the case of funding for an Advanced Clinician Scientist for Rare Diseases (ACS4Rare), the funding partners of the Alliance4Rare finance 50% of the salary, meaning that the remaining 50% is available for scientific tasks and further training. The actual full costs of this aspect of the role currently amount to around € 55,000–70,000 per year, depending on the career stage of the fellows. ACS4Rare fellowships are usually funded for three years and experience has shown that the total cost per fellowship is around € 170,000–200,000.

Our Advanced Clinician Scientists for Rare (ACS4RARE) – Level 3

Foto von Forscherin Angela Schulz im Laboranzug

Level 4: Endowed professorship

An endowed professorship for rare diseases is the crowning achievement in a career and opens up an attractive long-term perspective for clinician scientists who have already established themselves over many years in both scientific and clinical fields. Without the involvement of civil society, this would not be possible in the field of rare diseases. It is aimed at ‘influencers’ who, through the publication of ground-breaking research, participation in numerous clinical studies, and close cooperation with patient organisations, have become recognised experts in their respective diseases (or disease groups) and competent points of contact for those affected.

As an important signal in the academic landscape, the significance of an endowed professorship extends beyond the funding itself and helps to sustainably establish translational research on rare diseases, generate international visibility, and significantly enhance medical care for affected individuals in Germany.

Costs

Endowed professorships are typically funded with at least one million euros for a maximum term of ten years. These funds are used to finance the research-related personnel costs of the position holder, which should amount to 50% of a W3 professorship salary. The remaining funds are distributed over the term and can be used by the post holder for research purposes at their discretion. After an initial funding period of five years, and subject to a positive interim evaluation, an extension of up to five years is possible. Funding ends prematurely upon appointment to a permanent professorship.

The first endowed professorship for rare diseases — Level 4

At the beginning of 2024, Germany’s first endowed professorship for rare diseases was jointly advertised by the Else Kröner-Fresenius Foundation and the Eva Luise and Horst Köhler Foundation, and awarded to Dr Angela Schulz from UKE Hamburg-Eppendorf at the beginning of 2025. The overwhelming response to this call — 37 predominantly high-calibre applications — highlights the significant demand for a professorship specialising in rare diseases.

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