{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T00:24:42Z","timestamp":1759883082921,"version":"build-2065373602"},"reference-count":26,"publisher":"Cambridge University Press (CUP)","issue":"1","license":[{"start":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:00:00Z","timestamp":1749427200000},"content-version":"unspecified","delay-in-days":159,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-sa\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J. Clin. Trans. Sci."],"published-print":{"date-parts":[[2025]]},"abstract":"<jats:title>Abstract<\/jats:title>\n\t  <jats:p>There is a general separation between medical and business education, despite the substantial intersection of these fields in hospital and industry settings. This separation hinders medical innovators, who rarely have opportunities to see how entrepreneurial concepts apply to the translation of medical innovation. To address this, the Office of Entrepreneurship at Mayo Clinic Florida provides experiential entrepreneurial training through an internal pitch competition: the alligator tank (AT). This study evaluates the impact and efficacy of the first seven years of the AT. Key metrics include a modified technology readiness level (TRL), determined by the presence of a disclosure, prototype, and preliminary data. A high TRL is not indicative of success in the pitch competition, leveling the playing field for early-stage inventions. The AT is characterized by broad representation across academic and professional ranks, departments, and genders, as well as strong participant retention. Innovators with prior disclosures are more likely to win the AT, presumably due to their experience. The AT serves as an institution-wide initiative that cultivates an inclusive, supportive innovation culture, fosters interdisciplinary medical innovation, and helps advance innovation maturity. Adopting the AT framework may help similar medical systems build an innovation ecosystem within their institutions.<\/jats:p>","DOI":"10.1017\/cts.2025.10055","type":"journal-article","created":{"date-parts":[[2025,6,9]],"date-time":"2025-06-09T00:38:57Z","timestamp":1749429537000},"source":"Crossref","is-referenced-by-count":0,"title":["Evaluating an internal pitch competition for entrepreneurial training in medical innovation: The alligator tank at Mayo Clinic Florida"],"prefix":"10.1017","volume":"9","author":[{"given":"Shavonnye","family":"Rath","sequence":"first","affiliation":[{"name":"St. Catherine University"},{"name":"Mayo Clinic in Florida"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Marissa N.","family":"Russo","sequence":"additional","affiliation":[{"name":"Mayo Clinic Graduate School of Biomedical Sciences"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Maarten","family":"Rotman","sequence":"additional","affiliation":[{"name":"Mayo Clinic in Florida"},{"name":"Dell Medical School at The University of Texas at Austin"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2025,6,9]]},"reference":[{"key":"S2059866125100551_ref12","doi-asserted-by":"publisher","DOI":"10.1109\/JTEHM.2016.2609915"},{"volume-title":"The Lean Startup: How Today\u2019s Entrepreneurs Use Continuous Innovation to Create Radically Successful Businesses","year":"2011","author":"Ries","key":"S2059866125100551_ref17"},{"volume-title":"Business Model Generation: A Handbook for Visionaries, Game Changers, and Challengers","year":"2013","author":"Osterwalder","key":"S2059866125100551_ref20"},{"key":"S2059866125100551_ref6","doi-asserted-by":"publisher","DOI":"10.1126\/scitranslmed.3001632"},{"key":"S2059866125100551_ref11","doi-asserted-by":"publisher","DOI":"10.1111\/cts.13570"},{"key":"S2059866125100551_ref16","doi-asserted-by":"publisher","DOI":"10.1017\/cts.2020.212"},{"key":"S2059866125100551_ref18","first-page":"3008","article-title":"A lasting model for change: how the lean startup was born","volume":"50","author":"Blank","year":"2024","journal-title":"J Manage"},{"key":"S2059866125100551_ref23","first-page":"1","article-title":"From NASA to EU: the evolution of the TRL scale in public sector innovation","volume":"22","author":"H\u00e9der","year":"2017","journal-title":"Innova J: Public Sect Innov J"},{"key":"S2059866125100551_ref7","unstructured":"7. 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