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However, infrastructure to support such a response is lacking. Moreover, there are too few researchers conducting rigorous embedded pragmatic clinical trials (ePCTs) to make the vision of high quality, widely accessible dementia care a reality. National Institute on Aging (NIA) Imbedded Pragmatic Alzheimer's disease and Related Dementias Clinical Trials (IMPACT) Collaboratory seeks to improve the pipeline of early career researchers qualified to lead ePCTs by funding career development awards. Even with support from the Collaboratory, awardees face practical and methodological challenges to success, recently exacerbated by the COVID\u201019 pandemic. We first describe the training opportunities and support network for the IMPACT CDA recipients. This report then describes the unique career development challenges faced by early\u2010career researchers involved in ePCTs for dementia care. Topics addressed include challenges in establishing a laboratory, academic promotion, mentoring and professional development, and work\u2010life balance. Concrete suggestions to address these challenges are offered for early\u2010career investigators, their mentors, and their supporting institutions. While some of these challenges are faced by researchers in other fields, this report seeks to provide a roadmap for expanding the work of the IMPACT Collaboratory and initiating future efforts to recruit, train, and retain talented early\u2010career researchers involved in ePCTs for dementia care.<\/jats:p>","DOI":"10.1111\/jgs.18599","type":"journal-article","created":{"date-parts":[[2023,9,21]],"date-time":"2023-09-21T03:42:36Z","timestamp":1695267756000},"page":"3554-3565","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":3,"title":["Career development in pragmatic clinical trials to improve care for people living with dementia"],"prefix":"10.1111","volume":"71","author":[{"given":"Jennifer","family":"Gabbard","sequence":"first","affiliation":[{"name":"Department of Internal Medicine, Section of Gerontology and Geriatrics Wake Forest University School of Medicine  Winston Salem North Carolina USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tina R.","family":"Sadarangani","sequence":"additional","affiliation":[{"name":"Rory Meyers College of Nursing New York University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2281-7508","authenticated-orcid":false,"given":"Rupak","family":"Datta","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Veterans Affairs Connecticut Healthcare System  West Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chanee D.","family":"Fabius","sequence":"additional","affiliation":[{"name":"Department of Health Policy and Management Johns Hopkins Bloomberg School of Public Health  Baltimore Maryland USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Cameron J.","family":"Gettel","sequence":"additional","affiliation":[{"name":"Department of Emergency Medicine Yale School of Medicine  New Haven Connecticut USA"},{"name":"Center for Outcomes Research and Evaluation Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Natalie F.","family":"Douglas","sequence":"additional","affiliation":[{"name":"Department of Communication Sciences and Disorders, The Herbert H. and Grace A. Dow College of Health Professions Central Michigan University  Mt. Pleasant Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8587-7172","authenticated-orcid":false,"given":"Lisa A.","family":"Juckett","sequence":"additional","affiliation":[{"name":"School of Health and Rehabilitation Sciences The Ohio State University  Columbus Ohio USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Andrew M.","family":"Kiselica","sequence":"additional","affiliation":[{"name":"Department of Health Psychology, School of Health Professions University of Missouri  Columbia Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2659-8795","authenticated-orcid":false,"given":"Komal Patel","family":"Murali","sequence":"additional","affiliation":[{"name":"Rory Meyers College of Nursing New York University  New York New York USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-1705-6249","authenticated-orcid":false,"given":"Ellen P.","family":"McCarthy","sequence":"additional","affiliation":[{"name":"Marcus Institute for Aging Research Hebrew SeniorLife  Boston Massachusetts USA"},{"name":"Division of Gerontology, Department of Medicine, Beth Israel Deaconess Medical Center Harvard Medical School  Boston Massachusetts USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Alexia M.","family":"Torke","sequence":"additional","affiliation":[{"name":"Division of General Medicine and Geriatrics, Department of Medicine Indiana University School of Medicine  Indianapolis Indiana USA"},{"name":"Indiana University Center for Aging Research Regenstrief Institute, Inc.  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