The Institute of Medicine Roundtable on Research and Development of Drugs, Biologics, and Medical Devices has evolved from the Forum on Drug Development, established in 1986. The importance of maintaining a neutral setting for discussions regarding long-term and politically sensitive issues was determined by sponsor representatives and the Institute of Medicine to justify the need for revising and enhancing past efforts. The new Roundtable is intended to be a convening mechanism for dialogue and exchange of information among individuals, including government officials, who represent all sides of public policy issues related to the development of drugs, biologics, and medical devices