Cleveland Clinic & Case Western new medical building

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ClevelandClinic

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pretty cool for the students applying now and in near future..case western reserve university school of medicine (a top 20-25 school) will now be located on cleveland clinic's main campus (ranked #4 hospital in US)

http://www.cleveland.com/healthfit/index.ssf/2013/06/cleveland_clinic_cwru_announce.html

Cleveland Clinic, CWRU announce plan to build new medical education building on Clinic campus

CLEVELAND, Ohio -- In a bold move that Case Western Reserve University and the Cleveland Clinic believe will place Cleveland at the forefront of medical education worldwide, the two organizations announced Saturday that they will partner in the ownership and operation of CWRU's new medical education building -- and put it in the heart of the Clinic's main campus.

The Clinic is donating the land for the building, a badly needed update to the university's aging facility. The organizations will share in the cost of construction and in fundraising.

"We all know that Cleveland is a center for really great health care," CWRU President Barbara R. Snyder told The Plain Dealer. "With this project, we want to make sure that Cleveland is also an internationally known center for health education."

The move -- approved unanimously by the CWRU and Clinic boards in separate meetings -- is likely less welcome at University Hospitals, which has long enjoyed favored status as CWRU's "primary" affiliate in medical research and education.

In 2002, those two institutions signed a 50-year pact that sealed that relationship, after years of disagreement over credit for research and the university's ability to forge ties with other hospitals like the one announced Saturday.

UH spokeswoman Janice Guhl said the hospital did not have enough detail on the Clinic-CWRU plan to be able to comment Saturday.

Groundbreaking on the new building could begin as soon as early 2014, two years ahead of CWRU's previously announced plan that would have placed the facility on the site of the former Mt. Sinai Medical Center on East 105th Street on the university's campus.

"This collaboration with the Clinic will allow us to get that building built by 2016, "so we think it's a great opportunity for us," Snyder said.

"It allows us to accelerate and do something that we couldn't possibly have done on our own."

The 165,000-square-foot building will provide space for all medical students who are seeking degrees from CWRU, including students from the university-based program and the Cleveland Clinic Lerner College of Medicine, who currently take classes on the Clinic campus at the Lerner Research Center.

An aerial view of a proposed design for Case Western Reserve University's new medical education building on the Cleveland Clinic campus shows its location between Chester Avenue in the foreground and Euclid Avenue on the right. Clinic CEO Toby Cosgrove said he believes the location of the building will be "a stimulus for the area north of Chester, and it potentially begins to become a medical village with accommodations for students, nurses and other personnel in that area."

The building will sit on the northeast corner of East 93rd Street and Euclid Avenue, the current location of the Clinic's Guesthouse, a 231-room hotel that offers housing for patients, families and out-of-town visitors.

CWRU and the Clinic will match funds for the cost of the $80 million construction. Most of that money is already in hand from donations, officials said.

Clinic Chief Executive Toby Cosgrove said he approached Snyder about working together as soon as the university announced its plans to construct a new medical school building last fall.

"We're absolutely thrilled," Cosgrove said. "This increases the educational mission of the Cleveland Clinic and gives it more presence. Where is our education building right now? There really isn't one -- that's the point."

'One of the main advantages of housing the medical education building at the Clinic will be bringing all students and faculty together in one area, Snyder said, both for reasons of efficiency and creative collaboration.

"With that much brilliance and passion in the same place, we know that the ideas that come out of the educational program will be really groundbreaking," Snyder said.

CWRU's medical students and Lerner College's students are running out of room in their current quarters.

At CWRU, 825 medical students are jammed into less than 80,000 square feet of space in a building that once housed laboratories for research, said CWRU medical school Dean Pamela Davis.

"We are not only in '60s-era architecture, we also just don't have the physical space. We don't have the plugs for laptops or the wired classrooms, and we don't have the potential for worldwide communications," Davis said.

Davis and Lerner College Dean Jim Young said they would like the new medical education building to "become a hub for international medical education and faculty training.

"We have an educational commodity that other areas of the world are absolutely demanding to know about and to learn about and use, and export," Young said. "What this campus would provide is the springboard to start thinking more, thinking big and thinking more internationally."

The building will be designed by London architecture firm Foster + Partners, which created the master plan for the Clinic's main campus.

While final designs are not complete -- the firm has spent only three days on renderings -- Cosgrove said the building will "reflect the contemporary architecture of our campus," give students access to the latest technology and eliminate much of the redundancy of the current educational structure.

That means "one library, not two, and one simulation laboratory, not two," for example, Cosgrove said.

"Medical education has really changed," he said. "It's no longer the lecture halls of the past. The buildings need to change with us. Health care has moved from an individual sport to a team sport, and teaching is following that."

Numerous changes
While the location of the building will change, Cosgrove and Snyder contend little else will. CWRU still plans to increase enrollment by 20 to 30 students per year. Lerner College does not have plans to increase enrollment. Both educational tracks will maintain their independent admissions processes and curricula. Grant funding shared between the two institutions will not be affected.

Faculty and students will have parking on campus, and a shuttle will run from CWRU to the new building. "This is really a straight shot down Euclid Avenue," Davis said.

Snyder was quick to point out that UH will maintain its status as CWRU's primary affiliate despite the change.

Cosgrove said he wasn't concerned with UH's reaction, pointing out that Snyder approached the hospital system about joint fundraising efforts and was turned down.

Early reaction to the move has been positive.

The Mt. Sinai Health Care Foundation provided a $10 million grant to fund construction of the new facility at the old location.

Marc C. Krantz, chair of the foundation's board, said in a written statement Saturday that Mt. Sinai "continues to have great confidence in the University's leadership."

Krantz said the new plan "expands upon our original vision of developing a world-class medical education facility" and "we look forward to meeting with university leaders in the coming weeks to learn more."

The Cleveland Foundation, which also made a $10 million grant to the building effort last year, echoed Mt. Sinai's sentiment.

Other previously announced donors to the medical school include James and Constance Brown, who gave an undisclosed amount to the fundraising campaign in November in honor of the school's dean. Davis, a pulmonologist, has treated the Browns' granddaughter, KC Bryan White, for cystic fibrosis for decades.

"It's the best possible thing that could happen to the city," James Brown said. "These are two great institutions coordinating and collaborating on medical education. It's just genius."

TIMELINE
New CWRU medical education building on Clinic campus: How it came together
The announcement may be a shock for the tenants of the Guesthouse, which is owned by the Clinic and managed by InterContinental Hotels & Resorts. The Guesthouse, which employs 50 people, has been plagued by poor reviews and complaints of unsanitary conditions.

Cosgrove is happy to see it go.

"I can't wait to pull the plunger on the Guesthouse," he said. "We've been trying to get rid of it for 10 years. As soon as everyone's notified and taken care of, it's gone."

Campbell Black, general manager and regional director of operations for InterContinental Hotels Cleveland, said that employees will be placed in the company's other two hotels pending the construction of a replacement building on campus.

Clinic spokeswoman Eileen Sheil said the hospital system isn't sure if there will be enough room for patients and their families on campus during the transition period, but "fortunately we still have a number of months to figure that out."

Contentious history

The collaboration between the Clinic and CWRU puts to rest a long history of bad blood between the two institutions that dates back almost 15 years and involved the Clinic's rival in town --University Hospitals.

In 1998, concerned about receiving a fair share of credit and dollars for its research, UH informed CWRU that it wanted to negotiate a different affiliation pact than the 1992 agreement that designated it the university's "primary" affiliate. The move opened the door for CWRU to loosen ties with UH and potentially link with the Clinic.

It also began one of the most contentious periods in the recent history of Cleveland's health care community.

The Clinic, long interested in expanding its role in education, wanted a freer relationship with CWRU for research collaboration and a potential partnership to train medical students. The two organizations began talks about such a collaboration.""

The Clinic had failed to form a similar partnership with Ohio State University, a longtime affiliate in medical education, to bring another medical school to Cleveland in 1999, and those two institutions announced the end of their affiliation agreement the following year.

In March of 2001, the Clinic named Dr. Eric Topol its academic officer and word leaked that the hospital system planned to launch its own medical school that could admit students by 2003. In July of 2001, Topol said plans were underway to partner with CWRU on the program, but Clinic officials indicated they would wait on the sidelines while the university finalized a new arrangement with UH.

Those talks dragged on for four years, reaching stalemate over the issues of whether to include "Case" in UH's official name; UH's share of federal research dollars and credit for research it conducted jointly with CWRU; and CWRU's ability to forge new ties with other hospitals. Top-level administrators resigned at both institutions, and it took a one-year stopgap agreement and almost entirely new leadership to push through the new pact.

That agreement, signed in 2002, reaffirmed CWRU and UH's affiliation agreement for 50 years, and created a research partnership governed by a council with equal members from each institution.

'Enormous strife'

That same year, despite the friction between the two organizations, CWRU and the Clinic announced launch of their shared medical school endeavor, which would become the Cleveland Clinic Lerner College of Medicine.

Clinic CEO Cosgrove, who came on the job in 2004 in the middle of the unrest, said it was a particularly tense period.

"There was enormous strife between the Clinic and Case," he said.

It became worse in 2006, when CWRU hired Topol -- Cosgrove's main rival for the Clinic CEO position -- after Topol was pressured to leave the Clinic that year. CWRU had promised not to hire him, Cosgrove said.'

Also that year, CWRU and UH updated their affiliation agreement and UH officially changed the name of its main campus to UH Case Medical Center.

The Clinic wasn't happy. It long believed that UH basked indirectly in the glow of the grants it shared with CWRU through its medical school alliance. Northeast Ohioans already knew which school the University Hospitals name referred to, Cosgrove said in an interview at the time.

So Cosgrove and the Clinic began eight years of affiliation-shopping for its medical school, and the threat of break from CWRU was almost always in the air.

Cosgrove said he talked to "just about every Ivy League" school about partnering with the Clinic or starting a medical school at the Clinic: Princeton University, Columbia University, Massachusetts Institute of Technology, the University of Pennsylvania School of Medicine, and others. Princeton didn't want a medical school, he said, and MIT didn't see a reason for the affiliation. Nothing materialized.

"It's happily in the past now," he said. "We've agreed now that we're not going to talk to anyone else."

His relationship with Snyder and Davis has always been positive, Cosgrove said, and allowed for the current collaboration.

"We think it's a great thing for Case, we think it's a great thing for the Cleveland Clinic, we think it's a great thing for the community, and probably most importantly it's a great thing for the students."

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Interesting... I read the article, but don't know much else about this.

1) Seems like it's not much of an improvement for Lerner College students because they already have a lot of access to the Clinic's resources, whereas now University Track students will have more access to the Clinic's resources. Sounds bad, but it almost seems like a bad deal for the Lerner College students (encroachment on their resources). Although I'm sure it's not too much since the Clinic has tons of resources. Wow. I used the word resources a lot.

2) "Lerner College's students are running out of room in their current quarters" -- how is this possible since the size of the program has not increased? Is this just a white lie?
 
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