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AG&M annual report 2018

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“It was tentative at first, trial and error, those guys<br />

across the Amstel were our competitors, now we<br />

had to collaborate, to trust them, we were told<br />

to just go for it.” Such were the birth pangs of the<br />

Amsterdam Gastroenterology & Metabolism (AG&M)<br />

research institute according to co-director Professor<br />

Gerd Bouma. Now, just two years on, Bouma sees it<br />

beginning to work “exquisitely well” with clinicians and<br />

scientists beginning to talk, work, and think together.<br />

“It was tentative at first, trial and<br />

error, those guys across the Amstel<br />

were our competitors, now we had<br />

to collaborate, to trust them, we<br />

were told to just go for it.”<br />

With limited funding or, then, any obvious incentives,<br />

the first step was simply: “to promote a spirit of<br />

common purpose” of identity. Meetings were<br />

deliberately not held at either the AMC or VUmc sites,<br />

but at a third location. Then came the crucial first<br />

<strong>annual</strong> AG&M meeting or “retreat” the “mainstay of<br />

this Institute” where all scientists and PhD students<br />

present their work. Van de Graaf: “We needed to<br />

hear what everyone was doing, what was their line of<br />

research. We thought we already knew, but in fact we<br />

didn’t know at all.”<br />

“We needed to hear what<br />

everyone was doing, what was their<br />

line of research. We thought we<br />

already knew, but in fact we didn’t<br />

know at all.”<br />

The mission and vision of the AG&M directors<br />

His co-director Dr. Stan van de Graaf - from across<br />

the river - shares his confidence. His sees the AG&M<br />

research institute as “unique” in the Netherlands,<br />

simply for its size, with well over 400 PhD students,<br />

serving an Amsterdam catchment population of<br />

approximately 1 million, and with its dedicated focus<br />

on gastroenterology, metabolism and endocrinology in<br />

one institute. Today, he sees a sense of unity, of being<br />

part of something bigger, of the promise of “special<br />

opportunities” for science, healthcare and patients.<br />

There had been talk of Amsterdam’s University Medical<br />

Center (AMC) and Free University medical centre<br />

(VUmc) merging since 2011. At the beginning of 2017,<br />

it suddenly became real as the two major hospitals’,<br />

culture, politics and ways of organizing science had to<br />

begin to come together. Among many other things,<br />

the challenge was to take the VUmc’s popular research<br />

institutes and to merge this concept with the AMC’s<br />

principal investigator approach. Eight research institutes<br />

finally emerged of which AG&M was one, building<br />

on the former AMC’s research focus on Metabolic/<br />

Endocrine disorders and Gastrointestinal diseases.<br />

This created knowledge, trust, and the belief that “we<br />

can work together”. The first retreat “was a bit intense”,<br />

with a huge number of pitches to introduce the vast<br />

amount of different research topics, but now, the third,<br />

“was really fabulous” says Van de Graaf.<br />

In addition to the <strong>annual</strong> AG&M retreat, monthly<br />

seminars and symposia were organized while, in this<br />

spirit of collaboration, scientists were encouraged to<br />

attend clinical settings such as multidisciplinary team<br />

meetings to discuss real patients. Collaboration was<br />

also promoted through funding, grants for talented<br />

teams of researchers who could demonstrate a degree<br />

of synergy in their work.<br />

For Professor Bouma, what began was no less than a<br />

change of attitude, of mindset, and from the bottom<br />

up. “Whatever your expertise, the discipline your<br />

working in, you are part of something bigger and we<br />

can benefit from each other.” And more often than not<br />

5

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