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 />
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