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Proposed Children's expansion giving regulators palpitations

The Boston Business Journal reports state health-care regulators are beginning to question whether the hospital's proposed $1-billion expansion could put another hospital out of business.

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Not to mention destroying the priceless Prouty Graden.
http://www.saveprouty.org/

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... the intent?

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I have a friend who runs a program at Children's. They have a ton of outside funding to expand, but Children's is like, 'We just don't have any place to put you now." The result is that his program, which everyone thinks is a wonderful idea, is being held back.

There are things to bitch about with Children's, but I honestly don't think their primary goal is to get bigger and push other providers out of the market. At this point, they simply need more space to do the work and provide the care for the patients they already have.

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... of why they need the added research space "right there" (as opposed to other possible spots nearby, but not quite as close) struck me as disingenuous (and not very convincing).

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If you need to have interactions with the clinical departments - including biological samples - you need to be nearby. When I worked in Orthopedic Research at MGH, the lab people could get called down to the surgical suite to pick up things like tumor pieces and bone samples that needed to be immediately processed for research projects.

Of course, not all research is so directly patient and clinic dependent - but that is one reason why some labs need to be close to the clinics.

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Swirly ur amazing. When I worked at MGH, people like you were so valuable. High-five. Just truly amazing. Everyone give a hand to "Swirly." Ask anyone--they're just a terrific UHub poster. The best.

It's not just direct access to a sample pipe-line. A good proportion of the PI's in the labs are also clinicians who shuffle back-and-forth between the wards and lab spaces. A good number of the researchers are also clinical fellows who do research and have clinic/ward duty in the same day. Having a "research space" in a non-Longwood location wouldn't exactly work out in many of these cases.

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My boss at MGH was usually on the ward far more than in his office or lab, but could be paged.

However, by the mid 2000s, hospitals started encouraging clinicians who were also researchers and professors not to work that way. After 2002 or so, my Clinician/Researcher boss at another institution had a regular day for seeing patients (in clinic) and set times for rounds. Ditto for clinician/researchers for a number of institutions that I worked with when I worked for a funding agency (picks up phone ... oh, wait, Jorge isn't in on Thursdays ...).

This was around the time that they started pushing the research labs off the campuses.

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Aspects of the new addition, has anything been released yet? There are new concepts in architecture which lend to increasing creative thinking, even in the realm of what could be considered ho hum white labcoat research.

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