Cleveland Clinic Magazine is a biannual publication of Cleveland Clinic.

Cleveland Clinic, located in Cleveland, Ohio, is a not-for-profit, multispecialty academic medical center that integrates clinical and hospital care with research and education. Cleveland Clinic was founded in 1921 by four renowned physicians with a vision of providing outstanding patient care based upon the principles of cooperation, compassion and innovation.

Today, Cleveland Clinic is one of the largest and most respected hospitals in the country.

At Cleveland Clinic, we provide our patients with cutting-edge advancements in coronary medicine, an impeccable surgical record and a world-renowned research team.

Cover Story:
Face: The Final Frontier of Transplantation 20

Some only go out at night. Others never leave their homes. For people with severe facial disfigurement, the emotional and personal pain can be debilitating. “The face is the most visible part of you,” says Maria Siemionow, M.D., Ph.D., D.Sc. Unsatisfied with the limited help currently available to restore facial appearance and function, Dr. Siemionow plans on performing a bold new procedure: The world’s first full facial transplant.

Download Cleveland Clinic Magazine, Spring 2006

PDF format, 1.9MB, 48Pages.

First, Do No Harm 10
Research is big at Cleveland Clinic. But before any research can begin, it must first be approved by the Clinic’s Institutional Review Board. This 13-member panel is charged with ensuring that people who volunteer for scientific research are respected, informed and protected throughout the research process. Using a rigorous review process, the Institutional Review Board works to protect research participants and, in doing so, protects us all.

Opening Pandora’s Box: A Special Look at Cancer 16
According to mythology, when Pandora opened the box she released into the world innumerable plagues. The box, however, also contained one other element: hope. Researchers in Cleveland Clinic’s new Genomic Medicine Institute are working night and day searching for clues into the causes of cancer – research that will one day lead to new treatments for millions of people with this disease.

Never Too Young: Strokes can happen at any age ... even before birth 24
Adults are not the only ones who can suffer a stroke: children get them, too. In fact, pediatric stroke affects more than six in every 100,000 children yearly, nearly twice the number of children affected by brain tumors. Cleveland Clinic pediatric neurologist Neil Friedman, M.B., Ch.B., says that pediatric stroke is “under-recognized and underdiagnosed,” and he wants that to change.

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U.S.News & World Report has ranked Cleveland Clinic #1 in America for heart care, 13 years in a row.

Care Without Boundaries

Medical centers are typically organized around professional divisions, such as surgery and medicine. These divisions are holdovers from the early days of the medical profession. They represent a physician-focused approach that is no longer in tune with emerging medical practice.

At Cleveland Clinic, we are changing the way we deliver patient care by bringing multiple specialties together into patient-focused institutes. These institutes are based on organ and disease systems. They combine services in a common location and share a common leadership. More than a new name for old departments, institutes are an efficient and more effective approach to patient care.

The advantages of institutes are clear. By bringing services together under one roof, patients have the advantage of remaining in one location for all of their care, including consults, tests and imaging.

Institutes also promote a multidisciplinary approach to medicine. They break down professional divisions and make it easier for medical doctors, surgeons and other specialists to work together. They promote the intellectual cross-pollination that leads to innovation and better patient care.

As the site of clinical research, institutes make it possible for scientific breakthroughs to be quickly and safely translated into new treatments and cures. For our educational programs, they permit greater collaboration by exposing residents and fellows to the full medical and surgical expertise of their specialty in one area.

Examples of these types of organ and disease-based institutes can be found throughout Cleveland Clinic.
They include the:
Heart and Vascular Institute
Glickman Urological Institute
Cole Eye Institute
Head and Neck Institute
Neurological Institute

Each institute combines many departments. For example, the Neurological Institute comprises Neurology, Neurosurgery, Neuroradiology, and Psychiatry and Psychology. The Heart and Vascular Institute includes Cardiovascular Medicine, Thoracic and Cardiovascular Surgery, Vascular Surgery, Vascular Medicine, Cardiac Anesthesia, Cardiac Radiology and Cardiac Pathology. The Urological Institute combines Urology, Nephrology and Dialysis.

Cleveland Clinic has a distinct advantage in the development of institutes. Our group practice model of medicine has always encouraged physician teamwork and collaboration.

The institutes model takes this collaborative effort to a whole new level. We also are a leader in the use of the electronic medical record. Through the EMR, all our physicians have fast, confidential access to the data they need to share advice and provide the most effective care for every patient.

We see this new approach to the organization of patient care as the wave of the future. It may challenge some existing professional boundaries, but we welcome change when change improves care. These institutes will succeed because they are arranged for the health and convenience of patients. They put the patient first. And that is what Cleveland Clinic is all about.

Delos M. Cosgrove, M.D.
CEO and President

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