Clinical care

Benefits

Pitfalls

Single site of care

Incompatible space/personnel needs

Decreased cost (depends on volume)

Increased cost (depends on volume)

Shared resources (charts, staff, equipment)

Increased complexity of staff function/training

Better communication

Turf wars, politics

Coordinated treatment plan

Broad based patient education

Coordinated follow up

Research

Pooled resources (biostatistical informatics, equipment/reagents, staff, space)

Increased complexities and incompatabilities

Correlations and input across specialities

Scientific disagreements

Enhanced development of evidence for practice and further research

Different “cultures” and educational backgrounds

Cross training/education across disciplines

Politics of different departments and research units

Ability to train clinicians and investigators beyond primary discipline