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BBDC Developing a Long-term Vision and Strategy

December 1, 2011

As previously announced, in late August this year the BBDC retained the professional consulting company SECOR to assist in an intensive planning process that will be completed by December 2011.  Dr. Zayna Khayat and Lauren Vandervoort from SECOR performed well over 70 interviews with BBDC members and key stakeholders including: directors of the U of T academic hospital research institutes; the Dean and Vice Dean of Research, Faculty of Medicine, U of T; Ministry of Health personnel and leadership responsible for the Ontario Diabetes Strategy; key diabetes scientists, educators and opinion leaders in Canada; the leadership of ICES and AHRC of the Li Ka Shing Knowledge Institute; Director of the Canadian Diabetes Association; and personnel working on the Diabetes fundraising campaigns on behalf of the Toronto General Foundation and U of T.  They also performed an extensive environmental scan of other academic diabetes institutes and centers across the globe, and drew upon the firm’s extensive experiences working with academic collaborative research enterprises.  The planning process culminated recently in a highly successful, half-day retreat held at the U of T Faculty Club, a retreat designed to develop a shared view of the long-range vision and strategy for the BBDC. The SECOR team met weekly with the BBDC Director to review the ideas, cautionary messages and general comments of the interviewees and together with the very extensive input received at the retreat are in the final stages of developing a long-range vision for the Centre.

The final plan, once approved by the BBDC Executive, will very likely represent a radical expansion of BBDC programs with a bold vision for the future.  We continue to provide assurance that the priority that the BBDC places on supporting the training of under- and postgraduate diabetes scientists will remain our highest priority for use of our presently available funds, which will not be shifted to newer priorities. Any expansion of programs will have to occur with the acquisition of new funding.  We highlight here three of the ~10 ideas that have emerged through this process, and rationale behind those ideas:

  1. We have much to gain from developing research themes and programs, with multidisciplinary clusters of scientists working in close collaboration, and in collaboration with researchers in other disciplines across U of T.  These themes have been identified in the planning process using a set of predefined criteria and based on our existing research strength.  The funding agencies such as CIHR are moving towards an Integrated Knowledge Translation (IKT) approach, CFI grants are awarded to teams working on cutting edge research topics and our fundraising from philanthropic donors and industry is highly dependent on our ability to interest and excite donors with cutting-edge ideas that can make an impact on specific diseases.  It is essential that we organized ourselves into these programs and work together since it will become more and more difficult over time for the 20th century-style ‘independent investigator’ to continue to remain competitive if working in isolation.
  2. Despite the fact that we have some highly successful individual diabetes clinical trialists in Toronto, the BBDC has not traditionally had a strong track record in clinical trials and clinical research.  We are currently punching way below our weight in this important area of research.  Instead of building parallel infrastructure at enormous expense we have the full support of the Li Ka Shing Applied Health Research Centre (AHRC) and the clinical trials platform recently created by our colleagues in the Division of Cardiology at U of T.  With the full support of their leadership, this will allow us to leapfrog over many hurdles, and to much more rapidly become leaders in diabetes clinical trials.
  3. In addition to the research prowess of U of T faculty, our faculty contains some of the finest teachers, educators and innovators in the field of health care policy, knowledge translation and health care delivery.  It will in no way dilute our fundamental research capability for the BBDC to become a Centre for Innovation in Diabetes Disease Care and Education.  In fact we found tremendous enthusiasm amongst our existing membership for expanding our programs in this arena and have already linked up with others in the U of T community who are much more advanced than us in their development of exciting programs in Quality Improvement Science, Global Health, e-Health innovation, Complex Care Innovation and other areas of Knowledge Translation.  The Canadian Diabetes Association is interested in partnering with us in some of these ventures and we will also look outside U of T to partner with others who are working in these areas, such as those at York University and at UWO. There is a big gap in this area to be filled by an academic Centre such as the BBDC.

The above is just an exciting taste of what you are likely to see when we present our more detailed and specific long range vision and plan to you within the next few months.

Sincerely,

Gary Lewis, MD
Director, Banting & Best Diabetes Centre