SHORE Under the expertise of the Clinical and Translational Science Institute (CTSI), the Surgical Health Outcomes & Research Enterprise (SHORE ) is a center designed to develop new and enhance existing research efforts through one integrated, multi-disciplinary program. This Enterprise will identify the most effective ways to organize, manage, finance, and deliver high quality care, while reducing medical errors, controlling costs, and improving patient safety. Within the mission and vision of URMC, lie the goals of the Surgical Health Outcomes and Research Enterprise. These goals are to transform the field of Health Services Research among surgical disciplines in an effort to improve the delivery of clinical care through collaborative comparative effectiveness research efforts and health technology development. In addition, through the development of research expertise a second mission is to establish a financially successful academic program of education, training and research output using novel models of resident education currently being developed within SHORE. The URMC Surgical Health Outcomes and Research Enterprise will achieve Medicine of the Highest Order through the integration of existing resources to create surgical outcomes research sustainability as it translates to clinical care within both the Department of Surgery and across all disciplines of the University of Rochester Medical Center. Integration model – who is SHORE?