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At the 2019 Clinical Research as a Care Option (CRAACO) conference, a panel discussed Barriers Health Systems Face in Integrating Clinical Care & Research, including: Financial barriers – Speaking to administration’s bottom lineHistorical barriers – Who are the key stakeholders that need to be converted into believers of the CRAACO movement?Logistical issues – How can we make study startup a more streamlined process?Culture change – Onboarding an outside group nested into an existing infrastructureDoes adding the offering of clinical trials disrupt the ability of the physicians in the clinics to have appropriate patient flow?How do you offer patients the options of clinical research?Insight from the front line of physicians seeing patients Moderated by: Lora Black, Senior Director of Clinical Research, Sanford Health Systems Panelists:  Greg Burke, MD, MSc, Chief Science Officer, Senior Associate Dean for Research, Wake Forest School of Medicine Adrian Hernandez, MD, MHS, Vice Dean for Clinical Researc