Skip to content
  • About
  • Contact
  • Contribute
  • Book
  • Careers
  • Podcast
  • Recommended
  • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
KevinMD
  • All
  • Physician
  • Practice
  • Policy
  • Finance
  • Conditions
  • .edu
  • Patient
  • Meds
  • Tech
  • Social
  • Video
    • All
    • Physician
    • Practice
    • Policy
    • Finance
    • Conditions
    • .edu
    • Patient
    • Meds
    • Tech
    • Social
    • Video
    • About
    • Contact
    • Contribute
    • Book
    • Careers
    • Podcast
    • Recommended
    • Speaking
  • About KevinMD | Kevin Pho, MD
  • Be heard on social media’s leading physician voice
  • Contact Kevin
  • Discounted enhanced author page
  • DMCA Policy
  • Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices
  • Group vs. individual disability insurance for doctors: pros and cons
  • KevinMD influencer opportunities
  • Opinion and commentary by KevinMD
  • Physician burnout speakers to keynote your conference
  • Physician Coaching by KevinMD
  • Physician keynote speaker: Kevin Pho, MD
  • Physician Speaking by KevinMD: a boutique speakers bureau
  • Primary care physician in Nashua, NH | Doctor accepting new patients
  • Privacy Policy
  • Recommended services by KevinMD
  • Terms of Use Agreement
  • Thank you for subscribing to KevinMD
  • Thank you for upgrading to the KevinMD enhanced author page
  • The biggest mistake doctors make when purchasing disability insurance
  • The doctor’s guide to disability insurance: short-term vs. long-term
  • The KevinMD ToolKit
  • Upgrade to the KevinMD enhanced author page
  • Why own-occupation disability insurance is a must for doctors

Medicine then and now: The importance of team

Greg Smith, MD
Physician
November 21, 2013
Share
Tweet
Share

I have been visiting different sites and having staff meetings with different groups of clinicians since I came back to my psychiatric services chief job recently. I have noticed something that is very important to the smooth operation of a mental health center, and most likely any health care facility you might look at.

In order to do the best job possible and help the most people who need us, we must work as a team.

Now, when I trained back in the mid-1980s, the physician was still the head of most teams. He (or she) sat at the head of the table, set the agenda, and ran the meeting. The physician set the tone for what was important, what cases would be presented and what topics of discussion would receive the most time and attention. He would dictate to the social workers and nurses and therapeutic assistants what was important to get done that day, what jobs were assigned to whom, and other details of how the day would go for everybody. The whole process was physician driven.

Not so today.

Yes, I still sat at the head of the table at one of our clinical staffings today, but I did not run the meeting. I asked questions, listened to cases being presented, offered guidance where I thought it was needed or appropriate, and used anecdotes or examples to try to get my point across when I thought a certain point needed to be made.

The thing that really hit home for me today was that I was truly an “old dog” in a room full of young, energetic, talented, well-trained clinicians who were in various stages of orientation, training and clinical work in that unit. It was energizing to both try to teach them some things that I have learned over the last three decades, but also to listen to them and their fresh perspectives on current mental health problems, presentations and needs.

I am learning all over again that we all have areas of expertise, things that we like and don’t like to deal with, work flows that we have worked out for ourselves and that flow smoothly for us, and tips and tricks to share with others. We have knowledge that can be pooled with the knowledge of others, making the one cohesive unit much stronger and helpful than just a loose confederation of people who are trying to get things done on their own.

In other words, we need to make sure our data is accessible to others and is usable. We need to connect. We are much more effective as a team than we are as lone wolves.

Greg Smith is a psychiatrist who blogs at gregsmithmd.

Prev

Watson and Siri: The David and Goliath in health care delivery

November 21, 2013 Kevin 1
…
Next

Incorporating patient preferences into evidence based medicine

November 21, 2013 Kevin 5
…

Tagged as: Psychiatry

< Previous Post
Watson and Siri: The David and Goliath in health care delivery
Next Post >
Incorporating patient preferences into evidence based medicine

ADVERTISEMENT

More by Greg Smith, MD

  • Finding peace after years of abuse: a journey through grief

    Greg Smith, MD
  • What would you save if your house was on fire?

    Greg Smith, MD
  • Lessons learned in psychiatry: How experience shapes your career

    Greg Smith, MD

More in Physician

  • Rural maternity care in crisis: 5 solutions to save local OB units

    Jesus Ruiz, MD
  • Bipolar I and the illusion of insight: a firsthand account

    Tommy Saborido, MD
  • The hidden toll of physician regulatory investigations

    Jean Paul Brutus, MD
  • Learned helplessness and self-efficacy in tobacco treatment

    Edward Anselm, MD
  • Why doctors struggle with health care system delays

    Kayvan Haddadan, MD
  • Physician mental health and suicide prevention: stories of survival

    Michael F. Myers, MD
  • Most Popular

  • Past Week

    • Opt-in vs. opt-out: How defaults shape organ donation rates

      Anvit Divekar | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • Physician burnout and gaming: Why doctors turn to video games

      Gerald Kuo | Tech
    • The hidden cost of medical board regulation and prosecutorial overreach

      Kayvan Haddadan, MD | Physician
    • Reflection vs. rumination: Is medical education harming students?

      Vijay Rajput, MD and Seeth Vivek, MD | Education
    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
  • Recent Posts

    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
    • Bipolar I and the illusion of insight: a firsthand account

      Tommy Saborido, MD | Physician
    • AI in health care data management: Curing the EHR overload

      Hamad Husainy, DO | Tech
    • The hidden toll of physician regulatory investigations

      Jean Paul Brutus, MD | Physician
    • Physician father wrestles with daughter’s post-Dobbs future [PODCAST]

      The Podcast by KevinMD | Podcast
    • Physician tax strategies: Why your tax bill is so high and how to fix it

      Logan Foltz, MD | Finance

Subscribe to KevinMD and never miss a story!

Get free updates delivered free to your inbox.


Find jobs at
Careers by KevinMD.com

Search thousands of physician, PA, NP, and CRNA jobs now.

Learn more

View 1 Comments >

Founded in 2004 by Kevin Pho, MD, KevinMD.com is the web’s leading platform where physicians, advanced practitioners, nurses, medical students, and patients share their insight and tell their stories.

Social

  • Like on Facebook
  • Follow on Twitter
  • Connect on Linkedin
  • Subscribe on Youtube
  • Instagram

ADVERTISEMENT

  • Most Popular

  • Past Week

    • Opt-in vs. opt-out: How defaults shape organ donation rates

      Anvit Divekar | Conditions
    • From Singapore to Canada: a blueprint for primary care transformation

      Ivy Oandasan, MD | Policy
    • Physician burnout and gaming: Why doctors turn to video games

      Gerald Kuo | Tech
    • The hidden cost of medical board regulation and prosecutorial overreach

      Kayvan Haddadan, MD | Physician
    • Reflection vs. rumination: Is medical education harming students?

      Vijay Rajput, MD and Seeth Vivek, MD | Education
    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
  • Past 6 Months

    • Missed diagnosis visceral leishmaniasis: a tragedy of note bloat

      Arthur Lazarus, MD, MBA | Conditions
    • Health care as a human right vs. commodity: Resolving the paradox

      Timothy Lesaca, MD | Physician
    • The American Board of Internal Medicine maintenance of certification lawsuit: What physicians need to know

      Brian Hudes, MD | Physician
    • Why voicemail in outpatient care is failing patients and staff

      Dan Ouellet | Tech
    • U.S. opioid policy history: How politics replaced science in pain care

      Richard A. Lawhern, PhD & Stephen E. Nadeau, MD | Meds
    • The hidden costs of the physician non-clinical career transition

      Carlos N. Hernandez-Torres, MD | Physician
  • Recent Posts

    • Rural maternity care in crisis: 5 solutions to save local OB units

      Jesus Ruiz, MD | Physician
    • Bipolar I and the illusion of insight: a firsthand account

      Tommy Saborido, MD | Physician
    • AI in health care data management: Curing the EHR overload

      Hamad Husainy, DO | Tech
    • The hidden toll of physician regulatory investigations

      Jean Paul Brutus, MD | Physician
    • Physician father wrestles with daughter’s post-Dobbs future [PODCAST]

      The Podcast by KevinMD | Podcast
    • Physician tax strategies: Why your tax bill is so high and how to fix it

      Logan Foltz, MD | Finance

MedPage Today Professional

An Everyday Health Property Medpage Today

Copyright © 2026 KevinMD.com | Powered by Astra WordPress Theme

  • Terms of Use | Disclaimer
  • Privacy Policy
  • DMCA Policy
All Content © KevinMD, LLC
Site by Outthink Group

Medicine then and now: The importance of team
1 comments

Comments are moderated before they are published. Please read the comment policy.

Loading Comments...