Real teams are the antidote to the chaos of modern medicine. “Real teams know each other, feel loyalty to one another, trust one another, and would not want to disappoint one another” (Tom Lee, NEJM Catalyst 2016). Practicing are conversations between real team members about why the work matters. Our goal is to preserve and share the stories of the teams at University of Utah Healthcare.

Lawrence Marsco, Director of Inpatient Nursing at Huntsman Cancer Hospital, shares this candid reflection about his tumultuous journey in health care. Today, he relies on shared governance, transparency and shared decision making to lead others through their journey.

Sarah Sherer is the Director of Employee Relations. We know her as the sounding board, place of last resort and coach for leaders throughout the organization. We asked her to share her wisdom on engaging employees of different ages. What she said might surprise you.

Not even the most gifted leader can lead change alone. No one person can come up with the strategy, communicate across the organization, eliminate all the barriers, and manage dozens of change initiatives. In order for transformation to succeed, you need a guiding coalition.

With so few organs available for transplant, living-donor transplantation introduces improved organ quality, reduced wait times, predictable scheduling, and reduced risk of rejection. But it isn't easy—the investment and risks are huge. Robin Kim, University of Utah Transplant Division Chief, shares his commitment and the complexity of his practice.

Practicing are recorded conversations with a colleague that are shared with the organization. They are conversations between real team members about why the work matters.