Postdoctoral Dental Education

Multidisciplinary Team Care

Team Coordination and Leadership

Although one or more individuals may have a formal designation as a group leader, the effective use of resources means that all members need to share responsibility for informal and formal leadership. Because all team members have an investment in seeing the team achieve its goals and objectives, each member has the responsibility to help the team progress.

The functions of leadership are: (Sampson)

 

Shifting Leadership Roles on Teams
Historically, physicians have had the role of team leader in health care settings because of
various factors, including culture, sex, and power; however, an emerging pattern in many
primary care teams demands equal participation and responsibility from all team members with
shifting leadership determined by the nature of the problem to be solved. Even when one team
member, often a physician, has administrative authority over others (e.g., as supervisor),
members of an interdisciplinary team treat one another as colleagues rather than as a single
leader and subordinates. Emphasis by the team on geriatric health care rather than the more
narrow focus of medical care broadens the roles and responsibilities of non-physician care
providers. For example, when a patient’s primary problems are due to an abusive and neglectful
family situation, the social worker may assume the primary leadership role in helping the team
take the allowable actions to improve the patient’s situation.


What Behaviors Do Leaders Exhibit on Teams?
There are different types of key leadership behaviors exhibited by members of a team. Ducanis
and Golin (1978) make the distinction between task-oriented and socioemotional leadership.
The task leader assumes those functions of coordination and planning necessary for task
performance, while the socioemotional leader is responsible for team maintenance activities,
often serving as a mediator and calming force for the group.


Drinka believes that leadership, more than anything else, is about noticing and solving problems
and getting others to follow through or to recognize a leader's direction in solving problems.
Reflecting on 10 years of experience with teams, including studies on leadership in geriatric
interdisciplinary health care teams, Drinka suggests three kinds of tasks: socioemotional, patient
care, and building and maintaining. The more effectively and consistently team members
perform all three types of tasks, the more they are seen as strong leaders on the
interdisciplinary team, whether they were informal or formal leaders (Drinka, personal
communication, March 2000.)

See the followin pdf for a detailed listing of the responsibilities team leaders should assume. Functional Roles of Teams