After reading the chapter on
organizing teams I was able to learn a lot about the importance of a functional
team and how its structure can lead to its success. When thinking of a successfully functioning
team, the first one that comes to mind is one from my favorite television
show. In the program Greys Anatomy, the
story of several young surgical interns is followed as they make their way from
first year interns to full time residents.
Throughout the twelve seasons, Meredith Grey (the lead character) and
the other employees of Seattle Grace undergo several leadership shifts and
changes, all for the betterment of the organization. Because the series is so extensive, and
throughout the program there are so many leadership changes and restructuring,
I will be evaluating the first season to make it a little less confusing.
To begin, the hierarchy of the
hospital, specifically the surgical department, is set up in a dual authority
configuration. With this system, there
is one head boss who is in charge of department heads. These department heads have a collection of
employees below them and the flow continues from there. With the hierarchy of Seattle Grace, there is
a chief of surgery (Richard Weber), who is responsible for the entire surgical
department at the hospital. He is the
one who hires interns and promotes the residents. It is his job to more or less ensure that the
surgical department is running smoothly.
He is the one who schedules all the surgeries. The interns see and respect him, but for the
most part, they do not deal directly with Weber. From there, Weber dictates to the department
heads. The departments are broken down by category of surgical need, such as
head of cardio and head of neurology.
These department heads are responsible for surgeries in specialized
fields. Derek Shepherd (head of
neurology), only receives cases that are specific to issues with the
brain. The same goes for the rest of the
department heads. The next level gets a
little tricky. The interns are the
lowest level on the hierarchy. They are
brand new to medicine and have little experience. This is Meredith’s position. What gets complicated is that the interns
rotate from department to department each week.
This allows them to get trained in every specialty. The interns take on an all channel, or
interconnected network under the department level. At any one time, the department heads are
working with three to four interns at one time.
This leadership structure works
well in the context of the show. Department
heads answer to the chief which prevents some of the power struggles that come
up from becoming an issue. In many
instances of the show, multiple department heads are called in for the same
patient, and they each believe what they are doing is the priority. It is Weber
who makes the final call on which doctor’s method of treatment will be
used. Also, the all channel network of
organization among the interns is beneficial as well. While having no set leader at the intern
level might seem bad for organization, the interns need to constantly be
working with a new department head in order to get a well-rounded
education. In the long run, they benefit
from working with a rotating leadership.
However, there are cases of conflict that arises from this type of hierarchy. For several characters, personality
differences prevent interns from receiving a full education from department
heads. This is the fault of the
department head for playing favoritism on specific interns. In a real, functioning hospital, this could
create a problem in that if a department head was doing that, one intern would
have a poorer education in that specialty which could result in casualty.