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Peer-Reviewed

Applying Cross-Functional Team Methodology in Healthcare: Critical Considerations from Lived Experience

Stuart L. Douglas, MD, MScQIPS, FRCPC


Christine Majer, RPN


Ben McIsaac, BSc, MSc, MGH


Fissan Lau, RN, BScN, MN, PMP


Nov 14, 2025


Physician Leadership Journal


Volume 12, Issue 6, Pages 34-37


https://doi.org/10.55834/plj.2109593723


Abstract

Cross-functional teams (CFTs), widely used in business and industry, offer a promising yet poorly described model in healthcare for addressing complex, system-level challenges. An overabundance of non-peer-reviewed healthcare literature espouses its impact and broadly describes this methodology.(1,2) Unfortunately, there is a dearth of tangible guidance or reflections after lived experience to inexperienced physician leaders about the effective structure and functioning of such groups.(3) Given that many physicians have limited familiarity with CFTs, this article aims to provide reflective and practical guidance to support physician leaders in creating, joining, navigating, and/or sustaining such teams. Drawing from lessons learned in the implementation of a CFT in a Canadian hospital, key considerations targeting established CFT challenges are specifically stated. This manuscript highlights key operational, relational, and cultural factors that enabled specific team success and offers practical insights for physician leaders seeking to implement CFTs.




Stuart L. Douglas, MD, MScQIPS, FRCPC

Stuart L. Douglas, MD, MScQIPS, FRCPC, is in the Department of Critical Care Medicine, Royal Victoria Regional Health Centre in Ontario, and an assistant professor (adjunct) at Queen’s University.


Christine Majer, RPN
Christine Majer, RPN

Christine Majer, RPN, is with the Royal Victoria Regional Health Centre.


Ben McIsaac, BSc, MSc, MGH
Ben McIsaac, BSc, MSc, MGH

Ben McIsaac, BSc, MSc, MGH, is with the Outpatient Medicine Program, Royal Victoria Regional Health Centre.


Fissan Lau, RN, BScN, MN, PMP
Fissan Lau, RN, BScN, MN, PMP

Fissan Lau, RN, BScN, MN, PMP, is in the Project Management Office, Royal Victoria Regional Health Centre.

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