If your practice has gossip in the hallways, silent meetings, and staff who nod along but never follow through — that dysfunction is costing you real revenue in turnover, inefficiencies, and broken workflows nobody wants to fix. WHAT WE COVER *The 5 dysfunctions of a team (based on Patrick Lencioni's framework) and how each one shows up specifically in independent medical practices *Why absence of trust is the root cause — and how leaders have to go first to build a culture where staff can admit mistakes, ask for help, and flag broken processes *How fear of conflict creates artificial silence in meetings while the real conversations happen in the break room — and what to do instead *Why lack of commitment and avoidance of peer accountability are the hidden drivers behind unsigned charts, eligibility errors, and billing delays that drag down collections *How to shift your team from individual goals to a single shared scoreboard — so your front desk, billing team, and providers are all moving in the same direction