Toward a Change in Our Work in Surgery: Collaborative Work, Coaching, and Teamwork.

Background: Until now, working with others has been shaped by a style where 1 person made the main decisions at the top of the hierarchical pyramid. These days this one-directional model no longer makes sense. That is why we need to change to a collaborative style. Methods: An overview on the change in our surgical work and definitions on the collaborative work, coaching, and teamwork will be discussed and analyzed. Results and Discussion: The system is defined by the boundaries that we set; they can often be the type of activity to be carried out or the way it is achieved. Collaboration means accompanying processes with a clear idea of what needs to be achieved and what values need to be followed. In work contexts that are globalized, diverse, virtual, and made up of highly educated specialists, isolation and a lack of collaboration are common. We would like to highlight four of them: (1) Signature relationship practices: The importance of building relationships on the basis of "who I am," not "what I am." (2) Ambidextrous leadership: Collaborative work needs to concentrate first on the task and on performing it effectively. (3) Mentoring versus "tit-for-tat culture": Collaborative work helps the design of individual and team identities. (4) Training in relationship skills: for communication and conflict resolution. Conclusions: Working on relationship building conversations generates a systemic view that allows the creation of a communication context that facilitates collaborative work. They are all key skills to achieve a collaborative culture on work.