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my name is Jim Schlenker Iamp;#39;m a plastic surgeon at virginia mason i have a specialty in melanoma surgery i think a team approach to medicine isnamp;#39;t a itamp;#39;s not a novel concept I think thatamp;#39;s something that everybody strives for thatamp;#39;s what patients want to see and itamp;#39;s what healthcare providers want to provide and so itamp;#39;s itamp;#39;s itamp;#39;s easy to place like Virginia Mason because we have such strength of colleagues across the Medical Center thereamp;#39;s that drive for everyone to connect and communicate and put together a decent plan for patients but every point of contact with that patient is really critical particularly in cancer care and so being one of those points of contact but having that ease of communicating with all the team members I think thatamp;#39;s invaluable for the patient and for the provider