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‘‘Big [changes] demand cooperation. Inspection, standardization, the right incentive, the proper teaching, the least fatigue, the greatest welfare. We shall submit our work to measurement and act on the results.’’In 1915, Frank Gilbreth 1 introduced the engineering concept of motion economy to health care, urging hospitals to maximize utility and efficiency. Today more than ever, we appreciate that perfect surgical outcomes are critically dependent on optimal perioperative care. Here we advocate that best economy of motion in the cardiothoracic intensive care unit (CTICU) is critically dependent on multidisciplinary teams functioning as a single unit to uphold the standards of care for a dynamically changing patient. To provide an understanding of the challenge from the perspective of a junior integrated cardiothoracic surgery resident, this article is written from the viewpoint of the junior author (JNM). As an integrated …