In a health care setting, individuals from different areas come together to care for patients. Therefore, team building in today’s healthcare environment is important to improve morale and staff retention [3] . Teamwork is vital for large organizations such as the Ford assembly line, and also for large and small medical practices, such as a nurse managed clinic (NMC) [4] . NMCs led by an advanced practice nurse (APN) trained as a nurse practitioner (NP) provide high quality, safe, cost-effective care with a high level of patient satisfaction [56] . A NMC is a great healthcare team that achieves success through the elements of skillful work, shared vision, positive attitudes and respect of each teammate. One challenge for a NP leader at a NMC is making sure everyone believes they are a part of the team and contribute to clinic successes [4] . This paper will discuss teamwork as a practice management issue within a NMC. The review of literature throughout the paper examines the reasons team building is necessary for staff development, the four key areas of high-quality teams, common problems with teams, and possible solutions.