In 2018, Salas et al. (2018b) offered ten observations on the science of teams in healthcare. This perspective article offers a quick update, providing a new set of observations based on the latest findings. As a point-of-departure for these observations, we use one of medicine's most cited culprits of error: communication (see Table 1* for a complete list of articles discussing communication; see also Etherington et al., 2019;Street Jr. et al., 2020;Tiwary et al., 2019) -and our belief that while important, a sole focus on it fails to take a holistic approach.Upon surveying recent literature (i.e., 2018 -2023), we found that 89% of articles discuss communication in some way, and 28% mention communication as one of the leading causes of medical error (i.e., Chamberland et al., 2018;* Real et al., 2018;* Seidlein et al., 2022;* Wu et al., 2020). However, in the following piece, our stance is that despite communication having been repeatedly cited as "the" medical culprit, it may not be the source of all contention (Clapper & Ching, 2020). More recent findings identify other challenges, such as accountability (e.g., Randall Curtis et al., 2018), conflict management (e.g., Bajwa et al., 2020;* Keller et al., 2019*), decision-making (e.g., Papermaster & Champion, 2021*), reflecting on progress, and coaching as the primary challenges healthcare teams face (Zajac et al., 2021). Moreover, communication is a multi-faceted competency that also requires a holistic view.In our review...