Another skill required of medical social workers is the ability to work cooperatively with other members of the multidisciplinary treatment team who are directly involved in the patient's care. It is also the responsibility of the Medical Social Worker to manage any dispute in the multidisciplinary team. Medical social workers also need to have good analytical and excellent assessment skills, an ability to communicate the medical language (physiology of the disease and the types of treatment offered) with both patients and the family is necessary, and an ability to quickly and effectively establish a therapeutic relationship with patients. But of paramount importance, medical social workers must be willing to act as advocates for the patients, especially in situations where the medical social worker has identified problems that may compromise the well-being of patient or in any distress in the discharge process that might put the patient at risk. An understanding between "advocacy and collaboration" & "loyalty to the patient and the institution" is important for a hospital social worker.