Findings -While on the surface an egalitarian and consensus based model, it nevertheless risks reinforcing a gendered hierarchical order. The explicit emphasis on social competencies, on being collaborative and amenable to change risks, paradoxically, disfavoring women. A major reason is that control becomes more opaque, which favors those already in power.Practical implications -The article calls for researchers as well as practitioners to incorporate concerns of equality in the work place when introducing new work practices in health care. For research, we propose a useful theoretical framework for empirical research.For practice, the article calls for more transparent conditions for multi-professional collaboration, such as formalized merit and advancement systems, precisely formulated performance expectations and selection of team members based strictly on formal merits.Originality/value -A gender analysis of a seemingly anti-hierarchical management model is an original contribution, adding to the literature on Clinical Microsystem in particular but also to critical studies on New Public Management. Moreover, it has a valuable practical contribution in suggesting ways of avoiding the reproduction of gender inequalities otherwise implied in the model.