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... If you want to get hectic about it and make it stressful, then you need to overheal people. When you get someone to max overheal, swap targets. It's possible to keep up to 4 or so people fully overhealed if they're squadded up and the Medic in question is maintaining the buff.
You also want to ensure you don't die. That's the most important thing for a Medic. You must develop a "Sixth sense" and know when to fall back. You cannot save everyone. But you can ensure the next push coming from spawn is fully overhealed and has an ubercharge ready to go....
... But again, just have fun. The better mood that you're in as the team's healer, the better the mood everyone else will be in, because you're just gonna zoom from player to player, healing and overhealing. Saving lives and stopping tries.
Baby, it's the best class in the game, I think I want to play now....
I swapped to sniper after a decade's TF2 break and applied jittery movement there as well. Feels good to get across open sightlines and hear enemy shots miss nearby lol
Learn what to prioritize: you want to keep the power classes (Demoman, Soldier, and Heavy) alive and topped off to keep filling uber whilst keeping them in the fight to pressure the enemy. Aside from that, topping off and healing other medics to keep the rest of your team alive is great as well. If there's nothing else to heal, just latch onto anyone until a power class shows up, but don't neglect teammates who're in critical condition if you can help it.
Play around cover. Your beam will break as soon as line of sight is broken, or your patient is too far. Let your patient walk first, and watch your back, as the beam won't break if you're looking away from your patient. Your a BIG target for everyone, especially Spies. If things are getting dicey and your patient overextends or you're caught out, don't be afraid to run away and bail. Hell, you can even use your ubercharge to save you if you need that to. Remember: pop it, don't drop it.
Aside from that, some little fun facts that'll help you out if you don't know them already!
Crusader's Crossbow bolts won't heal disguised spies. If you don't see the heal number come up, that's an enemy Spy. 1000%.
Crusader's Crossbow bypasses the healing penalty on wearer for weapons like the Backscratcher and Escape Plan. Use this if they can't switch in time for burst healing to save them, or use the slower healing rate to your advantage to build up uber quicker.
That aside, I hope this helps. I'm no Medic main or professional of any kind, but what I've said has helped me when a team's needed one.
Don't take offense if another Medic shows up. Don't get territorial about it. Don't be upset if they take your target, go and find another, but overheal that Medic first, because they're the Medic the enemy team is gonna attack first as they push.
Someone give them a primer on pocketing. It's how you make max scores when you find your heavy boyfriend.
Medics are actually quite rare, and having one who just heals everyone without doing crazy uber clip pushes and insane solo kills is already making a huge favor for your team
most players are going to notice but not say anything and just ignore the salty player who likely made themselves hard to heal by being out of range, calling medic when they had critical health already, or by not facilitating healing by running in front of the medic or just finding a healthpack / dispenser on their own
Run Think Heal SURVIVE. Pop it don't drop it. always use uber if you are about to die. preferably earlier.