GCD = global cooldown. Anytime you use an item or cast most spells, it triggers a global cooldown of 1.5 seconds so you can't spam things too fast.
There are basically three ways folks heal in between DPS.
1) Use click healing with the assistance of "click-boxes" or "repeater regions" (whatever fancy schmancy terminology you wanna call it by). This is the new fad and is easier to set up than custom multi-key healing macros.
2) Use custom multi-key healing macros. Example: I use V and G for my main DPS keys but have keys 1-5 set up to heal the tank and each of the 4 party members. Done right, you can even invite other people to the group without having to change macros to heal the party. If you decide you'd like to do this, let me know and I'll expand a bit on the theory for this. It works well but requires some thought and planning.
3) Weave healing spells into your DPS rotation. You'll have to create a "fall-through" macro for this to work well. Here's what I did as one of my options:
Code:
/assist focus
/stopmacro [noharm] [dead]
/castsequence reset=5 flame shock, lava burst, lightning bolt, lightning bolt, lightning bolt, ,,,,, ,,,,,
/cast [@party1] lesser healing wave
Then I just spam that key on all my shammy alts.
For your alts, Party1 will always be the group leader. Party2-4 will be your other alts and @player will be the self-target.
Hope that helps.

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