How does this work?

Frank has some of the most sharp readers in the blogosphere. That's a given. Based on that, I'd like to understand how this works.

Specifically, how does the pastor effectively minister to a congregation he doesn't know?

As well, how does accountability in a local church work (for church members), in a church where the pastor doesn't know the people, and the people don't know him?

I look forward to your thoughts on this one.