 Following his arrival, Garbutt restructured training regimes, introduced tactics, and conducted Italy's first ever paid player transfers.This allowed him to transition the side from a semi-professional outfit into a dominant team, and Garbutt captured three Italian league championships during his fifteen-year reign at Genoa.Garbutt would depart to join newly formed Roma in 1927, where he secured a Coppa CONI title, and then moved further south to coach Napoli in 1929.