S5 E10 The Fourth Pillar: Philosophy & Performance

“Find those people who are your allies, have confidence in yourself, have confidence in your competence.”This episode features an in-depth conversation with FDNY Deputy Chief Michele Fitzsimmons, who shares her career journey and discusses the evolution of the department. Michele shares her journey from working with HIV/AIDS patients to becoming a firefighter and eventually rising through the ranks to Deputy Chief. Preston and Michele discuss the critical role of trust, teamwork, and communication in mission-critical situations, as well as the fundamental changes that followed the events of 9/11. Michele offers valuable insights into the significance of training and communal meals, as well as the evolving safety protocols for modern firefighters. This episode is an inspiring look into the life and career of a dedicated leader who has helped shape the future of fire service. If you find value in this discussion, the best way to support our work and stay up-to-date with future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

After a brief summer break, The Teamcast is back! In this episode, Preston sits down with Harry for a deep dive into the philosophy of high performance, resilience, and the human psyche. They explore a range of topics, from the role of Stoicism in modern life and the journey from a military mindset to psychology, to the concept of adaptive learning and the importance of social connections for team performance. Harry also reminisces about his time in the military, his influential travel experiences, and his involvement with the special operations punk rock band, The Externals. The episode ties practical insights with deep philosophical reflections tailored for individuals in mission critical teams. Check out these moments for specifics. 00:47 Harry & Preston meeting at Fort Bragg + Human Performance07:36 Transitioning to Psychology09:23 The Importance of Philosophy and Ethics33:04 The Praxis of Wisdom39:54 The Importance of Social Connections40:48 The Role of Debriefing in Performance48:04 The Wild West of Human Performance57:47 Training Intelligence and Adaptive Learning01:16:45 The Power of Reflection and Mind WanderingIf you find value in this discussion, the best way to support our work and stay up-to-date with future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

In this episode, Chief Medical Officer Dan Dworkis interviews Dr. Sean Griffiths, who shares his experiences and insights from his training and career in emergency medicine, both within the United States Air Force and civilian practice. The two talk through the stark differences between various emergency care environments, the importance of leadership, and the challenges of preparing for high-stakes medical emergencies in diverse settings. Dr. Griffiths emphasizes the significance of character in medical training and offers practical advice on creating a thriving medical team culture. This episode is ideal for anyone passionate about improving emergency care and leadership in healthcare.If you find value in this discussion, the best way to support our work and ensure you don't miss future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

This week's episode features Preston's conversation with Dr. David Gens, who is best known as the trauma surgeon who treated Ronald Reagan after he was shot in 1981. Dr. Gens remains an attending surgeon at Shock Trauma and is also one of the most influential trauma resident educators worldwide.[10:25] Residue, Acute Stress, & Long-term Stress - Dr. Gens gives his experience with managing stress and residue. "I slept in the dialysis unit, and it finally dawned on me - this is an international event." [17:25] Working with the First Family in the aftermath of the shooting[31:40] Tacit Knowledge Transfer - Dr. Gens covers how he knows a learner is gaining or has gained tacit knowledge and what instructions he gives to support them in the moment. Dr. Gens is a respected leader who has made significant improvements in trauma and critical care medicine, ultimately enhancing the lives of many patients. He's known for his commitment to top-notch patient care, considerable research, and thorough training of future trauma experts. His teaching covers a wide range of crucial topics, from basic anatomy to the full scope of trauma patient evaluation and treatment.Want to learn more about Dr. Gens? Read the Washingtonian's minute-by-minute account of the actions after President Reagan was shot on March 30, 1981. Watch a video tribute from MedSchool Maryland Productions. The video, featuring narration by Dr. Thomas Scalea, includes praise from faculty, students, and colleagues.

On this episode, initially released in March 2025 as a collaboration with The Emergency Mind Podcast, Chief Medical Officer Dan Dworkis speaks with Dr. Jeremy Cannon. They delve deeply into military medical readiness and the intriguing concept of the "peacetime effect”. Whether you're in the military or a civilian, you'll gain insights into optimizing medical readiness and saving lives on and off the battlefield.Dr. Cannon is a Professor of Surgery at the University of Pennsylvania, where he champions the Penn Medicine-US Navy Trauma Training Partnership. A graduate of the US Air Force Academy and Harvard Medical School, Dr. Cannon also holds a Master of Science in Mechanical Engineering from MIT. He's a former President of the Excelsior Surgical Society and edited the 2024 Edition of Edward D. Churchill's Surgeon to Soldiers. Currently, he's a Veteran Fellow at the Hoover Institution, Stanford University, focusing on military health policy.Listen and explore the steep learning curves experienced in past conflicts and why it's so crucial to maintain and improve readiness in military medical systems. This conversation covers the necessity of military-civilian partnerships, the evolution of trauma care, and the critical need for effective policy.

This Teamcast episode is brought to you by Harry Moffitt, MCTI Director for Australia and New Zealand. During the last NFL season, Harry had the opportunity to speak with Will Greenberg, the Buffalo Bills' Head of Performance and Strength and Conditioning (S&C). Will is a wonderful human being and a great friend of the MCTI community. He describes his journey through baseball, his passion for S&C, and the positions he held prior to the Bills, from West Point to Utah State.Will has a human-centered approach to human performance. This refreshing perspective is emerging across the field and counters the approach that can overweight outcomes and treat humans as resources to be deployed for wins, profit, and utilization. Listen to Harry & Will discuss programming now and how it might be decentralized, more multidisciplinary, and less wedded to the scientists in the future. They also cover how science and scientists, though critical to the operator, should always aid a good program, never control it, and the importance of ‘struggle’ in the gym, and the concept of flow, although not as something we must conjure up, but rather as something we are always in and must fight to return to consistently. They explore the role (and reemergence) of philosophical conditioning in humans and its implications for performance as Will shares a fantastic story of "The Philosophy Booth".In a tough industry – to insiders, NFL stands for Not For Long – Will provides a uniquely relaxed perspective, with many implications for MCTs.

In this episode of The Teamcast, Dr. Angus Fletcher joins Preston Cline to discuss the crucial role of "productive discomfort" and honesty in personal and professional growth. They explore how embracing emotional challenges, rather than shielding individuals from them, is vital for true learning and resilience. Angus describes his concept of "story thinking," emphasizing the brain's natural inclination to process experiences through narrative and emotion. The conversation touches on the shortcomings of modern education in fostering emotional robustness and concludes with practical advice for leaders on cultivating independent thinking by recognizing and congratulating actions that differ from their own.Dr. Angus Fletcher is a professor and practitioner of Story Science at Project Narrative at The Ohio State University. He holds degrees in neuroscience and literature. His research, which employs a mix of laboratory experiments, literary history, and rhetorical theory, explores how literature, art, and stories can cultivate emotional resilience, creativity, and common sense. He is the author of Wonderworks (2021), Storythinking (2023), and Primal Intelligence (2025), among other books. His work explores why children are more creative than computer AI and aims to understand how narrative can be leveraged to enhance innovation, resilience, and joy. His academic publications can be found in journals like Narrative, Annals of the New York Academy of Sciences, and Harvard Business Review.Check out Angus's work here: https://www.angusfletcher.co/

In this week's episode, MCTI's Chief Medical Officer, Dan Dworkis, interviews Gloria Park. Gloria is a specialist in sports performance and positive psychology. She shares her unique path from competitive figure skating to optimizing human performance, highlighting the critical roles of emotions, stress management, and social dynamics. She also explores the specific challenges and approaches for improving performance in demanding environments, such as the military. Listen in for practical advice on merging well-being with achievement for a more fulfilling life, both at work and beyond.

In this episode, we sit down with Eric Karp, former Naval Special Warfare operator and a pivotal contributor to the evolution of MCTI Research. Eric played a central role in the development and refinement of the DR5 model, a framework for thriving under pressure and uncertainty. Now with Axiom Space, Eric shares his insights on cultivating human potential and preparing individuals to navigate complexity and change.

In this exciting episode, we sit down with Chief John Esposito, the Chief of Department for the Fire Department of New York (FDNY). With a remarkable career that began in 1991, Chief Esposito shares his unique insights into leading a storied organization that has been serving New Yorkers for over 160 years. Join us as we explore the challenges and triumphs of managing an organization with 17,000 employees and a budget exceeding $2 billion, all while navigating the lasting impact of 9/11 two decades later. Chief Esposito delves into the evolution of the FDNY, discussing how the role and character of the FDNY probie have changed—and yet, in many ways, remain steadfast. Tune in for a compelling conversation that highlights the resilience, dedication, and pride of those who serve in an iconic fire department.