S5 Ep17 Multiprofessional Critical Care

In this episode, our Chief Medical Officer Dan Dworkis works with Alex Hodson, a seasoned critical care physician assistant, to explore the dynamics of high-functioning multi-professional healthcare teams, the training pipeline for APPs, and the importance of feedback and teamwork across disciplines. Gain insights into the challenges and rewards of working in high-stress environments and understand how multidisciplinary and multi-professional collaboration shapes effective patient care.

This week, we’re revisiting a conversation between Preston and Dr. Art Finch, a veteran psychologist from the US Special Operations Command. This episode (previously published in 2020) covers the unique psychological profiles of mission critical teams. Channel a beginner's mind and re-explore why some individuals choose the extraordinary path of high-risk, immersive environments while others opt for more conventional lives. Listen to Art share his experiences and insights from working with special operations units, highlighting the exceptional intelligence, low anxiety, and emotional compartmentalization abilities of operators. Consider the impact of these traits on personal relationships and daily functioning, offering valuable perspectives for both operators and their families, foundational knowledge for the recent Teamcast and accompanying workbook “On Coming Home”. The episode also touches on the challenges of transitioning back to civilian life and the importance of understanding and leveraging one's unique cognitive and emotional strengths.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.

In today’s Teamcast, Harry and Martin Jones discuss the role of psychologists as servants in high-performance environments, the rule of thirds in learning, psychological performance and speed cameras, and how high-quality sleep is still a work in progress and is not the last thing we do at night, but the first thing we do in our day.Martin is a sport and exercise psychologist. He is also a sleep specialist with over 20 years of experience supporting coaches, performance directors, elite athletes, military personnel, business leaders, and recording artists. He holds postgraduate degrees in sport psychology from Loughborough University and sleep medicine from the University of Oxford. Martin has published over 50 peer-reviewed papers and taught at universities in the UK and Canada. He holds an honorary professorial position at Hartbury University and is the creator and co-host of the Optimising Human Performance podcast.Check out Martin’s own podcast – Optimising Human Performance – at https://www.ophp.co.uk/. 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.

Dr. Dan Dworkis and Dr. Art Finch, MCTI's Director of Psychology, discuss the complexities of reintegrating into family life after high-stress, mission-critical work. They introduce 'On Coming Home,' a workbook designed to help both operators and their families navigate the reintegration process. The conversation highlights the importance of patience, gratitude, and understanding that coming home is a process, not an event.Access the On Coming Home workbook here.This episode was published in partnership with The Emergency Mind Podcast. 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.

Today, we welcome Dave Robson, Chief Engineer at Atlassian Williams Racing. Dave shares his extensive career journey spanning 25 years in F1, starting with McLaren and now at Williams. He delves into topics such as leadership, team organization, and the balance between data and intuition in high-pressure environments. The conversation also explores the challenges of training new engineers without traditional test teams, the importance of building intuition, and maintaining high performance under stress. Dave and Harry discuss  the dynamics within racing teams and strategies behind building instinctual decision-making in pit teams, toggling between flat and hierarchical team structures. They talk about the need to build a “war chest” of social capital to spend in the hard time. Dave closes by sharing some of the books that have influenced his career.Dave holds a Master of Engineering from the University of Oxford and has deep experience and expertise in stress analysis, laboratory testing, F1 engineering and racing, as well as how to lead and manage teams in one of the most high-pressure environments in sports.This episode has insight into high performance, engineering, leadership, and the inner workings of teams in demanding environments.Dave’s book recommendations: The Art of Action: How Leaders Close the Gaps between Plans, Actions and Results by Stephen Bungay; Legacy: What the All Blacks Can Teach Us About the Business of Life by James Kerr 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.

Eric Benoit, acute care surgeon at Lahey Hospital, and Andrew Petrosoniak, emergency physician at St. Michael’s Hospital, join Chief Medical Officer Dan Dworkis on the Teamcast to discuss operating with uncertainty in high-stakes medical environments. This episode, released in collaboration with The Emergency Mind podcast, addresses managing risk, performing under pressure, and the importance of decision-making and reflection. Discover how Eric, Andrew, and Dan balance technical skills and knowledge with handling ambiguity in critical situations. Learn valuable insights on improving clinical decision-making, teaching trainees to cope with uncertainty, and operating in highly uncertain environments.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.

“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.