S5 Ep11 Fostering the Next Generation of Firefighters with Michele Fitzsimmons
“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.
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S5 E10 The Fourth Pillar: Philosophy & Performance
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.
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S5 Ep9 Better Humans, Better Doctors
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.
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S5 Ep8 "The President's been shot." - Shock Trauma with Dr. David Gens
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.
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S5 Ep7 Dr. Jeremy Cannon on Military Medical Readiness and Project 100k
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.
Dr. Preston Cline, Dr. Dan Dworkis, Dr. Art Finch and Harry Moffit of the Mission Critical Team Institute share research and explore the questions vexing the most elite teams in the world, from Special Operations soldiers to Firefighters, from Trauma Medics to Professional Athletes, and from Astronauts to Tactical Law Enforcement.
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