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Description
Dr. David Hindle, Emergency Medicine, and pre-hospital flight team physician, shares lessons on sustainable performance
01:40 Where David’s curiosity about peak performance and human factors in medicine stems from
- A life of competitive sport
- An appreciation for mental preparation as a means to improve athletic performance
- Why these ideas are of value to medical performers
05:11 Thoughts on why these concepts have not received more attention in the training of medical professionals
- Implications for health, safety, and performance
- Changing perceptions in medicine
11:26 How the pre-hospital flight world embeds mental prep into the training culture
- Comparisons and contrasts to mental prep in Emergency Medicine
- The complexities of sustaining high performance in EM
15:17 Briefing and debriefing in dynamic medical settings
- How valuable it can be to orient focus, communicate a shared mental model, and facilitate initial processing after an event
- Lessons from an elite fighter pilot
- The “micro brief and debrief”
- Briefing within interdisciplinary teams
- Conducting a “mid-crisis review” brief
- Maintaining situational awareness in stressful situations
- Creating a psychologically safe space for team members to share openly
27:58 How basic efforts to build relationships with team members can enhance sharing and safety
- Working with, and working for one another
- Building trust and nurturing “team”
32:16 Giving real-time feedback to team members and learners
- The need for more positive feedback
- From M&M to A&A rounds
- Excellence recognition
40:45 Getting ready to perform
- Preparing in advance: The commute to work and setting the right mindset
- Being aware of the “de-railers and de-stabilizers”
- Visualization and rehearsal
- Recalibrating focus and awareness during a shift
- Being decisive
- Lowering physiological arousal and cueing focus with a key word or phrase
- Steering the inner voice under pressure
- Shrinking big moments down to scale
58:45 Stress inoculation
- Enhancing simulation training
