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PODCAST

Teamcast

Mission Critical Team Institute

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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All Episodes

46:06

S6 Ep4 Swarms, X-Teams, and Routine vs. Critical...

Teamcast ·

2026/02/23

This week’s Recast is from April 2020. Why This Episode Matters Now:In 2022, the war in Ukraine revealed something our partners had been experiencing but we hadn't fully articulated: the traditional model of intact, homogeneous teams wasn't sufficient for the emerging operational environment. Individuals with diverse expertise, geography, language, and allegiances needed to rapidly converge into what we call Tactical Swarms—heterogeneous cross-functional units that form, solve emergent problems, and

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48:03

S6 Ep3 ECMO, Expertise, and Trust

Teamcast ·

2026/02/09

When a patient's heart or lungs fail, ECMO (Extracorporeal Membrane Oxygenation) technology can keep them alive—but only if the team operating it works flawlessly under pressure. In this episode, Thomas Preston draws on over 30 years of experience in cardiopulmonary care to reveal what it takes to manage these life-sustaining systems.This Teamcast episode covers the specialized roles within ECMO teams, the critical relationship between perfusionists and other medical staff, and strategies for

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45:45

S6 Ep2 How Teams Decide in Crisis

Teamcast ·

2026/01/26

What happens when life-and-death decisions must be made by a team rather than an individual? In this episode, Dr. Mark Ramzy — cardiothoracic intensivist, emergency physician, and Co-Editor-in-Chief of REBEL EM — joins Dan to explore how teams think, decide, and act under pressure inside the ICU.If you value this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear

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01:25:03

S6 Ep1 Team Cohesion in Extreme Environments with Dr....

Teamcast ·

2026/01/12

In this episode, Preston discusses mission critical teams with Dr. Dawn Kernagis, the Scientific Director at DEEP. DEEP is an extreme environment technology and exploration organization with a mission to "Make Humans Aquatic." They explore the complexities and dynamics of individuals and teams working in undersea habitats and submersible systems. Dawn shares insights from her extensive experience, including participation in NASA's Extreme Environment Mission Operation (NEMO) project as a crew member

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01:02:00

S5 Ep18 Residue (Recast)

Teamcast ·

2025/12/29

This week’s episode is a Recast as we review a fundamental conversation between Preston and Coleman Ruiz (MCTI’s co-founder and former Director of Performance) on the concept of "Residue"—the psychological and emotional substance left behind after immersion in high-stakes environments.As we approach the end of the year, we are revisiting this episode to help our listeners navigate the transition from one year to the next and to continue or begin a ritual of reflection. Coleman and Preston explore

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48:47

S5 Ep17 Multiprofessional Critical Care

Teamcast ·

2025/12/15

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.

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01:08:22

S5 Ep16 The Psychological Profile of an Operator with...

Teamcast ·

2025/11/17

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

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01:15:31

S5 Ep15 Harnessing Stress & Sleep with Martin Jones

Teamcast ·

2025/11/03

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,

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40:43

S5 Ep14 On Coming Home with Dr. Art Finch

Teamcast ·

2025/10/20

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

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01:06:00

S5 Ep13 From Data to Decision: Williams Racing's Dave...

Teamcast ·

2025/10/06

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

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47:09

S5 Ep12 Working with Irreducible Uncertainty

Teamcast ·

2025/09/22

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

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01:08:19

Fostering the Next Generation of Firefighters with...

Teamcast ·

2025/09/08

“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

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01:23:35

The Fourth Pillar: Philosophy & Performance

Teamcast ·

2025/08/25

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,

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48:46

S5 Ep9 Better Humans, Better Doctors

Teamcast ·

2025/07/28

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

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54:43

S5 Ep8 "The President's been shot." - Shock Trauma...

Teamcast ·

2025/07/14

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

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46:28

S5 Ep7 Dr. Jeremy Cannon on Military Medical...

Teamcast ·

2025/06/30

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

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01:08:30

Strength, Conditioning, and The Philosophy Booth with...

Teamcast ·

2025/06/16

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

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01:10:46

S5 Ep5 Dr. Angus Fletcher and the Extraordinary World

Teamcast ·

2025/06/02

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

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54:15

S5 Ep4 Rehumanizing Human Performance with Gloria Park

Teamcast ·

2025/05/19

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

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01:15:47

S5 Ep3 Eric Karp: From NSW to Axiom Space and the...

Teamcast ·

2025/05/05

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.

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66 results

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