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Please enjoy Harry's conversation with Professor Kate Stevens and Ben Pronk. Kate is a cognitive scientist and Professor in Psychology who’s work investigates humans interacting with each other, their environment, and with technology. Ben is a veteran and former Commanding Officer of Special Air Service (SAS) Regiment and is now the managing partner of Mettle Global. They have a broad ranging discussion on whether or not creativity is more prevalent or necessary in the MCTI community, or is it merely Harry’s recency/confirmation bias. Below are some of the resources mentioned in the episode.
Please enjoy Preston's conversation with Rowdy Muir on the evolution of Wildland Fire.
Rowdy Muir came up through the ranks in the U.S. Forest Service and the Bureau of Land Management and was a District Ranger on the Ashley National Forest in Utah and was an Area Commander on one of three existing Area Command Teams.
Please enjoy Preston's conversation with Command Chief Master Sergeant Greg Smith on the evolution of Special Operations Forces.
Command Chief Master Sergeant Gregory A. Smith is the tenth command senior enlisted leader, U.S. Special Operations Command, MacDill AFB, Florida. He assumed the position on July 11, 2019.
Chief Smith entered the U.S. Air Force in 1990 as an aircraft armament systems specialist. His initial assignment was with the 3246th Test Wing, Eglin Air Force Base, Florida. In 1993, Chief Smith was reassigned to the 355th Fighter Squadron, Eielson Air Force Base, Alaska where he served as a weapons load crew member on A/OA-10 aircraft. He completed multiple deployments to the pacific theater.
Chief Smith was selected for special duty as an AC-130H/U aerial gunner in 1996. He served as lead, instructor and evaluator gunner with the 4th Special Operations Squadron, Hurlburt Field, Florida. He also served as the superintendent of Wing Strategic Plans with the 16th Special Operations Wing. In September 2001, Chief Smith was part of the first team to deploy following the terror attacks on 9/11. He established the first forward operating base and then deployed to Pakistan where he established a joint interagency forward operating location. In 2009, Chief Smith became the first course director and chief of academics for the Joint Special Operations Forces Senior Enlisted Academy.
In June 2012, Chief Smith was selected for command chief master sergeant for the 58th Special Operations Wing where he oversaw the training and readiness for special operations and combat rescue personnel. In 2013, Chief Smith was selected as the command senior enlisted leader for Special Operations Command Europe where he led special operations forces through multiple contingencies in Ukraine, Turkey, and Syria. Chief Smith became the command senior enlisted leader for NATO Special Operations Headquarters in 2015. In this role, he synchronized Allied special operations forces for employment in support of NATO missions across the globe. Chief Smith’s last assignment was the command chief master sergeant, Air Force Special Operations Command.
The DR5 model
In this episode, Dr. Zab Johnson, Dr. Al’ai Alvarez, and Dr Preston Cline will break down the DR5 model using a Trauma Resuscitation scenario.
The DR5 represents the latest version of the original MCTI Learning Diagnostic Tool (The LERP and then the DR4) that was developed through a collaborative inquiry process between the Mission Critical Team Institute, Naval Special Warfare, and the Wharton Neuroscience Initiative (UPENN), to improve the training for hostage rescue teams. This version was specifically developed for use in medical resuscitation. As always, it is designed as a tool to help Instructor Cadre improve performance within immersion events and is currently being utilized by teams worldwide. Initially created to move past the all too common “You Suck! Suck Less!” instructor/student interaction by providing instructors a more precise language to overcome the Tacit Knowledge Transfer Problem [1]. This is the problem that experts face when trying to explain or articulate their expertise (e.g., Having the skill to ride a bike versus explaining that skill to another). Using research from Psychology, Education, and Neuroscience, the DR5 model breaks down the immersion event into 5 distinct areas of Detection, Recognition, Reaction, Response, Reset, and Reflection. While neurologically, these stages do not behave sequentially [2], the model provides Instructor Cadres a mechanism for specificity [3] to diagnose better and mediate learning within and after immersion events.
Guests:
Dr. Elizabeth (Zab) Johnson
Executive Director, Wharton Neuroscience Initiative
Senior Fellow, Wharton Neuroscience Initiative
Elizabeth (Zab) Johnson is the executive director and senior fellow of the Wharton Neuroscience Initiative. Her research focuses on vision and visual behavior. Her work spans physiological approaches in the retina and early visual cortex to using eye tracking to investigate how human observers look and navigate through the world, how these processes unfold over time and with experience, and the role of social cognition and decision making in these processes. She is an expert on color vision. She received her PhD in Neural Science at New York University.
Al'ai Alvarez, MD, FACEP, FAAEM (@alvarezzzy)
Assistant Residency Program Director, Emergency Medicine
Clinical Assistant Professor - Co-Chair, WellMD Physician Wellness Forum
Stanford University School of Medicine
Al'ai is a clinical assistant professor of Emergency Medicine (EM) and an associate residency program director (APD) at the Stanford Emergency Medicine Residency Program. He is the APD for Residency Process Improvement (Quality and Clinical Operations), Recruitment (Diversity), and Well-being (Inclusion). Dr. Alvarez focuses on the intersectionality and interdependence of wellbeing with performance improvement on patient experience, quality and patient safety, diversity, equity and inclusion, and medical education.
Additional Articles
DR5 Model
High Performance Resuscitation Teams
Preston converses with ret. Chief Bob Maynes of FDNY and Chief Dan Oltrogge of Wildland Fire on the Southwest Incident Management Team at 9/11.
Clare Murphy talks with Dr. Martin and Nurse Griffiths about the world of medicine, how the medical community operates under pressure, how the training shapes the doctor, life on deployment, strategies for coping in crisis, and the power of narrative medicine. As well as how the telling of doctors stories supports doctors to stay in the profession.
Reading List:
Atul Gawande, Being Mortal
Henry Marsh, Do No Harm
Christie Watson, The Language of Kindness
Rita Charon, Narrative Medicine
Kathryn Montgomery Hunter, Doctors Stories,
Arthur W Frank, At the Will of the Body
Related Articles
Preventing a Parallel Pandemic
Medical Students Learn to Tell Stories about Their Patients and Themselves
From Doctors Stories to Doctors Stories, and Back Again
NASA Chief Flight Director Holly Ridings' talk with Dr. Preston Cline
Holly Ridings was selected by NASA in 2018 as the first female chief flight director. Holly hails from Amarillo, Texas, and graduated with a Bachelor of Science in mechanical engineering from Texas A&M University. She joined NASA in 1998 as a flight controller in the thermal operations group. She was first selected as a flight director in 2005. Since then, she has served as the lead flight director for several missions including International Space Station mission Expedition 16 in 2007-2008.
Please enjoy Harry's conversation with Dr Deane-Peter Baker, Associate Professor and Co-Convener (w Prof David Kilcullen) of the Future Operations Research Group in the School of Humanities and Social Sciences at the University of New South Wales, Canberra (Australian Defence Force Academy). They have a broad ranging discussion on the morality and ethics related to being in MCTs, including new insights into the ground of moral injury and moral literacy. Below are some of the resources mentioned in the episode.
Please enjoy Preston and Coleman's conversation with NASA astronauts Chris Cassidy and Drew Morgan.
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