What does emergency medicine have in common with astronautics? A lot, it turns out. Dan Mccollum and Rob break down the skills learned by International Space Station commander Chris Hadfield as explained in his autobiography An Astronaut's Guide to Life on Earth.
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The pitfalls of thinking too highly of yourself. [1:48]
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On the importance of being a “plus one” and the wisdom of not proclaiming your plus-oneness. “If you’re really a plus one, people will notice”. [2:25]
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Aim to be a zero -- having neutral impact. Observe and learn. Pitch in with the grunt work. Being a zero is a good way to get to plus one.[5:10]
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What Mccollum looks for in EM residency applicants: people who treat the receptionist or program administrator well. [8:02]
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Focus on the simple core things which are most likely to save lives, as opposed to shooting for the stars with cutting edge treatment. [8:50]
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On why the weight and power of ego impairs our ability to learn and harms patients. [11:04]
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Sweat the small stuff. [13:03]
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The quintessential nature of EM and how they’re similar to flight rules: solving complex problems rapidly with incomplete information. [13:51]
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Why we should be using checklists, particularly when we think we don’t have time for them. [14:49]
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Even when you follow all the rules, sometimes bad things happen. Perfectionism is not part of the flight rules. [15:51]
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Why early success is a terrible teacher. If you’ve always been the star and never experienced failure, this can be a barrier to learning. [18:29]
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Jocko Willink video, Good. When bad things happen and you get knocked down, “get up, dust off, reload, recalibrate, re-engage, and go out on the attack”. [20:15]
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When in a position of leadership, be careful with your words. Don’t ridicule. The small things we do or say can have a big impact. [22:02]
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Expeditionary behavior is the willingness to endure hardships for the sake of the mission. And why whining poisons the pool. [24:15]