Teamcast

Diane Malaspina is a psychologist, performance coach, and longtime yoga teacher who specializes in stress and burnout recovery, nervous system regulation, and optimal performance. She coaches frontline medical professionals, military human performance psychologists, executives, and athletes, and has worked extensively with medical students and residents through Arena Labs.

In this conversation with Dan Dworkis, Diane makes the case for a strengths-based approach to burnout: instead of asking what's broken in the 65% of people who report burnout, look at what the 35% who don't are doing right. They cover reframing stress as a challenge rather than a threat, plus...

This week we're recasting Preston's conversation with Dr. Anna Simons from May 2023. Anna retired as a Professor of Defense Analysis at the Naval Postgraduate School. She holds a PhD in Social Anthropology from Harvard University and an A.B. from Harvard College.

She is the author of Networks of Dissolution: Somalia Undone and The Company They Keep: Life Inside the U.S. Army Special Forces. She is also the co-author of The Sovereignty Solution: A Commonsense Approach to Global Security. Her fieldwork began in Somalia in the late 1980s, embedded with a Special Forces mobile training team...

Sara (Mills) Kerr is a firefighter with Fire and Rescue New South Wales and a PhD candidate at the University of Newcastle, researching the trustworthiness of AI-generated information in disaster and emergency management decision-making. Before the fire service, she worked as an e-commerce data analyst, until Australia's 2019/2020 Black Summer bushfires redirected her path. Instead of returning to her normal work, she entered the Emergency Services Academy.

Harry and Sara talk about what fourteen weeks at the Academy built in her, and what it didn't. They get into why "overthinking" is often mislabeled: vigilance is a protective mechanism...

A few years ago, senior FBI SWAT team leader Matt Hoffman called Preston after a fatal operation. To assist the team in working through the loss, Preston and Matt used a process that went beyond the standard after-action review by incorporating narrative inquiry. The goal was to let a fractured team's story come back together before anyone examined what went wrong, rather than extracting lessons first.

Later, Preston worked with Matt and Dr. Angus Fletcher — Professor and Director of the Leadership Initiative at Ohio State's Fisher College of Business — to write up what they learned. Their paper, "A Be...

Christine Stead is the CEO of ELSO: the Extracorporeal Life Support Organization. ELSO is the premier global nonprofit for ECMO and ECLS, connecting providers, researchers, and regulatory agencies across 66 countries and nearly 800 contributing centers worldwide.

Earlier this year, Dan's conversation with Thomas Preston explored trust and communication at the bedside. They discussed what it takes for a single ECMO team to function in a single room under pressure. On this Teamcast, released in collaboration with The Emergency Mind Podcast, Christine joins Dan to talk about how ELSO held the field together during COVID: a live registry built...

This conversation originally aired December 6, 2022.

Dr. Michael Platt is a Professor of Neuroscience, Psychology, and Marketing at the University of Pennsylvania and holds joint appointments at the Perelman School of Medicine, the School of Arts and Sciences, and the Wharton School. He is the founder of the Wharton Neuroscience Initiative and the author of The Leader's Brain.

Preston and Michael work through the neuroscience underneath three questions: Why do emotional interventions sometimes produce learning, and sometimes just produce resentment? What does it actually mean to have a "social brain," and what happens to it when...

We're continuing our conversation on human performance by asking why some performers keep improving under pressure while others hit a ceiling. One of the most powerful answers is curiosity. In this Teamcast, released in partnership with The Emergency Mind Podcast, Dan talks with Marius Aleksa, a performance advisor who has coached elite performers across professional baseball, special operations, medicine, and high-level athletics. Together, they explore how curiosity helps people recognize their strengths, uncover hidden leverage points, and build the kind of solid foundation that supports growth at the edge of their ability.

Andy Walshe has spent his career at the frontier of human performance, from Australia's post-Sydney Games high-performance system, through a decade at Red Bull, to his current work with Liminal Collective across elite sport, government programs, and executive development. His assessment of where the field actually stands: about a ten out of a hundred.

Harry and Andy dig into what that means. They cover the challenge of building operator-centered performance programs inside organizations still stuck on the basics; why character and creativity are the two most important elements most programs underweight; and how the rise of AI...

Six years ago this week, on May 7, 2020, we released our first Teamcast on Residue. In that episode, Preston shared a conversation with Coleman Ruiz on the psychological and emotional substance left behind after choosing the hard path. The episode, and the paper that grew out of it, traveled further than we expected. Eight operators have since told us that paper is the reason they are still here.

In 2018, at a Wounded Warriors event in Alexandria, Tom Hardy introduced the idea of Residue to Preston. Preston then turned to FDNY Chief David Morkal, who pointed him toward Denis...

What do theater, crisis response, military service, and social work have in common? More than you might guess. Adam Milano, faculty at UNC's School of Social Work, a military veteran, and theater-trained performer, joins Dan Dworkis to discuss how high-performance teamwork under pressure looks a lot like ensemble art.

In this episode:

This conversation was released in partnership with The Emergency Mind Podcast an...

Ceci Craft has worked inside two of the most demanding performance cultures in the world — Army Special Operations and Major League Baseball. She's currently the Philadelphia Phillies' Director of Mental Performance, Life Skills, and Education, leading a staff of seven coaches across their MLB affiliates and the organization's academy in the Dominican Republic.

When she made the move from working with Operators to working in baseball, she thought she had her bearings -- "No one's being shot at, and no one's died, so I'm fine." -- It took her a while to recalibrate her perspective from the sp...

To celebrate NASA’s Artemis II test flight, scheduled for launch on Wednesday, April 1st, we're re-casting Preston's conversation with NASA astronaut Reid Wiseman from May 2023. The Artemis II test flight will be crewed by Commander Reid, Pilot Victor Glover, Astronaut Christina Koch, and Canadian Astronaut Jeremy Hansen for the 10-day lunar flyby mission, which will test the Orion spacecraft's life-support systems for the first time with humans aboard.

In this Teamcast episode, originally aired on May 24, 2023, Preston and Reid discuss the transition from extensive training to real operations and why it is inevitably chaotic in mission cr...

This week’s Recast is from Oct 2021. The episode explores how high-pressure performers can train, maintain, and recover their mental skills, with emphasis on using the right tools in the right way and avoiding unqualified “backyard” approaches. Host Harry Moffitt speaks with performance psychologist and cognitive coach Paddy Steinfort, who has worked with elite sports teams like the Philadelphia Eagles, Blue Jays, and 76ers. Paddy draws on his personal athletic experience and his education in psychology to discuss how people can prepare for demanding environments, remain effective when pressure rises, and build sustainable habits over time.

Paddy and Ha...

In this episode of the Teamcast, Dr. Preston Cline and Dr. Art Finch discuss MCTI's most recent paper, “The Fourth Generation of Military Special Operations Selection and Assessment". Thanks to our collaborative inquiry community, we've received feedback and observations from special operations team members across the Five Eyes. Preston and Art reflect on that feedback and contrast the historical “psychological model” with rites-of-passage approaches. They cover the effort to sustain force numbers while still selecting the cognitively diverse candidates teams need. They discuss the balance between tacit knowledge and psychological science, and the need to avoid pendulum swings where either...

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 disperse.

Our recent white paper, The Fourth Generation of Military Special Operations Selection & Assessment, explores this evolution in depth. But six years ago, Pres...

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 navigating crisis moments when seconds matter. Thomas discusses how trust, constant vigilance, and ongoing training form the foundation of successful outcomes in some of me...

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 these conversations.

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 for mission 21 and research on optimizing human performance under pressure.

Preston and Dawn cover an array of topics, including the importance of team cohesion, situational awareness...

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 how the "residue" of our experiences is neither good nor bad, but rather a byproduct that m...

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.

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 operations units, highlighting the exceptional intelligence, low anxiety, and emotional compartmentalization abilities of operators. Consider the impact of these traits on personal relationships and daily fun...

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, military personnel, business leaders, and recording artists. He holds postgraduate degrees in sport psychology from Lo...

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 partnership with The Emergency Mind Podcast. If you find value in this discussion, the best way to support our work and...

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 stress. Dave and Harry discuss  the dynamics within racing teams and strategies behind building instinctual decision-making in pit teams, toggling between flat and hierarchical team structures. They talk a...

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 with handling ambiguity in critical situations. Learn valuable insights on improving clinical decision-making, teaching trainees to cope with uncertainty, and operating in highly uncertain environments.

If you fi...

“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...

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...

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...

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...

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...

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 human-centered approach to human performance. This refreshing perspective is emerging across...

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 of modern education in fostering emotional robustness and concludes with practical advice for leaders on cultivating independent thinking by recognizing and congratulating actions that differ from...

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 merging well-being with achievement for a more fulfilling life, both at work and beyond.

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.

In this exciting episode, we sit down with Chief John Esposito, the Chief of Department for the Fire Department of New York (FDNY). With a remarkable career that began in 1991, Chief Esposito shares his unique insights into leading a storied organization that has been serving New Yorkers for over 160 years.

Join us as we explore the challenges and triumphs of managing an organization with 17,000 employees and a budget exceeding $2 billion, all while navigating the lasting impact of 9/11 two decades later. Chief Esposito delves into the evolution of the FDNY, discussing how the role and character of the...

Have you heard of the White Mouse? Given the codename by the Gestpao in WW2, for her ability to evade capture and wreak havoc behind enemy lines, Nancy Wake was a larger-than-life character, and highly decorated Special Operations Operator. At one time, she topped the Nazi’s most wanted list. She was one of dozens of women who served in the Special Operations Executive during WW2, with distinction. 

Why were we so open about women in Special Operations nearly 100 years ago, but now we are so closed minded, at least it would seem?

...

Join Harry Moffitt as he talks with Dr’s Deane-Peter Baker, Roger Herbert, and David Whetham about their new book The Ethics of Special Ops: Raids, Recoveries, Reconnaissance, and Rebels.

At the end of the Afghan campaign a number of Special Operations units were subject to investigations of alleged war crimes. In response, these three distinguished scholars have written a compelling book, looking at how we might learn the lessons of this time. In this broad ranging discussion, Harry, Deane, Roger, and David cover many related topics, including the ethics of war fighting and why it matters, how to...

Join Harry Moffitt and Simon as they talk about his journey into tactical medicine and TEMS, his military experience, and leadership, teamwork, and navigating uncertainty inside trauma and emergency medicine. They also venture into the mind and trauma voyeurism.

Simon is the Deputy Director of the Trauma Services at The Alfred Hospital in Melbourne, where he practices clinically as an anaesthesiologist and a trauma consultant. His many areas of interest include trauma and health systems, trauma-team-work, austere medical support, prehospital care, and effective leadership in trauma care. He recently completed a study into tactical care in high-threat and...

Chris Warner, Mountaineer, Second American to Summit every 8,000 meter peak

Join Preston Cline as he and Chris Warner talk about his experiences in Mountaineering, in business, and in experiential education. Chris was one of Preston’s first instructors as a wilderness guide in 1989 and their lives have been intertwined ever since.

https://www.outsideonline.com/outdoor-adventure/everest/this-climber-just-became-the-second-american-to-summit-every-8000-meter-peak/

Chief Brian Fennessy of the Orange County Fire Authority joins us to talk about leading and innovating in the face of history, tradition and bureaucracy.
Brian began his career in 1978 with the U.S. Department of Agriculture’s U.S. Forest Service and the U.S. Department of Interior’s Bureau of Land Management, working as a hotshot crewmember, hotshot/helishot/helitack captain and, ultimately, crew superintendent. In 1990, Fennessy joined the San Diego Fire-Rescue Department (SDFD) and, ultimately, became chief of the department in 2015. While he was with the SDFD, he developed and established a fire/rescue/EMS helicopter prog...