Nov 30, 2019
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.
You can be a “plus one” -- someone who actively adds value -- without behaving like an arrogant person craving significance.
Avoid trying to impress others by showing off.
We learn much through adversity, when things don’t go well.
What we say matters. Critique a behavior, not a person.
The pitfalls of thinking too highly of yourself. [1:48]
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]
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]
What Mccollum looks for in EM residency applicants: people who treat the receptionist or program administrator well. [8:02]
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]
On why the weight and power of ego impairs our ability to learn and harms patients. [11:04]
Sweat the small stuff. [13:03]
The quintessential nature of EM and how they’re similar to flight rules: solving complex problems rapidly with incomplete information. [13:51]
Why we should be using checklists, particularly when we think we don’t have time for them. [14:49]
Even when you follow all the rules, sometimes bad things happen. Perfectionism is not part of the flight rules. [15:51]
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]
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]
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]
Expeditionary behavior is the willingness to endure hardships for the sake of the mission. And why whining poisons the pool. [24:15]
An Astronaut's Guide to Life on Earth by Chris Hadfield