Afleveringen
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Today’s guest is Dr. Dan Buckland — an emergency physician and Associate Professor of Emergency Medicine & Mechanical Engineering at the University of Wisconsin, Madison, and one of the leading thinkers at the intersection of human performance, medical risk, and space exploration. He has served as the Deputy Human System Risk Manager at NASA, helping shape how we keep astronauts healthy and safe on long‑duration missions. Dr Buckland is also a researcher in autonomy, robotics, and human‑factors engineering, bringing systems thinking from aerospace into the emergency department. Few people understand high‑stakes decision‑making — on Earth and Beyond! — the way he does.
In this episode we uncover the way Dr Buckland thinks and approaches complex problems, how he considers risk, how AI and autonomous systems and tools are shaping our futures, and what it was like to work in NASA.
https://emed.wisc.edu/people/daniel-buckland/
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Paul Vicary served for over 35 years in the British Army, including 22 years within UK Special Forces earning a meritorious medal for his service. He has operated in high-pressure environments worldwide, faced adversity head-on, and is one of the few individuals in the World who has walked to both the North and South Poles unsupported. His experiences prepared him for a second multifaceted career as a mental fitness coach, motivational speaker, and Director of a mental health training consultancy company, XCalibrelimited. He is an author, and his book “Plan D”, shares his experience of his North Pole expedition and the lessons that come from it.
Paul's motto: "Do the best I can in everything I do."
Paul's book: "Plan D"
Amazon USA: https://a.co/d/00Waniwy
Amazon UK: https://amzn.eu/d/0f3RES1D
https://paulvicary.com/
https://x-calibremh.co.uk/
https://www.instagram.com/xcalibrelimited/
https://www.instagram.com/xcalibretreks/
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Sue Williams is one of the world’s most experienced hostage and kidnap negotiators. A former senior detective at New Scotland Yard, she led both the Kidnap Unit and the Hostage Crisis Negotiation Unit, advising UK Prime Ministers and international governments during some of the most complex and sensitive abduction cases of the last three decades.
Her work spans war‑zone kidnaps, maritime piracy, cyber‑extortion, and covert negotiations for high‑profile families.
Today, she teaches negotiation and crisis leadership at Oxford Saïd Business School, and crisis management at Harvard University, and continues to advise global organizations on high‑stakes decision‑making under pressure.
We talk to Sue about her journey into becoming a hostage negotiator, and some of the communication tools she uses to effect successful negotiations: things we can all use in our daily lives.
Active Listening Tool: "MOREPIES"
Minimal encouragers
Open ended questions
Reflecting
Emotion labels
Paraphrasing
"I" messages
Effective pauses
Summary
Pip Decks: "Negotiation Tactics" https://pipdecks.com/products/negotiation-tactics?srsltid=AfmBOooQh5DLM45QlzlsR19IhiSeSuCmc97oXBae0Ub7r5ncXUP727dP
(photograph of Suzanne Williams used with permission by Suzanne Williams)
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Nick Lopez is a professional baseball player for the Texas Tailgaters, competing in the rapidly exploding phenomenon known as Banana Ball—often called the “greatest show in sports”—where he’s established himself as one of the league’s premier hitters. Like Banana Ball, his journey there is anything but typical.
Growing up, he had no collegiate offers out of high school. What he did have was relentless drive and an unshakable belief in his ability. That mindset pushed him to chase opportunity wherever he could find it. Even after a serious injury, he accelerated through the college ranks, ultimately finishing at the University of Kentucky, where he helped lead the program to its first-ever College World Series appearance—and earning himself SEC First Team and All-American honors along the way.
Undrafted in traditional baseball, many would have seen that as the end of the road. Nick saw it as a pivot point. He launched his own business, stayed ready, and ultimately earned his shot in Banana Ball—now performing in front of sold-out crowds of up to 80,000 fans a night.
This is a story of resilience, reinvention, and about creating opportunities, not waiting for them.
The Texas Tailgaters: https://bananaball.com/the-texas-tailgaters/
Nick Lopez: Insta: @dimitri.lopez_
Nick's business: Leisure House
https://leisurehouse.mykajabi.com/
Insta: @theleisureverse
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We are delighted to welcome back Dr Andrew Petrosoniak, who we first interviewed on episode 22, when we explored the role of coaches in medicine. In this episode we will take a deep dive into decision making. Human are estimated to make approximately 35,000 decisions a day. Very few of us have received formal instruction in how to make decisions particularly when under pressure, but like many things, decision making is a skill that can be learnt and trained. Andrew is an expert in human factors and has studied and thought about the elements that go into critical decision making, and he will present 8 tools we can all use to help us make better decisions.
Dr Petrosoniak is an emergency physician and trauma team leader at St. Michael’s Hospital, and an Assistant Professor in the Department of Medicine at the University of Toronto. Dr. Petrosoniak’s academic work focuses on using simulation to help design clinical infrastructure and improve patient safety. His other area of research involves understanding how rare, life-saving procedures can be best taught and practiced using simulation.
In 2020 Andrew co-founded Advanced Performance HealthCare Design - a company focused on using simulation, behavioural psychology and clinical expertise to enhance high performance teams in healthcare.
https://advancedperformance.ca/
Andrew is an invited speaker both nationally and internationally, and so we are honored that he has agreed to talk to us a second time!
8 Decision Making Tools:
Reduce decisions whenever possible.Sign-post decisions.Deliberately consider alternative options.Assign probabilities to decisions.Use one-line summaries, and simplify where possible.Use a pre-mortem.Debrief decisions.Learn from decisions.Hosted on Acast. See acast.com/privacy for more information.
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Richard De Crespigny is an expert in leadership, decision-making, and human performance under pressure. He is best known as the Captain of Qantas Flight 32, the Airbus A380 that suffered a catastrophic engine failure shortly after takeoff from Singapore on November 4th, 2010—an event that has since become one of the most studied and finest examples of effective CRM in aviation history. He has over 45 years of experience in aviation and his book, QF32, is a powerful exploration of leadership, teamwork, communication, and calm thinking when the stakes could not be higher.
What makes the story of QF32 extraordinary isn’t just what went wrong—but how a team came together, how decisions were made in uncertainty, and how human factors, not heroics, made the difference to effect a safe and successful outcome.
In this conversation, we go beyond the headlines to explore what QF32 teaches us about crew resource management, cognitive load, emotional regulation, communication and leadership when suddenly faced with potential catastrophe.
Richard's books:
QF32Fly! The Elements of ResilienceRichard's website: https://qf32.aero/
Richard's podcast, FLY: https://podcasts.apple.com/us/podcast/qf32-the-inside-story-from-the-flight-deck/id1832400848?i=1000723751309
(Episode photograph supplied by Richard De Crespigny used with permission)
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Dr Jorian Kippax is an emergency medicine specialist based in Tasmania, Australia — but his work spans mountaintops, disaster zones, and deep wilderness. He’s a Retrieval Consultant with Ambulance Tasmania’s Critical Care and Retrieval Service, and a Trauma Specialist at the Royal Hobart Hospital. He’s also a veteran of international disaster response, having led medical teams in the aftermath of Typhoon Haiyan and earthquakes in Myanmar as part of Australia’s elite AUSMAT deployment force.
In November 2024 he was involved in a 22-hour rescue deep in Tasmania’s Franklin River wilderness. He performed a life-saving underwater field amputation to free a trapped rafter using only the gear that could be delivered by helicopter. That act of skilled courage earned him Lithuania’s Life Saving Cross and the 2026 Australian of the Year for Tasmania.
In today's episode, Dr Kippax shares a firsthand account of the rescue, and we explore the underlying human factors skills used by him and the large team of specialists that day.
To watch the ABC News Documentary: You Tube: https://youtu.be/nMa-Lqxfzqk?si=3or2-2ZjAh6oziyi
https://australianoftheyear.org.au/recipients/dr-jorian-kippax
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I was fortunate to be invited to an Upland Hills Health dinner to deliver a presentation focused on the lessons we have learned from our podcast guests, specifically with respect to how Healthcare might benefit from instruction in human factors and mental skills, and from formal coaching. Drawing from the stories and lessons learned from several of our impactful guests, I delve into how mental skills training forms the third corner of a high performers pyramid, held together by the understanding and application of human factors. I suggest that we can set ourselves up for success with mastery of the basics, excellent preparation, and then by using self regulation techniques to steer us into the appropriate performance state. I cover mental rehearsal and visualization, and finally some key concepts about debriefing and how important it is for that to become an ingrained part of team culture.
I would like to credit and acknowledge the podcast guests that provided this material that I have collated together from multiple episodes into a single presentation. If you wish to hear more details from these guests themselves then please jump into their individual episodes numbered below.
Dr Jason Brooks #6
Alan Stein Jr. #16
Capt. Sam Soderberg #17
Mandy Hickson #18
Dr Andrew Petrosoniak #22
Jonathan Viscosi #27
Payar Pasha #29
Keith Reesby #33
DISCLAIMER: ***The opinions that I express in this podcast are my own personal views, with references also made to prior episodes and guest views. I am not speaking for, or representing, any other company or institution. The dispatch case details at the beginning of the podcast are purely a fictional simulation, and any resemblance to a real or actual event or patient is purely coincidence.***
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Keith Reesby is a personal development specialist with more than 25 years of experience in human performance and transformation. Combining contemporary psychology, ancient philosophy and lived experience, he has developed a proven 10-step process to help people discover purpose, build self-awareness, and achieve lasting behavioural change.
Keith combines his lifelong passion and study of psychology with extraordinary life experiences that include: international sportsman, combat helicopter pilot, ascent of Mount Everest, driving from Cape Town in South Africa to the UK, and Iron Man endurance events. He is an author with an upcoming book about to be published, "The Hero you" and currently works a transformation life coach through his company METIS Human Potential. These experiences have given him rare insight into the human condition—and the practical tools to overcome its challenges. In this episode we talk to Keith about two key events in his life; when he was shot while flying on deployment with the Army, and what happened during his ascent of Mount Everest. We discuss ways to cope with the "startle effect", and how knowing your own values and inner-self can help unlock the Hero within you as well.
Keith's website: https://keithreesby.com/
Upcoming book: "The Hero You"
Performance acronym: ARFA
A: Action
R: Reflection
F: Feedback
A: Adjustment
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Imagine walking across the planet—28,000 miles, six continents, seven years—powered only by your own two feet and accompanied by your trusted companion, an Australian Shepherd dog.
Our guest today did exactly that. Along the way, he faced exhaustion, illness, wonder, connection, and discovery.
His new book, The World Walk, captures not only the adventure, but the preparation, mindset, and recovery behind an extraordinary endurance journey.
Today, we’ll explore how he planned for the impossible, what he learned about people and culture, what the world taught him about being human, and what he learned about himself..
Website: https://www.tomturcich.com/
Books:
"The World Walk: 7 Years. 28,000 miles. 6 Continents. A Grand Meditation, One Step at a Time." https://a.co/d/2JlIwom
"Savannah's World of Adventure: Crossing the Andes." https://a.co/d/bd4SFZp
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Dr. Phillip Lee is both a general practice doctor, and also a former Member of Parliament for Bracknell. He served as Parliamentary Under‑Secretary of State for Victims, Youth and Family Justice (Ministry of Justice) under U.K. Prime Minister Theresa May from July 2016 to June 2018. For almost 20 years he served as both a doctor and politician, until in 2019 he famously crossed the floor of the House of Commons whilst PM Boris Johnson was delivering a statement, to leave the Conservative Party and join the Liberal Democrats over disagreements with the way he felt the Government was handling Brexit. He left Parliament and politics after the December 2019 General Election. Dr Lee continues to work as a doctor in the Southwest of England.
In this podcast episode we discuss Dr Lee's journey into medicine and politics, and how having two careers helped him with perspective in each. During his political career as a Member of Parliament, Dr Lee encountered times when his own beliefs and analysis of a situation were in conflict with his Party. He talks us through how he came to these conclusions, and how while under pressure he was able to stay true to his own beliefs and do what he felt was right, knowing that doing so may come at a personal professional cost. We discuss his perspectives on decision making, what qualities he has observed in some world leaders, and what he feels has contributed to his own inner strength of being prepared to take the hard pathway to stay true to himself.
Human Factors topics: decision making, communication, standing up for one's own beliefs, courage.
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Zoran Stojkovic is a certified Mental Performance Coach and founder of Kizo Performance. He blends evidence-based mental skills with practical tools for confidence, focus and resilience. He has worked with over 2,000 clients, and has 10 years of experience as a Mental Performance Specialist helping amongst others, military aviators, professional athletes and executives.
We continue our journey of discovery into this important profession and Zoran leaves us all with some tools we can use in our everyday lives to advance our crafts closer to extraordinary.
KIZO Performance https://www.kizo.ca/
Acronyms discussed in the podcast:
Next play mindset: W.I.N. "What's Important Now"
Stay focused and present: C.P.R. "Calm, Present, Ready"
Assessing the stress of a mission: V.U.C.A. "Volatility, Uncertainty, Complexity, Ambiguity
C.I.A. tool for recruitment: R.I.C.E. "Reward, Ideology, Coercion, Ego"
Deriving core values for a team or a group:
WHO are we?: IdentityWHAT do we what? The missionWHY do we want it? The motivation or purposeHOW are we going to get it? The process, the day-to-day"Behaviors more than values"
"See an error as an opportunity"
"Next play speed"
Activation level mapping: Military pilots map their missions to understand where stress will arise and then neuroprime the brain to control the body's response.
Zoran's High Performance Mindsets Guide:
https://static1.squarespace.com/static/65a975e15f408063d5c05597/t/65b84a0e01f5be0c52e6e835/1706576405711/High+Performance+Mindsets+for+Athletes+%28PDF%29.pdf
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Payar Pasha is both a Perfusionist at UW Health in Wisconsin where he is a vital member of the cardiovascular surgical team, and also an expert skydiver, wingsuit pilot and BASE Jumper, with over 1100 jumps.
In today's episode, we explore the human factors that allow him to excel in both of these high stakes, high consequence and high stress environments. He will break down his approach to dealing with risk, stress, fears and skill development, and give us all a glimpse of the pure joy he gets from piloting the skies above us.
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Hudson Brown is the author of Landing Gear Down (publ. Newman Springs 2020), a gripping thriller that follows Graham Stone, a young detective in the Memphis Police Department’s Violent Crimes Task Force.
Before turning to writing, Hudson served as a police officer himself with the Memphis police department until after 7 years of service he suffered a career ending injury. His firsthand experience as a police officer lends authenticity and depth to the high-stakes investigations and emotional challenges portrayed in his work.
In an industry where 99% of all submitted manuscripts are rejected for publication, Hudson secured a publisher and his book went to print in 2020. The book pits its protagonist against a ruthless terrorist in a race against time, blending action, romance, and psychological tension.
Book: "Landing Gear Down", Hudson Brown. Amazon https://a.co/d/7hwm8zl
We sit down to chat to Hudson about what it takes to be a police officer on the front lines in the city of Memphis, how he was injured when in pursuit of a suspect, and how after he left Law Enforcement he swapped his badge for a pen and launched his crime fiction writing career. An episode full of good stories and human factors lessons for us all.
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Jonathan Viscosi is a Canadian professional soccer player who currently plays as a goalkeeper for Valour FC in the Canadian Premier League.
He began his career with Ottawa South United before playing college soccer at the University of Rio Grande and later the University at Buffalo. Since then Jon has played for numerous clubs from the UK to Sweden, Finland and the USA.
Jonathan earned a Master’s degree in Emotional Psychology from Mid Sweden University as he begins his career in Sports and Performance Psychology. He is deeply involved in studying the mental aspects of elite performance.
One of his key contributions is his master's thesis, the main focus of which is on self-regulating emotions and the effects of pressure, testing the tenets of MuSt Theory (MultiStates Theory). He was particularly interested in self-talk as a self-regulation tool to optimize athletes’ performance when placed under pressure.
Beyond the research, Jon actively applies his sports psychology knowledge in his professional career, sharing his insights with teammates and staff at his clubs.
In this conversation we explore Jono's determined journey into and through professional sport, and discuss how the skills and strategies learnt in sports & performance psychology can benefit us all, and help us on our quest for extraordinary performance.
Podcast Sections:
Introduction
Jonathan's journey into and within professional soccer: 8:29
Sports & performance psychology discussion/MuSt Theory: 1hr 24:17
Wrap up: 2hr 00:41
Thesis: It’s a MuSt Win: The Effects of Self-Talk to Enhance Passing Performance Under Pressure in Elite Football Players. The Sport Psychologist, Dec 10th 2024.
Valour FC: https://www.canpl.ca/players/d4b7a9bbb2bb49f89ab93024813fb926/jonathan-viscosi
Instagram: https://www.instagram.com/jviscosi50/
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Dr. Richard Harris is an Australian anesthetist, aeromedical specialist, and expert cave diver with over 35 years experience.
In 2018, Dr. Richard "Harry" Harris was getting ready to embark on a diving holiday, when he was urgently requested by the Thai government to assist in the rescue mission of 12 Thai schoolchildren and their soccer coach, who were trapped deep within the Tham Luang caves by sudden monsoon rain and flooding.
Dr. Harry's role was pivotal - he helped devise a sedation strategy to ensure the safe extraction of the boys and their coach, in one of the most remarkable underwater rescue missions of all time... while the world was watching...
His efforts earned him widespread recognition as he was awarded "Australian of the Year" in 2019, and last year he became Lieutenant Governor of South Australia.
In episode 26, we sit down with Harry and discuss the rescue, breaking down the human factors that allowed Harry and his team to be so successful in their rescue mission.
Book: Against All Odds: https://www.amazon.com/Against-All-Odds/dp/1760899453
Podcast: https://realriskpodcast.com/
https://www.speleopix.com.au/
Dr Harris's newest film - the world's deepest cave dive: https://www.sff.org.au/program/event/deeper/
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Josh Sweeney enlisted in the military after high school, joining the United States Marine Corps. After earning the esteemed title of Marine Corps Scout Sniper, he was deployed with the 3rd Battalion, 4th Marines to Nowzad, Afghanistan, where he sustained life-altering injuries from an IED on October 28, 2009. Undeterred by this setback, Josh discovered a new passion for Paralympic sports, quickly rising to prominence as a member of the USA Sled Hockey Team. In 2014, he played a pivotal role in securing the gold medal for Team USA, scoring the game-winning goal. Since then, Josh has continued to represent his country on the international stage, competing for Team USA in Paratriathlon and currently as a member of the USA Para Nordic Ski Team.”
For his sacrifice in combat Josh received a Purple Heart, and was the recipient of the Inaugural Pat Tillman Award for Service.
He is an Ambassador for the Challenged Athletes Foundation.
Realizing a need for custom fitting of specialized equipment for adaptive sports, to enable fellow athletes to achieve their full potential Josh has started his own business:
https://www.jsadaptivesports.com/
We sit down for an inspirational discussion with Josh about his life, and how he overcame horrific injuries on the battlefield, to further represent his country twice in the Paralympics and how he continues to serve others and strive to make the most of every single day.
Josh Sweeney website:
https://www.thejoshsweeney.com/
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Dr. Ron Roessler is both a board certified emergency medicine physician and CEO and Founder of “Elite Latin Coaching”. After graduating from Princeton University he embarked on his medical career, and has now over 20 years experience working in a busy urban emergency department.
His roots though lay in the study of The Classics and teaching, and in his spare time he has been instrumental in developing the Latin curriculum at his local high school for it to become one of the top 5 programs in the country. In 2018, his Wisconsin Certamen team won a National Championship. He launched his company, Elite Latin Coaching and published his first book, Arbor Medicinae, in January of this year. All this while continuing to save lives on the front lines of the emergency department.
In this energetic conversation with Dr. Roessler we talk about his journey and highlight the human factors involved with having life goals and their pursuit, qualities of a great mentor, getting the most out of life, preventing burnout, and how he became a business owner and author.
https://www.elitelatincoaching.com/
Ron's book: Arbor Medicinae: https://henschelhausbooks.com/product/arbor-medicinae-latin-roots-of-medical-terms/
Available on Amazon
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"Adventure Psychology helps people and organizations survive, cope and thrive during change, challenge and uncertainty."
https://www.paulareid.com/
Paula Reid is the world's first Adventure Psychologist. She has skied to the South Pole, sailed around the world, "the wrong way", canoed up the Mekong River in a dugout canoe, and cycled across the breadth of Europe. And that's just scratching the surface of her over 120 awe-inspiring adventures.
Paula has learned to develop the mindset to thrive and perform in the toughest of conditions. She draws on her extreme endurance experience, business acumen and Masters in Positive Psychology to help individuals and organizations survive and thrive in challenging conditions.
This episode explores 2 of Paula's most iconic adventures, and discusses the human factors that allowed her to accomplish such feats, and what lessons she has leant that we can all use in our own lives whatever our "adventure".
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Dr Andrew Petrosoniak is an emergency physician and trauma team leader at St. Michael's Hospital in Toronto, Canada. He is also the Medical Director of the Unity Health Toronto Simulation Program.
In 2020 Andrew co-founded Advanced Performance HealthCare Design - a company focused on using simulation, behavioural psychology and clinical expertise to enhance high performance teams in healthcare.
https://advancedperformance.ca/
Dr Petrosoniak is the principal investigator of the TRUST study (Trauma Resuscitation Using in Situ simulation for Team Training) that includes a partnership with human factors experts to evaluate systems and processes during high-stakes trauma simulations. He is an invited speaker both nationally and internationally on the topics of trauma, simulation and procedural skill acquisition.
Over the last several months, we have outlined why we believe Medicine and other industries need to follow in the footsteps of elite sports and utilize performance coaches. Dr Petrosoniak has helped create an "ED CPR" coach model, that brings a coach to the bedside to try and deliver the highest quality cardiac arrest care.
On today's episode, we delve into how he was able to do this, and the benefits his team are seeing with this intervention. We discuss decision-making and bias, as well as how to provide and seek feedback from teaching.
As we always say; these lessons are not just for those in medicine. The concepts that we discuss can be used in many different environments and industries and help us all along the pathway from ordinary to extraordinary.
X: @petrosoniak
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