How do you build a team in the critical first moments of a crisis? The balance between rapid response and thoughtful planning is delicate, especially when understanding what defines a crisis and acknowledging when you're in the midst of one. This conversation delves into the complexity of emergency team dynamics, emphasizing that the composition and organization of these teams are deeply influenced by their members' specific skills and contexts, with lasting implications long after the crisis has passed.

We introduce 'Name, Claim, Aim'—a straightforward, three-step framework designed to streamline team organization under pressure. It's about rapid situational assessment, clear role delegation, and setting concise objectives. The discussion extends to effective leadership in high-stakes situations, including establishing command, ensuring effective communication from the start, and striking the right balance to encourage team input without compromising decisiveness.

Exploring the subtleties of crisis leadership, we'll discuss the strategic balance needed for effective oversight and the practicality of 'Name, Claim, Aim' as a distilled version of more complex crisis management theories tailored for the immediacy of emergency care. The conversation will also cover the practical implementation of this framework, from team huddles to understanding the profound impact of the first few seconds on the trajectory of team success.

This episode builds on episode 115 - Zero Warning | Frameworks for no notice critical patients

Guest Bio:

Lon Setnik, MD, is an emergency physician practicing in New Hampshire and the associate director of clinical programs at the Center for Medical Simulation. Lon is a Stimulus fan favorite. Here are some of his most popular episodes:

• Listening to Understand versus Listening to Win
• Feedback can be hard to give and harder to receive. Here are techniques to do both better
• Take the Suck out of Documentation | Making the most of scribes, documenting in the room (and in front of the patient), efficient workflows

Love medicine, but the job itself leaves a lot to be desired?

I work with many docs in your shoes. To learn more about 1-on-1 coaching, start here.

For full show notes of this episode and all sorts of other goodies, visit our podcast website

We discuss:

• The tension between planning and action
• What defines a crisis?
• How do you know when you're in a crisis?
• Teams are contextual in their skill sets
• How you organize a team in a crisis has ripples after the event has ended
• The three steps to organizing teams in a crisis: Name, Claim, Aim
• How to declare yourself as a team leader
• Modeling closed-loop communication from the first moments of team formation
• The balance between being a tyrant vs an effective leader and how to avoid suppressing speaking-up behaviors
• The two pillars of Aiming what we want to achieve and who is going to do what to get us there
• Name, Claim, Aim needs to be fast and efficient; otherwise,...

Will you have enough money to retire? What does that even mean? In this pod, our guest physician financial coach, Elisa Chiang, M.D. Ph.D. breaks down

• Trading time for money and money for time
• Working harder vs creating value
• The FIRE (Financial Independence Retire Early) movement and why it doesn't always mean living by austerity rules
• The risk of relying solely on retirement accounts to fund your post-career life
• Her biggest financial mistake
• How identity influences spending habits
• Incorporating real estate into an investment portfolio

Guest Bio: Elizabeth ‘Elisa’ Chiang, M.D. Ph.D. is a board-certified ophthalmologist and fellowship-trained oculoplastic surgeon who found her way into personal finance and real estate investing during her MSTP program, aspiring for FIRE long before it became mainstream. Battling burnout from her work in a hospital system, she turned to real estate as her avenue to financial independence, complemented by her newfound passion for life coaching. With active involvement in rental properties and passive investments in syndications and real estate funds, Elisa now helps others achieve financial independence while embracing life's journey. Learn more at https://www.growyourwealthymindset.com/

Love medicine, but the job itself leaves a lot to be desired?

I work with many docs in your shoes. To learn more about 1-on-1 coaching, start here.

For full show notes of this episode and all sorts of other goodies, visit our podcast website

We discuss:

• Why a high income does not equate to wealth
• Working harder vs creating value
• Once debt is gone, attention to money can dwindle
• Finding a place to start investing can be overwhelming and lead to inertia
• How to navigate a scarcity mindset
• How identity influences spending habits
• Money can buy time, but there's a catch
• Elisa's biggest financial mistakes
• How to decide if a real estate investment is a good (or bad) deal
• Elisa’s big-picture financial strategy
• Real estate investing for positive cash flow
• If you only think about maxing out your retirement account, you probably won't retain the same lifestyle when you stop working
• Beyond real estate investing, what are other areas for investment to produce cash flow?
• F.I.R.E Financial Independence Retire Early | Survival, Regular, and Fat FIRE
• How to figure out how much FIRE money you'll need to stop working
• Will my retirement funds actually last? Rate of withdrawal and sequence of returns risk
• Fat FIRE | Spending more in retirement than you did while working

Mentioned in this episode:

4 Free Resources specifically designed to address pain points in medical practice

Scripting your least favorite conversations The Driveway Debrief My 4 favorite documentation templates The quick and dirty guide to calling consults

Free Resources Link

The Flameproof Course. Sept 10, 2024

Real-time instruction with Rob Orman, MD, and Scott Weingart, MD. Specific tools and strategies for anti-burnout, career longevity, and self-mastery. From a recent Flameproof graduate, "I went from constantly dreading work and thinking of quitting to being able to enjoy shifts on a regular basis."

Flameproof Course

Phantasia Kataleptike, a lesser-known gem from Stoic philosophy, offers a transformative approach to life's challenges. This practice of 'objective representation' strips away the layers of subjective judgment that often cloud our perceptions. Imagine the power of viewing a setback not as a disaster but simply as a fact of life, a moment ripe with potential for growth. How does this shift affect our inner turmoil? The Stoics had insights that might surprise you, blending ancient wisdom with actionable strategies for modern living.

In this pod, we break down the essence of Phantasia Kataleptike and multiple methods for employing it as a tool for equanimity and de-catastrophization.

Love medicine, but the job itself leaves a lot to be desired?

I work with many docs in your shoes. To learn more about 1-on-1 coaching, start here.

For full show notes of this episode and all sorts of other goodies, visit our podcast website

Cohorts 1 and 2 sold out. Cohort 3 begins Sept 10, 2024. This is the hidden anti-burnout curriculum we all should have learned in training. Get the deets

Stay out of chart debt. Document like a legend. Get home on time!

We Discuss:

• Defining Phantasia Kataptike
• Acceptance of what is
• A dog and a cart | Epictetus’ classic simile
• Why the words we use impact us as much as (or more than) they impact others
• The lost ship
• The A-hole in a Jaguar
• Operationalziing Phantasia Kataleptike
• Valence | Awareness of emotion and narrative
• The Dichotomy of Control
• How to Think Like a Roman Emperor
• Actively de-catastrophizing
• Shifting from ‘what if’ to ‘why did’ to ‘so what?’ to ‘what’s next’
• The threat-challenge seesaw
• What to do when the emperor banishes you
• The counterarguments to Phantasia Kataleptike

Mentioned in this episode:

4 Free Resources specifically designed to address pain points in medical practice

Scripting your least favorite conversations The Driveway Debrief My 4 favorite documentation templates The quick and dirty guide to calling consults

Free Resources Link

Our Live Event. May 1-3, 2024 | Bend, OR

Awake and Aware An in-person live workshop to help you put into practice the tools you hear on this show. Learn to keep cool under pressure, better manage stress, and thrive in what's an incredibly challenging line of work. CME? Yes! This is a CME event. Unplug, slow down, and dig in.

Awake and Aware