Chris Hicks delves in to how to optimise performance in a team environment in emergency medicine and critical care. When teams fail and fall apart, we are quick to analyse the performance. We pick it apart and see what went wrong, and why. Chris suggests that we should do the same thing for over-performing teams. We should analyse how and why they perform at optimum levels. In doing this, in reaching a higher understanding of elite performance, we can harness the techniques used, simulate and train them, and thus improve performance across the board. This is not a new concept. High performance in elite sport is driven by athletes searching to push themselves in new and more extreme ways during training. They do this so when they are faced with stressful situations in competition, they have seen it all before. High performers talk about being ‘in the zone’. This is a state of body and mind where optimum performance comes naturally and easily. Research suggests that when an individual is ‘in the zone’, areas of the brain go quiet. Your ego and your inner critic dampen down. Other more useful and helpful areas light up. These tend to be deeper areas and are related to information processing and linkage between ideas. They often are drawing on prior experiences. These are less conscious processes. Chris contends that conscious thought is expensive and time consuming and by tapping into this ‘flow’ state, you optimise performance. Chris then discusses how to utilise this research and methods used in other industries. He brings the lessons that are apparent from outside sources and describes how these can be implemented in medical training and simulation. He describes a method to play with perceptions. Rather than seeing situations as threatening, Chris highlights the benefits of embracing them as challenging – an opportunity to demonstrate elite performance. Further, he discusses a three-step process to practically implement the lessons he is talking about. So to improve performance whilst working in teams in emergency and critical care medicine, listen in to Chris Hicks discuss all things high performance. For more like this, head to our podcast page. #CodaPodcast

3. The Groove
The Zone
Locked In
Dialed In
Focused
The Pocket

5. Flow
Struggle
Release
Recover

6. Mapping FLOW

7. Stress Preparation
Driskell, Salas, Johnson, 1999

8. Tomaka et al, 1993; Harvey et al, 2012
Resources Demands>
Challenge
Resources <Demands
Threat

9. Assist individuals in gaining a better
understanding of the nature and effects of
stress on performance
Skill acquisition and rehearsal: decrease
anxiety and increase coping skills
Apply skills to increasingly stressful
conditions that approximate real-world
stressors
Saunders et al, 1996
Short Cuts
Bias
1.Education
2.Rehearsal
3.Application

10. Duration of training
Generalizable
Durable
Saunders, 1996

11. Breathe
In
Hold
Out
Breathe
Out
Hold
In
3 3
3
3

12. Cognitive Re-Framing

13. External Internal
o Task Chunking
o Perfection Bashing

14. Mental Practice

15. What do we Know?
What do we Expect?
What will we Do?
What are our Roles?

16. Emotional Valence

17. Cliff

19. “Time flies
Self vanishes
Performance skyrockets”.

20. @HumanFact0rz