Cage fighting is a polarising sport. This talk isn’t about the justification or vilification of mixed martial arts, but about lessons that transcend the sport and are relevant to you as health care providers. Firstly the concept of surrogate endpoints is discussed. Prior to the proliferation of mixed martial arts competition, there was great debate about which martial art was best. A vast array of surrogate end points were created to determine competence and superiority but only when one was pitted against another fairly were questions answered. In medicine, the dangers of surrogate endpoints have been demonstrated time and again, yet we still get fooled by exciting trial results that use meaningless surrogate endpoints. Beware the surrogate! The next point is about mojo. This mojo in the context self-belief, ego and mental strength. We all have mojo. It waxes and wains and affects the way we perform. There are several strategies that professional mixed martial arts athletes employ to improve their mojo that we can learn from, to make us better health professionals. Finally coaching is discussed. You probably remember the influential mentors that have helped you get where you are today. The elite MMA coaches take coaching to an extraordinary level and the teaching strategies they employ extrapolate very well to how we teach and can inform us of how we can lift our game. References A History of the Ultimate Fighting Championship Guidet B, Martinet O, Boulain T, et al. Assessment of hemodynamic efficacy and safety of 6% hydroxyethylstarch 130/0.4 vs. 0.9% NaCl fluid replacement in patients with severe sepsis: The CRYSTMAS study. Critical Care 2012;16(3):R94. Perner A, Haase N, Guttormsen AB, et al. Hydroxyethyl Starch 130/0.42 versus Ringer's Acetate in Severe Sepsis. New England Journal of Medicine 2012;367(2):124–34. Preliminary Report: Effect of Encainide and Flecainide on Mortality in a Randomized Trial of Arrhythmia Suppression after Myocardial Infarction. New England Journal of Medicine 1989;321(6):406–12. Stud TCAP. Effects of encainide, flecainide, imipramine and moricizine on ventricular arrhythmias during the year after acute myocardial infarction: The CAPS☆. The American Journal of Cardiology 1988;61(8):501–9. Goldsmith, W. Coaching Self confidence in Sport - An evidence Based Approach Enhancing Self-Efficacy and Performance: An Experimental Comparison of Psychological Techniques. Effects of self-talk: a systematic review Invictus How to be a loser: Rich Franklin at TEDxUChicago The Way of the Fight by George St Pierre How Kinesthetic Motor Imagery works: a predictive-processing theory of visualization in sports and motor expertise. Everything you always wanted to know about Greg Jackson One-on-one with Firas Zahabi The skill of self confidence TED Talk by Dr. Ivan Joseph True mentorship in medicine Jonathan Gottschall. The Professor in the Cage Jonathan Gottschall on Joe Rogan Podcast

1. lessons FROM the cage
oli flower

3. GRANDMASTER
vohra

5. badass

8. WRONG

10. ROYCE GRACIE
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11. ROYCE GRACIE
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12. FRANK SHAMROCK
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13. FRANK SHAMROCK
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14. BJJ wins
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15. BJJ wins
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18. ANTIARHYTHMIC
CAST
PLACEBO
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19. STARCH
CHRYSTMAS
SALINE
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20. 6S SILENCES CROWD
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21. MOJO

22. Image owned by Zuffa & UFC

23. FAILURE
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24. Image owned by Zuffa & UFC

25. MOJOlost mojo

26. mojo

27. not this

29. good news
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30. mojo = innate x evidence

32. TEAM

33. self talk

34. self talk

36. you
are the
captain
of
your soul

38. 1 2 3 4

39. 1 2 3 4

42. cross train
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44. FIGHT EASY
TRAIN HARD

46. FIGHT EASY
TRAIN HARD

48. visualisation

49. CHAMPION
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50. COACH

51. make DECENTHORRIBLE
make GOOD GREAT

53. HIGH
STAKES
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54. Owned by Zuffa & UFC
COACH
ELITE

55. KNOW
your
TEAM
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56. STRATEGYINDIVIDUALISE

57. CATCH THEM
GOOD
WHEN They’re

58. KEEP your PASSION
ALIVE
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59. Learn
STudents
from your

60. UNDER pressure
keep it simple

61. IT’S NOT about you

62. IT’S NOT about you

64. SURROGATES mislead

65. SURROGATES mislead
own your mojo

66. SURROGATES mislead
be a good coach
own your mojo