Teamcast

Ceci Craft has worked inside two of the most demanding performance cultures in the world — Army Special Operations and Major League Baseball. She's currently the Philadelphia Phillies' Director of Mental Performance, Life Skills, and Education, leading a staff of seven coaches across their MLB affiliates and the organization's academy in the Dominican Republic.When she made the move from working with Operators to working in baseball, she thought she had her bearings -- "No one's being shot at, and no one's died, so I'm fine." -- It took her a while to recalibrate her perspective from the special ops world and to recognize that losses in the athletic world are different kinds of losses, but still real ones.Preston and Ceci dig into the gap between how mental performance practitioners are trained and what the job actually requires — the ethical conundrums no ethics course prepares you for, the difference between a clinical model built on client readiness and a performance context that operates on its own timeline, and why "coach, don't profess" is harder to practice than it sounds.They use imagery as a case study — exploring habituation, audience fit, and how to teach live skills more effectively. They examine what Ceci calls "healthy versus junk food confidence": the difference between confidence that holds up versus confidence that collapses under real pressure. And they close with one of the more honest conversations about identity and transition: what it actually costs to walk out of a high-performance tribe, and what helps.If this conversation is useful, the best way to support our work is to subscribe and leave a rating or review. It helps us reach the people who need these discussions.

To celebrate NASA’s Artemis II test flight, scheduled for launch on Wednesday, April 1st, we're re-casting Preston's conversation with NASA astronaut Reid Wiseman from May 2023. The Artemis II test flight will be crewed by Commander Reid, Pilot Victor Glover, Astronaut Christina Koch, and Canadian Astronaut Jeremy Hansen for the 10-day lunar flyby mission, which will test the Orion spacecraft's life-support systems for the first time with humans aboard.In this Teamcast episode, originally aired on May 24, 2023, Preston and Reid discuss the transition from extensive training to real operations and why it is inevitably chaotic in mission critical work. Wiseman describes arriving on the ISS after four years of training and initially feeling “useless,” emphasizing mastery and learning rapidly rather than expecting perfection. They explore selection for “rate of learning,” humility, mentorship, shared situational awareness across small crews, and mission control. They also address human-machine automation, the need for human override, the integration of new team members, and curriculum elements such as small-team work in unpredictable natural environments, repeated rehearsals with failures, and getting comfortable being uncomfortable.Commander Reid Wiseman is an American astronaut, engineer, and naval aviator. He served as Chief of the Astronaut Office until November 14, 2022. He was a member of the Expedition 40/41 crew, which launched to the International Space Station on May 28, 2014, and returned on November 10, 2014.If you find value in this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

Paddy Steinfort, a performance psychologist and former elite Australian rules footballer, blends athletic experience with psychology. He explores training mental skills for high-pressure performance. Short, practical talks cover managing chronic stress, building in-event toolboxes for attention and action, and embedding psychological work into team culture.

Dr. Art Finch, an operational psychologist and former military psychologist, reflects on selection, assessment, and leadership in special operations. They compare psychological models with rites-of-passage, weigh cadre wisdom against scientific methods, and explore selection designed as a mission microcosm. Conversations touch on peer evaluation, attrition types, machine learning limits, and how programs drift without intentional leadership.

This week’s Recast is from April 2020. Why This Episode Matters Now:In 2022, the war in Ukraine revealed something our partners had been experiencing but we hadn't fully articulated: the traditional model of intact, homogeneous teams wasn't sufficient for the emerging operational environment. Individuals with diverse expertise, geography, language, and allegiances needed to rapidly converge into what we call Tactical Swarms—heterogeneous cross-functional units that form, solve emergent problems, and disperse.Our recent white paper, The Fourth Generation of Military Special Operations Selection & Assessment, explores this evolution in depth. But six years ago, Preston laid the foundational concepts in this conversation with Coleman.What the Research Shows:Many operators who excelled at teamwork—performing with known, homogeneous teams—struggled with teaming: the ability to rapidly build cohesion within heterogeneous groups. This episode examines why routine versus critical communication and field observations across special operations, emergency medicine, and other high-stakes environments. In this episode, Preston and Coleman describe how tactical swarms and X teams differ from traditional team structures, and they distinguish between routine and critical communication and when teams must shift between them. Recent Research:Cline, P.B. (2026). The Fourth Generation of Military Special Operations Selection Assessment: A Community of Praxis [White paper]. Mission Critical Team Institute. DOI 10.13140/RG.2.2.28255.73121. https://missioncti.com/wp-content/uploads/2026/02/The-Fourth-Generation-of-Military-Special-Operations-Selection-Assessment_Final_2-Feb-26.pdf Falk, D., Cline, P., Donegan, D., & Mehta, S. (2023). A Novel Framework for Routine Versus Critical Communication in Surgical Education—Don’t Take It Personally. Journal of the American Academy of Orthopaedic Surgeons, 31(3), 115–121. https://doi.org/10.5435/JAAOS-D-22-00912 https://missioncti.com/wp-content/uploads/2023/08/FINAL-A-Novel-Framework-for-Routine-Versus-Critical.pdf If you find value in this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.This episode contains a term that may be offensive; it is used to describe gendered communication dynamics. We have included it to accurately represent the event, and it is intended for educational purposes only.

When a patient's heart or lungs fail, ECMO (Extracorporeal Membrane Oxygenation) technology can keep them alive—but only if the team operating it works flawlessly under pressure. In this episode, Thomas Preston draws on over 30 years of experience in cardiopulmonary care to reveal what it takes to manage these life-sustaining systems.This Teamcast episode covers the specialized roles within ECMO teams, the critical relationship between perfusionists and other medical staff, and strategies for navigating crisis moments when seconds matter. Thomas discusses how trust, constant vigilance, and ongoing training form the foundation of successful outcomes in some of medicine's most intense situations. If you value this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

What happens when life-and-death decisions must be made by a team rather than an individual? In this episode, Dr. Mark Ramzy — cardiothoracic intensivist, emergency physician, and Co-Editor-in-Chief of REBEL EM — joins Dan to explore how teams think, decide, and act under pressure inside the ICU.If you value this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

Dr. Dawn Kernagis, Scientific Director at DEEP and an expert in human performance under extreme conditions, joins the discussion on team cohesion in high-pressure aquatic environments. They delve into the importance of safety-focused aquanauts, the challenges of integrating diverse team members, and the vital role of effective communication. Dawn shares practical tips for optimizing readiness through nutrition and hydration, and discusses the significance of rituals in building trust. Emotional transitions after missions also take center stage as they explore finding new purpose post-mission.

This week’s episode is a Recast as we review a fundamental conversation between Preston and Coleman Ruiz (MCTI’s co-founder and former Director of Performance) on the concept of "Residue"—the psychological and emotional substance left behind after immersion in high-stakes environments.As we approach the end of the year, we are revisiting this episode to help our listeners navigate the transition from one year to the next and to continue or begin a ritual of reflection. Coleman and Preston explore how the "residue" of our experiences is neither good nor bad, but rather a byproduct that must be processed. Without intentional routines, this residue can "harden," inhibiting our ability to move into a new year with clarity.The conversation covers various aspects of professional and personal life, including the impact of extreme experiences, the importance of intentionality and self-compassion, and the value of a 'third thing' to help balance life. This thought-provoking discussion is essential for anyone involved in mission critical fields, as it emphasizes the need for better tools and self-awareness to manage the residue of intense experiences. Whether you are coming off a high-intensity deployment or simply looking to reset after a demanding year, this episode offers a framework to help you leverage your past to build a more resilient self.Find the featured paper on our website: https://missioncti.com/resources/If you value this discussion, the best way to support our work and stay up to date on future episodes is to subscribe and leave us a quick rating or review. It helps us reach more people who need to hear these conversations.

In this episode, our Chief Medical Officer Dan Dworkis works with Alex Hodson, a seasoned critical care physician assistant, to explore the dynamics of high-functioning multi-professional healthcare teams, the training pipeline for APPs, and the importance of feedback and teamwork across disciplines. Gain insights into the challenges and rewards of working in high-stress environments and understand how multidisciplinary and multi-professional collaboration shapes effective patient care.