Knowledge Under Pressure

On Pivoting Under Pressure and Visualization

Dan Dworkis, MD PhD
2 min readJan 12, 2023

Field notes from what we’ve been up to, what we’ve been taking in, and what we are thinking about at The Emergency Mind Project.

If you have ideas or things you’d like to see — or if you want to help and get more involved — I’d love to hear from you: dan@emergencymind.com

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How to Pivot Your Team Under Pressure

How can you help a team successfully pivot to a new focus mid-sprint? Assuming slowing down and smoothly pivoting is not an option, this article in Psychology Today explores three ways we pivot under pressure in the world of emergency medicine that you can put into practice with your team.

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How imagery exercises helped Cowboys K Brett Maher become a better version of himself

“When he steps up to kick a field goal on Sunday afternoon, he’s already kicked that field goal successfully maybe 100 times in his mind that week.” Great piece about Dallas Cowboy’s kicker Brett Maher and how he uses mental simulation to improve his performance on game day. Note the details about building a rich simulation environment that involves high levels of detail, and about adding constructive dissonance and friction through things like crowd noise.

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You can’t pour from an empty cup. Recovery is key to elite performance, but it’s too often treated like a luxury instead of a critical component. On challenge we see elite teams facing is finding space and time for micro-recoveries while a problem set is still active. What are some of the best ways you’ve found to weave moments of recovery into the continued work your team is up to?

Something you want to see? Idea for a future thing to dig into? Hit reply and let me know what you’re thinking.

Keep training, and good luck out there!

— Dan

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Dan Dworkis, MD PhD

Emergency Doctor. Applying knowledge under pressure. The Emergency Mind Book: bit.ly/emindbook