In this episode, Dr. Sara Crager delves into the critical aspects of resuscitation expertise, emphasizing the pivotal role of mental models in navigating complex clinical scenarios. Drawing from her experiences and insights, she highlights the need for a paradigm shift towards honing expertise rather than relying solely on technological advancements or algorithmic approaches. Through a compelling narrative, Dr. Crager underscores the significance of iterative problem-solving, functional bedside pathophysiology, and the art of clinical decision-making in optimizing patient care. Ultimately, she advocates for a concerted effort to enhance the quality and quantity of resuscitation mental models as a cornerstone for improving clinical skills in high-stakes environments.