emDOCs.net Emergency Medicine (EM) Podcast Episode 122: Performing Under Pressure
Jul 7, 2025
Zachary Aust, an expert in human factors and performance under pressure, dives into the art of thriving in high-stress situations. He challenges the myth of 'clutch performers' by discussing how stress impacts cognitive functions and teamwork. Aust emphasizes the importance of mental and physical preparation, urging listeners to see challenges as opportunities. He shares innovative training methods, including 3D simulations and deliberate practice, to ensure professionals can effectively manage crises and maintain composure when the pressure is on.
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The Myth of Clutch Performers
- "Clutch performers" who excel under pressure actually don't exist according to research.
- Performance tends to fall to the level of our training during crises, even for elite athletes and physicians.
Brain's Stress Response Explained
- Our brain labels situations as threat or challenge based on perceived resources vs demands.
- Under extreme stress, cognitive and physical abilities degrade significantly, harming performance.
Performance Breakdown Under Stress
- High stress impairs fine motor skills, attention, perception, working memory, decision making, and team dynamics.
- Cognitive shortcuts can help but risk perseveration on incorrect paths under pressure.