Miles Dunagan, an experienced air ambulance pilot, and Brett Reeder, an air medical pilot and instructor, dive into the critical importance of teamwork and communication in aviation. They discuss the derogatory term 'self-loading baggage' for disengaged medical crews and how this mindset can hinder crew performance. Miles emphasizes the need for integrated communication and simulation training, while Brett advocates for clinician involvement in aviation tasks. Together, they address complacency, pilot-clinician integration, and practical emergency training to enhance safety.