Decisiveness: Efficiently Making the Hard Decisions, Including Lunch
Release Date: 12/03/2025
DAMN Good Medics
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Pressors don’t fix one problem—they improve system performance across multiple dimensions. Integrity works the same way. In this episode of DAMN Good Medics, Mark, Lee, and Chiyo examine integrity as the ultimate leadership pressor—one that improves decision-making, trust, communication, and culture simultaneously. Not a value statement. A systemic physiologic intervention combating the ethical hypoperfusion present in the wastelands of the EMS industry. This is the critical transition point of the DAMN Good Medics character based leadership framework—where character stops being...
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This end-of-year wrap-up episode of DAMN Good Medics features a raw, "off-the-clock" conversation between Mark, Chad, and Chiyo. Leaning into their "understaffed" reality, they deliver an episode that feels less like a lecture and more like a debrief in the back of a rig on what the past year of conversations has revealed about leadership, EMS culture, and personal growth. What emerges (unintentionally) is a clear framework—Discipline, Accountability, Mindset, & Next—that captures both the lessons learned and the direction forward. Discipline The conversation opens with the...
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In this short and intensely personal episode, Mark and Chad tackle the essential USMC leadership trait of Courage. They bridge the gap between physical courage on the Thin Red Line and the moral courage needed to lead through complexity. Using the Harvard Business Review framework of Five Characteristics of a Courageous Leader, the hosts break down the necessary traits for longevity and integrity in any high-stakes career. 🔑 Key Takeaways & The Five Points of Courage 1. Authenticity: The "Do What is Right No Matter the Cost" philosophy. Why defining your personal mission, vision, and...
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In this episode of the Damn Good Medics podcast, your host Mark, alongside Chad and Chiyo, delves into the essential USMC Leadership Trait of Decisiveness. They bridge the highly relatable everyday challenge of where to go for lunch (the ultimate test of decision fatigue!) into the complex psychology of decision-making in high-pressure environments. The conversation highlights the transition from rapid-fire clinical judgment to slow, methodical organizational strategy. Key takeaways include: Frameworks for Speed: Understanding the "Can I, Should I, Must I" decision model and the difference...
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This week, we move past Justice to explore the crucial second filter in your leadership development tree: Judgment. This isn't just a clinical skill—it's the core of exemplary leadership, enabling sound choices in the absence of clear data. Mark, is joined by EMS Deputy Director Chad, (author of Burnt Out), reluctant leader Jeff, and special guest, retired NYPD/EMS veteran Mike Chanat, who ties in his "Key Three" of Communication, Mindset, and Empathy. What We Dissect in this Episode: Affective vs. Cognitive: We debate where good judgment lives. Does it come from the book knowledge...
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A Hot Mic captured our candid conversation about Rainn Wilson's and Patrick Pianezza's new movie Code 3. Why did this film, written by a paramedic, hit us so much harder than the usual Hollywood dramas? Because it left our feelings trauma naked. In this unscripted session, we confess that we've all been Rainn's character, Randy. We dissect the difference between the bloody calls and the daily, systemic issues (like chasing, bad management, and traffic) that cause long-term burnout and PTSD. We address the controversial topic of poor leadership and challenge the old "suck it up buttercup"...
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The 12th episode of "DAMN Good Medics" features Mark, Jeff, & Lee as they explore Justice, the second of the 14 Marine Corps Leadership Traits. Mark introduces justice as the first "filter in the root system" that builds off the foundation of Knowledge. Justice: The Individual and the Organization The hosts define justice as the practice of being fair and consistent, giving consideration to all sides, and basing rewards and punishment on merit. The consensus is that justice starts with the individual; you must internalize and practice it personally to gain the trust and respect...
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Summary In this episode, Mark, Chiyo, and for a brief time Will discuss the critical role of knowledge in leadership, particularly within the EMS field. They explore various types of knowledge, including declarative, procedural, and conditional knowledge, and introduce the Rumsfeld Matrix to categorize knowledge. The conversation emphasizes the importance of processing knowledge into actionable intelligence and the evolution of knowledge into wisdom and integrity. The episode concludes with a reflection on the foundational role of knowledge in effective leadership and decision-making. Keywords...
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In the 10th episode of the Damn Good Medics podcast, host Mark, along with new co-host Chiyo (Lee also joins later) and guest Dustin Yates Wingate, explore the critical relationship between followership and leadership in the EMS, Public Safety, & HRO communities. They discuss the importance of integrity, empathy, and active participation in followership as foundational elements for effective leadership. The conversation highlights the need for mentorship, the impact of communication, and the significance of loyalty to the mission over individual leaders. Through personal anecdotes...
info_outlineIn this episode of the Damn Good Medics podcast, your host Mark, alongside Chad and Chiyo, delves into the essential USMC Leadership Trait of Decisiveness.
They bridge the highly relatable everyday challenge of where to go for lunch (the ultimate test of decision fatigue!) into the complex psychology of decision-making in high-pressure environments. The conversation highlights the transition from rapid-fire clinical judgment to slow, methodical organizational strategy.
Key takeaways include:
- Frameworks for Speed: Understanding the "Can I, Should I, Must I" decision model and the difference between Problem Solving (known solution) and End State Resolution (backward-planning for uncertainty).
- Complexity and Context: An analysis of how uncertainty and high complexity—often visualized by the Cynefin Framework—determine whether you can afford to slow down or if you must simply commit to a path.
- Accountability & Integrity: The critical need for Closed-Loop Communication and the ultimate test of leadership: taking Extreme Ownership. The hosts discuss the power of the "I" vs. "We" rule and why accountability is the final piece needed to transform knowledge into integrity.
Listen now to learn how to move beyond decision paralysis and apply the principles of effective, decisive action to every aspect of your career. (Episode Summery by Google Gemini)
References:
Extreme Ownership - Jocko Willink & Leif Babin
The Mission, The Men, & Me - Pete Blaber
Burnt Out: A Paramedic's Memoir By Chad Davis
Lee’s YouTube:
Dylan’s Apple Music: