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Situational Awareness: When Altitude Meets Attitude

Many parallels exist between pilots and surgeons when it comes to knowing what matters before it’s too late.

Many parallels exist between pilots and surgeons when it comes to situational awareness. [Shutterstock]
Gemini Sparkle

Key Takeaways:

  • Situational awareness in high-stakes fields like aviation and surgery is not about seeing everything, but about anticipating potential issues by discerning subtle trends and patterns before they escalate.
  • Effective situational awareness relies on strong team dynamics, fostering an environment where all members feel safe to voice concerns, and actively counters the complacency that can arise from experience, known as "normalization of deviance."
  • Maintaining superior situational awareness requires a temperament of relaxed vigilance, continuously questioning assumptions, and embracing "deliberate discomfort" to break routine patterns and perceive what might be wrong before it becomes critical.
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At 35,000 feet, you can’t pull over to check the manual. In the operating room, you can’t pause the bleeding to Google the anatomy.

Both cockpit and OR demand the same superpower—knowing what matters before it’s too late.

Dr. Ronen Elefant

Dr. Ronen Elefant is a trauma and acute care surgeon based in Pennsylvania with a passion for aviation. He has been practicing medicine for 12 years, but he started flying at the age of 13 and recently obtained his ATP and first jet rating in a Cessna 525.

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