Major Jameel Janjua, experimental test pilot with the Canadian Armed Forces, shares ideas on how he stays appropriately "switched on" given the needs of any performance situation. His world, much like in medicine, is a high-pressure, high cost of failure performance context. Jameel provides rich insight on a range of human factors, and high-performance related topics. Among those he touches on include performing under pressure, maintaining situation awareness, the need for attentional flexibility, preparing to respond to the unexpected, and critical task prioritization. Throughout the discussion we draw parallels between the conditions he performs under and how, from a human performance standpoint, these might mirror what physicians face in their work. 08:27 Jameel describes what attributes make for a great fighter pilotThe central role that passion playsNo such thing as fair-weather fighter pilotsResilience mattersHarmonious and obsessive passion17:21 Cultivating an ideal focus, and performance mindsetAttentional flexibility and task executionPreparation (training and simulation) drives “in the moment” focusStaying perceptive in critical AND non-critical momentsEngagement: Going from 0-100 and all points in betweenMaintaining focus during benign performance moments33:30 Communication and pilot focusDifferences in comms between combat vs. test missionsPersonal “housekeeping” tasks to stay focused in flightPlaying the “game of contingencies”How comms during test flights can enhance focus, performance, and safetyMicro breaks to defocus and then re-focus“Buying risk”: The need to be in an optimal state46:32 Switching on when the unexpected occursFocus first on mission critical tasksKeeping the main thing, the main thingTrain and simulate FOR the unexpectedTrain to your breaking point…and then go furtherKnowing the “attentional revisit rate” for each task/procedure58:44 Recognizing those who have “it” and those who don’t“It” as a function of being teachable, open, humble, and driven to improveFurther, “it” comprises the ability to rank, and stack, and execute important tasks and decisions in critical momentsArousal control and “it”