Innovating Leadership:
Co-Creating Our Future

Hosted by Maureen Metcalf

Conversations with global thought leaders on leadership, culture, and innovation—designed for executives navigating complexity and building resilient organizations.

High Performance Medicine: Healthcare and Innovation
Episode Description

Brian Ferguson argues that frontline medical professionals deserve the same performance science long afforded to elite athletes and military personnel. Anchored in Theodore Roosevelt’s “Man in the Arena,” he frames high performance as a deliberate, values-driven commitment to show up and improve consistently. The pandemic, he notes, exposed a stark gap: medical staff face extraordinary pressure without the resilience and recovery support systems built for soldiers and athletes, and Arena Labs exists to close that divide through what he calls the science of human thriving.

Key Takeaways
  • Performance science, long used for athletes and the military, can transform how healthcare teams are supported.
  • High performance is a deliberate, values-driven commitment to show up and improve consistently.
  • Performance rests on understanding stress physiology, interdependence, and the conditions for peak output.
  • COVID-19 exposed how medical staff face extreme pressure without equivalent support systems.
  • The right mindset blends expert-level humility, trust in diversity, curiosity, and ownership of what you control.
Why This Episode Matters

Executives come away with a compelling case for treating resilience and recovery as performance infrastructure, applicable well beyond medicine to any team operating under sustained pressure.

Featuring

Brian Ferguson, Founder and CEO of Arena Labs

Episode Topics

Podcast Air Date

December 8, 2020

Episode Duration

44min

Watch the episode

Season 6
Episode Number 17

Episode Content:

What’s “The Arena” Performance 101?

This week’s podcast features Brian Ferguson, Founder and CEO of Arena Labs, High Performance Medicine: Healthcare and Innovation. The blog was previously published on the Arena Labs blog.

“It is not the critic who counts; not the man who points out how the strong man stumbles, or where the doer of deeds could have done them better.  The credit belongs to the man who is actually in the arena, whose face is marred by dust and sweat and blood; who strives valiantly; who errs, who comes short again and again, because there is no effort without error and shortcoming; but who does actually strive to do the deeds; who knows great enthusiasms, the great devotions; who spends himself in a worthy cause; who at the best knows in the end the triumph of high achievement, and who at the worst, if he fails, at least fails while daring greatly, so that his place shall never be with those cold and timid souls who neither know victory nor defeat.”

–THEODORE ROOSEVELT, CITIZENSHIP IN A REPUBLIC, 1910

 

If you want to be in the Arena, you don’t get there by way of drifting through life.

The Arena is a place of action, and yet it is consciousness that defines its nature: to have an Arena in the first place, you need to have intently decided: This. This is the thing I will show up for. The thing that puts my most cherished values into action. The thing around which I will design my life so that I will not only show up well but show up better and better each time.

The Arena is the space for that thing, for the body doing that thing. It’s a context for risk. People act differently in different contexts. Think of yourself in different spaces. What are the contexts in which you are raucous, loud? What are the contexts in which you are reserved, quiet? What are the contexts in which you have swagger? (Ok silly question, you always have swagger.) When it comes to developing excellence, context is an interesting thing. What happens in one context has everything to do with how far you can go in another, some of which is predictable, and a lot of which as unexpected as it is tied to the very best of our unique human nature.

The Arena is there so that you can ask, and test: how far can we go?

The rules of the Arena are established so you can accept and fully take the risk with and for others­–the only way to tap human potential­–and play all-out while holding the sanctity of safety.

Performance is the knowledge deployed in the Arena. As Kristen Holmes describes, “performance is the science of human thriving.” It has three key aspects:

  1. The identification of the internal and environmental conditions that catalyze individuals and teams to play at their best.
  2. The understanding of the physiology of stress and fear and anxiety, and of our interdependence with others.
  3. The disposition to apply this science in one’s own body and lifeworld so to catalyze growth.

Performance knowledge springs from across sectors concerned with bodies and the care for human life. In recent years, a revolution in this knowledge has been driven by research and applied science in athletics, the military, and the performing arts.

At the end of the day, performance is a mindset: the humility of the expert learner. It is the trust in a collective’s ability to perform at its very best by nature of its diversity. It is deep curiosity about human nature, rigor in applying findings. It is a love of humans and what we might be able to do when we are working from the very best of our nature. And it is the wisdom to know that what you can control and what you can’t, with a big appetite for full ownership of what you truly can—a lot of it an inside job.

The Arena is the place for performance, for which we’ve relentlessly trained and practiced.

The place in which we activate, and then see what happens.

 

Resources:

The COVID pandemic has elevated a long-overlooked narrative: we ask A LOT of the nurses, doctors, and frontline medical staff who shepherd our communities in times of public health crisis. And while they are required to step into unknown, high-pressure + high-stress work, we do not equip them with the same tools for resilience and recovery that we do for professional athletes and elite military units. Brian Ferguson joins the show to discuss how Arena Labs is focused on pioneering what they call “High Performance Medicine” in order to bring those same tools, training, and technology to frontline medical teams.

Other episodes you’ll enjoy

Guest(s):

Brian Ferguson, Founder and CEO of Arena Labs

Guest(s) Bio:

Brian Ferguson spent the past 15 years working in high-performance organizations, learning from leaders and decision makers in national security, the military and technology. He used these experiences to build Arena Labs, a company focused on catalyzing human potential by leveraging the wisdom and experience of men and women who have achieved extraordinary success in the arena. Brian works with a wide range of businesses and institutions to understand how to balance modern technology and the age-old first principles of high performance to construct adaptive, flexible organizations. Arena Labs focuses heavily in medicine and specifically, High Performance Medicine. Before founding Arena Labs, Brian worked in a variety of positions in national security and defense. He worked in the office of the secretary of defense. Early in his career, Brian worked in the White House and founded The Global Trends Group, a political and economic risk analysis firm.

Want to be a guest on the Innovating Leadership Podcast?

Want to sponsor the Innovating Leadership Podcast?

Our Podcast Team:

Maureen Metcalf

Maureen Metcalf

Podcast Host

Dan Mushalko

Dan Mushalko

Editor & Producer

Jenna Reik

Jenna Reik

Podcast Manager

Love the show?

Leave us a review and rating:

   

    Transcript
    (auto-generated)

    Transcript