Episode 27: Knot to be missed - The RCOG surgical skills podcast | Decisions Under Fire

In this energising and insightful episode, hosts Hannah Pierce and Naomi Harvey are joined by Dr Tracy-Louise Appleyard OBE — the podcast’s first OBE recipient — to explore how military medicine can transform the way we lead, train and make decisions in healthcare. A Consultant Obstetrician and Gynaecologist at North Bristol NHS Trust and Defence Consultant Adviser in Obstetrics and Gynaecology for the Royal Army Medical Services, Dr Appleyard brings decades of experience from both the NHS and military environments. She shares how service life shaped her ability to make clear decisions under pressure, understand consequence, and lead teams through uncertainty. The conversation explores why decisiveness matters, how human factors can make healthcare safer, and what it takes to create psychologically safe teams in high-pressure environments. Dr Appleyard also shares memorable lessons on protecting your “life units”, setting boundaries, and recognising when stress is about perception rather than reality.