Competence means keeping your head in a crisis, sticking with a task even when it seems hopeless, and improvising good solutions to tough problems when every second counts. It encompasses ingenuity, determination and being prepared for anything.

I've been lucky enough to fly to space twice.

No one ever accomplished anything great sitting down.

To me, it's not about being anywhere, but being able to change my perceptions and experience something new.

In any new situation, whether it involves an elevator or a rocket ship, you will almost certainly be viewed in one of three ways. As a minus one: actively harmful, someone who creates problems. Or as a zero: your impact is neutral and doesn't tip the balance one way or the other. Or you'll be seen as a plus one: someone who actively adds value. Everyone wants to be a plus one, of course. But proclaiming your plus-oneness at the outset almost guarantees you'll be perceived as a minus one, regardless of the skills you bring to the table or how you actually perform.

Our three big emergencies are fire, loss of pressurization or contaminated atmosphere. Any of those things in a spaceship are very deadly and time critical. Everybody's trained, but I'm the commander of the ship, and it's up to me to decide.

Our role is to develop techniques that allow us to provide emergency life-saving procedures to injured patients in an extreme, remote environment without the presence of a physician.