Total Force Fitness and human performance optimization: A perspective from USU School of Medicine’s Dean Elster


By: Aiste Degesys, EdD, MPH, CHES*

Dean Eric Elster, MD, FACS, is a general and transplant surgeon, as well as a surgical investigator. He recently retired after serving in the U.S. Navy for 26 years. Now he is the Dean of the Uniformed Services University’s School of Medicine. During his military career, he had the honor of caring for wounded warriors. He was also deployed to both Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF), and he served alongside Marines. Dean Elster has always incorporated fitness into his lifestyle—from daily training to competing as an endurance athlete in marathons, triathlons, bike races, and Spartan events.

AD: Thanks so much for taking the time to speak with me, Dean Elster. I’m excited to hear how you’ve  prioritized your own health and performance throughout your career. Why is human performance optimization (HPO) important to you?
EE: Since fitness is a key component of my identity as I age (I’m 52 now), HPO is critical for me to prevent and recover from injuries.

AD: What’s something you would tell your younger self regarding holistic health and wellness?
EE: Don’t underestimate the power of mindfulness and performance. Recently, I started to use a mind-body mobile app which includes short (less than 15-minute) sessions to make the “mind-body” connection. I wish I had discovered this tool—or realized the power of focused mindfulness—earlier.

AD: That’s a great suggestion. Mindfulness is very helpful when you try to optimize your performance. Can you share some other habits you incorporate into your daily routine that boost your military wellness?
EE: My base workouts consist of alternating strength training and cardio. For cardio, I cycle on a stationary bike, but I prefer cycling outdoors. During the week, these are typically 45- to 60-minute sessions at a reasonable intensity. On the weekend, I will do a longer endurance session—2 to 4 hours on the bike when the weather permits. I augment this with pre-workout mobility drills, post-workout stretching, and foam rolling. Finally, I focus on performance nutrition and eat a very “clean” diet, avoiding fast foods and ensuring enough protein for recovery.

AD: What do you see as your greatest Total Force Fitness (TFF) strength and area for the most growth?
EE: My greatest strength is my consistency. Aside from scheduled days off, I make it a priority to train and eat right, focusing on my Nutritional and Physical Fitness. I can grow within TFF by better dealing with injury prevention—focusing on how I “feel” when assessing workouts rather than over-relying on physical fitness “metrics.”

AD: Can you discuss a specific time when you used the interconnectedness of the TFF domains to help you perform at your best?
EE: While I was deployed in Kandahar, Afghanistan at the peak of OEF, the ability to maintain TFF was critical to my ability to function as a leader and surgeon during what was essentially a “marathon.”

AD: What’s one challenge you've faced in prioritizing your own health and performance?
EE: Finding the time to workout and exercise when I travel can be challenging. This often means waking up early, bringing my suspension training bands with me, and looking for local options.

AD: Sounds like you have a good plan in place. What advice do you have for Service Members trying to improve their military fitness?
EE: Consistency, consistency, consistency!

AD: Thank you so much for your time and insight, Dean Elster. Your perspectives on TFF and HPO are much appreciated.

For more information about Total Force Fitness and human performance optimization, visit HPRC. You can also complete your personal Total Force Fitness self-check.



Disclosure: The opinions and assertions expressed herein are those of the authors and do not reflect the official policy or position of USU or DoD. The contents of this publication are the sole responsibility of the author and do not necessarily reflect the views, opinions, or policies of The Henry M. Jackson Foundation for the Advancement of Military Medicine, Inc. Mention of trade names, commercial products, or organizations does not imply endorsement by the U.S. Government. The author has no financial interests or relationships to disclose.