In this episode, we sit down with Dr. David Tenney, one of the pioneers of sports science and high performance leadership in North America. Tenney shares how his career evolved from practitioner to leader and why he became interested in studying the leadership competencies required to manage modern high performance teams. We discuss the changing landscape of professional sports, the growing complexity of performance departments, and the challenges that come with coordinating specialists across performance, medical, analytics, and coaching roles. We also explore the realities of managing external stakeholders, including agents, physicians, and families, and why communication and relationship building have become essential leadership skills. David offers practical insights on hiring the right people, developing collaborative environments, and creating multidisciplinary teams that move beyond simply working alongside one another to truly integrating their expertise in ways that improve athlete outcomes. A huge thanks to podcast sponsors, Sorinex and EliteForm, for making these episodes possible.