Journal article

The effects of stress and coping on surgical performance during simulations.

Cordula M Wetzel, Stephen A Black, George B Hanna, Thanos Athanasiou, Roger L Kneebone, Debra Nestel, John HN Wolfe, Maria Woloshynowych

Annals of Surgery | Published : 2010


OBJECTIVE: This study investigates the effects of surgeons' stress levels and coping strategies on surgical performance during simulated operations. METHODS: Thirty surgeons carried out each a non-crisis and a crisis scenario of a simulated operation. Surgeons' stress levels were assessed by several measures: self-assessments and observer ratings of stress, heart rate, heart rate variability, and salivary cortisol. Coping strategies were explored qualitatively and quantified to a coping score. Experience in surgery was included as an additional predictor. Outcome measures consisted of technical surgical skills using Objective Structured Assessment of Technical Skill (OSATS), nontechnical sur..

View full abstract

University of Melbourne Researchers