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