What stress coping strategies are surgeons relying upon during surgery?

Using an anonymous survey, surgeons at a single institution were asked to rate the impact of 9 stressors on performance and outcomes.  Complex cases, rarely performed cases, and lack of adequate assistance were assocated with the most stress.  A stress-related intraoperative complication occurrence was reported by 40%.  More than 80% indicated that training in stress management would be useful.