MANUSCRIPT ACCEPTED ACCEPTED MANUSCRIPT 1 Implementation Results of a Novel Comprehensive Mental Skills Curriculum during Simulator Training Dimitrios Stefanidis MD, PhD, 1,2 Nicholas Anton, 2 Graham McRary, 2 Lisa D Howley PhD, 2,3 Manuel Pimentel, 2 Cameron Davis, 3 Ashley M Yurco, 3 Nick Sevdalis, PhD, 4 Charles Brown, PhD 5 1 Department of Surgery, Carolinas HealthCare System, Charlotte, NC 2 Carolinas Simulation Center, Carolinas HealthCare System, Charlotte, NC 3 Medical Education, Carolinas HealthCare System, Charlotte, NC 4 King’s College, London, UK 5 Head in the Game, Inc, Charlotte, NC Correspondence concerning this article should be addressed to: Dimitrios Stefanidis, MD, PhD, FACS, FASMBS Surgical and Research Director, Carolinas Simulation Center Associate Professor of Surgery, Carolinas Healthcare System Clinical Associate Professor of Surgery, University of North Carolina Division of Bariatric Surgery, Department of Surgery Carolinas HealthCare System 1025 Morehead Medical Dr. Suite 300 Charlotte, NC 28204 Email: dimitrios.stefanidis@carolinashealthcare.org Phone: (704) 355-5114 Keywords Surgery, Simulation Training, Stress, Mental Skills, Stress Management, Surgical Training, Performance Enhancement This study was presented from the podium at the annual meeting of the Association for Surgical Education in Seattle, WA on April 24 th , 2015. Acknowledgement Financial support for this study was provided by the Agency of Healthcare Research and Quality (AHRQ) # R18HS022080. Sevdalis’ research was funded by the National Institute for Health Research (NIHR) Collaboration for Leadership in Applied Health Research and Care South London at King's College Hospital NHS Foundation Trust. The views expressed are those of the authors and not necessarily those of the NHS, the NIHR or the Department of Health. _________________________________________________________________________________ This is the author's manuscript of the article published in final edited form as: Stefanidis, D., Anton, N. E., McRary, G., Howley, L. D., Pimentel, M., Davis, C., … Brown, C. (2017). Implementation results of a novel comprehensive mental skills curriculum during simulator training. The American Journal of Surgery, 213(2), 353–361. https://doi.org/10.1016/j.amjsurg.2016.06.027