It's when something matters that pressure starts to build, so pressure can
be thought of as opportunity, states a world-renowned cardiothoracic surgeon and author. His advice for handling pressure includes remembering your training and following through just like an athlete remembers how he
performed in practice.

Staying cool when working during hot weather is an issue faced by landscape professionals all summer long, sometimes all year long in some areas.

Staying cool when inner pressure builds up regardless of the outside temperature is another issue altogether.

"No matter how well we've done laying the groundwork for everything to run smoothly, we all face situations that challenge us," says Dr. Robert J. Cerfolio, a world-renowned cardiothoracic surgeon known as "the Michael Jordan of lung surgery."

"If we can keep our cool and adhere to some basic principles, we can not only meet any challenge – we can perform with excellence."

A high-performance athlete in high school and college, Dr. Cerfolio parlayed his talents and focus into pursuing his medical career and creating a happy family with his wife, Lorraine, and their three sons.

But after battling breast cancer, Lorraine recently passed away. Cerfolio, author of "Super Performing at Work and at Home: The Athleticism of Surgery and Life," (www.superperforming.com), shares the principles that helped him through that greatest of all challenges and lesser ones along the way.

"Apply these principles in work, sports and life in general, and you can become a super performer," he says.

• Pressure equals opportunity. It's when something matters that the pressure starts to build; this is where the rubber meets the road for sports-to-life analogies.

"In sports as in life, remember your training; follow through just like you did during practice; visualize success; believe it will happen," Dr. Cerfolio says. "With friends, for example, high-pressure moments can be those times when they need you. The best way to have great friends is to be a great friend."

• Strive to hit .400 every year – keep your eye on the prize; write it down. "My high school gave out an award each year to the best student athlete in each grade," he says. "I wrote down that I wanted to win the Klein Award in the ninth, 10th and 11th grades, and to win the most prestigious award at the senior graduation, the Deetjen Award.

He accomplished most of those goals, and a key to those achievements was writing them down and placing the paper where, for four years, he could see it every night.

"By writing them down, I had made my goals clear and objective."

• Lean toward a "we-centered" ego rather than a "me-centered" one. "When I traded in my baseball uniform for surgical scrubs, I noticed the importance of stripping the many layers of the ego I once had," Dr. Cerfolio says. "This is really important: Your ego doesn't need to be visible to everyone -- or even anyone but yourself."

Being a top performer requires ego – it helps fuel self-confidence and provides some of the motivation necessary to achieve. But it should not hinder the performance of your team: your coworkers, friends and family. Over time, by keeping your ego to yourself, it becomes easier to enact a team-oriented ego, rather than a "me-oriented" one.

• Time to quit? Rub some dirt on it. In life, work is unavoidable, so embrace it, go big, and appreciate the rewards. No matter how difficult the challenge you face or how much it may hurt to meet that challenge, push through and give it your all.

"Yes, there's a chance you won't succeed, or won't succeed to the degree you'd like. But you stand zero chance of success if you don't meet that challenge and give it everything you've got," Dr. Cerfolio says. "You owe it to yourself and your team, whether that's your ball team, your family team or your work team. When you sign up for any team, by definition you promise your time, effort and 100 percent commitment. You have to be at every game and every practice on time and ready to go."