The Impact of Ergonomics on Recruitment to Surgical Fields: A Multi-Institutional Survey Study

Sergesketter, Amanda R.; Lubkin, David T; Shammas, Ronnie L.; Krucoff, Kate B.; Peskoe, Sarah B.; Risoli, Thomas; Endres, Kyle; Hollenbeck, Scott T.

doi:10.1016/j.jss.2018.11.035

Cited by 27 publications

(23 citation statements)

References 26 publications

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“…35,36 “Physical demands of the field” has been identified as a common deterrent to surgical specialization among medical students, and medical student interest in surgical fields markedly decreased after exposure to literature regarding the incidence of musculoskeletal injuries and conditions among surgeons. 37 These hazards may also disproportionally affect groups who face additional ergonomic challenges because Rohde et al 38 identified that a perceived requirement for physical strength may deter women from considering a career in orthopaedic surgery. Although women in surgical specialties are at increased risk of injury requiring treatment for some injury patterns, several studies have reported that employed women are less likely to pursue surgical treatment for work-related injuries.…”

Section: Discussionmentioning

confidence: 99%

A Survey of Musculoskeletal Disorders in the Orthopaedic Surgeon: Identifying Injuries, Exacerbating Workplace Factors, and Treatment Patterns in the Orthopaedic Community

et al. 2022

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Introduction:As demand for orthopaedic care increases, the orthopaedic community must preserve access to skilled physicians. Workplace hazards and related injuries or conditions contribute to musculoskeletal (MSK) stress on orthopaedic surgeons, which can lead to undesirable medical leaves of absence or early retirement. The purpose of this study was to identify and characterize work-related and non–work-related MSK conditions that affect orthopaedic surgeons and differential injury patterns among male and female surgeons. This study hypothesized that MSK conditions would be exacerbated by work, correlate with age, and show gender-based disparities. Identifying MSK conditions and associated workplace hazards may ultimately help guide preventive or protective efforts.Methods:Following IRB and society approvals, a modified 15-question physical discomfort survey was emailed to a randomized selection of American Academy of Orthopaedic Surgeons (AAOS) members and all Ruth Jackson Orthopaedic Society members. Data were deidentified and merged by AAOS; analyses were performed by the authors.Results:Most surgeons reported at least one MSK condition (86%; 95% male versus 82% female, P = 0.317), with an average of two conditions per surgeon. Low back pain (56%) and neck pain (42%) were the two most common conditions reported. Male surgeons were more likely to report medial epicondylitis (P = 0.040), lateral epicondylitis (P ≤ 0.001), low back pain (P = 0.001), and lumbar radiculopathy (P = 0.001); however, male respondents were significantly older than female respondents (57 versus 43 years, P ≤ 0.0001), and some conditions were age-correlated. Most respondents reported at least one work-attributed MSK condition (64%; 68% male versus 62% female, P = 0.806). Caseload was not associated with an increased number of work-related MSK conditions; yet, 60% of surgeons reported that work worsened symptoms. Surgical treatment was sought most often for lumbar radiculopathy (6%) and carpal tunnel syndrome (6%). Sixty-nine leaves of absence were reported; most less than 1 month (55%). Exacerbating workplace factors included positioning (patient/surgeon), instruments, and personal protective equipment.Discussion:Work-related MSK conditions are common among orthopaedic surgeons. Greater awareness of potential workplace-related hazards and conditions is needed to address and mitigate negative MSK health effects on orthopaedic surgeons.

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Section: Discussionmentioning

confidence: 99%

A Survey of Musculoskeletal Disorders in the Orthopaedic Surgeon: Identifying Injuries, Exacerbating Workplace Factors, and Treatment Patterns in the Orthopaedic Community

et al. 2022

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“…Furthermore, different relevant investigations have demonstrated that burnout syndrome might be associated with the affected patients as a result of the increased burden of the different work-related ergonomics without the application of adequate interventions among these patients. [40][41][42][43] This can significantly impact the satisfaction and quality of life of the affected healthcare workers, which can consequently impact their productivity during working hours. Therefore, healthcare authorities should exert further efforts to overcome these issues and enhance the quality of work to the healthcare workers at the different settings to increase the quality of care and increase satisfaction among these workers.…”

Section: Discussionmentioning

confidence: 99%

Most common ergonomic injuries among healthcare workers

Alharbi¹,

Alghanem²,

Alessa³

et al. 2021

Int J Community Med Public Health

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In the different healthcare settings, evidence shows that healthcare workers can be exposed to various work-related hazards, which might be ergonomics, biological, psychological, and physical hazards. Work-related musculoskeletal disorders are frequently reported among the different healthcare workers, and estimates indicate that surgeons are the most commonly affected. Disorders and injuries related to the backbone, shoulders, wrist, and knees are mainly reported by healthcare workers as relevant ergonomic hazards. In the present literature review, we have discussed the commonest ergonomics that have been reported in the literature among healthcare workers. Musculoskeletal disorders as back, knee, and wrist pain are the most frequently reported among the different settings. We have also assessed the different reasons that might attribute to the development of such events, and increased workload and working hours, in addition to the harmful postures are the main reasons that have been reported in the literature. Each clinical and surgical setting might be associated with significant risk factors over others, and therefore, specific interventions should be applied within these settings to enhance satisfaction among healthcare workers. Healthcare authorities are mainly responsible to achieve this. However, further epidemiological investigations are still needed to adequately plan the righteous interventional programs.

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“…Work-related MSDs can cause pain and physical discomfort during procedures as well as time off work [ 13 , 14 , 15 , 16 ]. Unfortunately, work-related MSDs can also lead to work-related stress syndrome, known as burnout [ 11 , 27 , 28 , 29 ]. Burnout was defined by Davila et al [ 30 ] as “a unique affective multidimensional response to stress, the core components of which are emotional exhaustion, physical fatigue, and cognitive weariness”.…”

Section: Work-related Musculoskeletal Disordersmentioning

confidence: 99%

“…In a recent study performed on 569 surgeons, those who felt physical discomfort reported significantly lower satisfaction with their work ( p = 0.024), higher burnout ( p = 0.005), and significantly higher callousness toward people ( p < 0.001) than those not fearing loss of career longevity [ 15 ]. One additional consequence may be that the youngest might be deterred from interventional radiology, especially when they are aware of the risk of MSDs, as was observed in surgery [ 27 ]. There is thus a need to further explore risk situations in interventional radiology; evaluate their effects on productivity, patient care, and patient satisfaction; and identify interventions that can promote the wellness of IRs.…”

Section: Work-related Musculoskeletal Disordersmentioning

confidence: 99%

Ergonomics in Interventional Radiology: Awareness Is Mandatory

et al. 2021

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Ergonomics in interventional radiology has not been thoroughly evaluated. Like any operators, interventional radiologists are exposed to the risk of work-related musculoskeletal disorders. The use of lead shielding to radiation exposure and the lack of ergonomic principles developed so far contribute to these disorders, which may potentially affect their livelihoods, quality of life, and productivity. The objectives of this review were to describe the different situations encountered in interventional radiology and to compile the strategies both available to date and in development to improve ergonomics.

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The Impact of Ergonomics on Recruitment to Surgical Fields: A Multi-Institutional Survey Study

Cited by 27 publications

References 26 publications

A Survey of Musculoskeletal Disorders in the Orthopaedic Surgeon: Identifying Injuries, Exacerbating Workplace Factors, and Treatment Patterns in the Orthopaedic Community

A Survey of Musculoskeletal Disorders in the Orthopaedic Surgeon: Identifying Injuries, Exacerbating Workplace Factors, and Treatment Patterns in the Orthopaedic Community

Most common ergonomic injuries among healthcare workers

Ergonomics in Interventional Radiology: Awareness Is Mandatory

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