Surgical Ergonomics – Détails, épisodes et analyse

Stephanie Pearson, MD, FACOG, is a board-certified OB/GYN, educator, and advocate for physician well-being. After a career-ending injury, she co-founded PearsonRavitz, a national insurance brokerage dedicated to protecting physicians. Drawing from her own experience, Stephanie educates and empowers physicians on the importance of disability and life insurance.  A sought-after speaker, she addresses physician advocacy, healthcare disparities, and self-care, inspiring resilience and financial security. 

In this episode, Dr. Pearson:

- Shares that musculoskeletal disease resulting from poor ergonomics are the #1 reason surgeons leave practice, however these injuries aren't necessarily considered work-related

- Alerts us that chronic repetitive strain injuries of the spine (neck and back), shoulder and wrist  constitute the bulk of disorders leading to disability for surgeons, proceduralists and other personnel working in the OR such as techs and nurses

- Explains that disability determinations have to be made by a treating physician who has to state that an individual cannot do their job safely before a claim is submitted to an insurance carrier. Carriers can challenge the disability claim and arrange independent medical exams and imaging review

- Shares the the key differences between employer-based and private disability policies  with respect to pre- vs. post-tax benefits, ownership (portability) and language surrounding the definition of own-occupation riders and total disability

- Reminds us to carefully check our group disability policies as some may not even cover work-related injuries and others may place limits of 2 years of payment for these injuries

- Urges that clients understand the difference between an insurance broker vs. an insurance agent and that a personal policy should be bought as soon as possible during training (to get maximal coverage for lower cost)

- Provides her top 5 tips to consider when shopping for disability insurance.

You can reach Dr. Pearson via the following means:

Website: www.stephaniepearson.com

LinkedIn: https://www.linkedin.com/in/stephaniepearsonmd/

Instagram: https://www.instagram.com/drstephaniepearson/

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Dr. Andrew Gabrielson is currently a chief resident at the James Buchanan Brady Urological Institute at Johns Hopkins University School of Medicine.  He has a longstanding interest in surgical ergonomics and the study of work-related injury among physicians and surgeons. He previously served on the board of directors and co-chair of the IT/communications committee of the Society of Surgical Ergonomics.  Dr. Gabrielson is headed to Chicago next year for his fellowship in pediatric urology at Northwestern/Lurie Children’s Hospital 

In this episode Dr. Gabrielson

- Shares his personal journey, including how he became interested in surgical ergonomics

- Sheds light on the culture of surgery, where individuals delay seeking care for injuries 

- Highlights that 70-90% of surgical trainees report having musculoskeletal symptoms within the past year, and that 30-40% of injuries are moderate to severe

- Emphasizes that trainees from all levels are affected, and that both physical and cognitive ergonomics matter in procedural spaces

- Provides resources for trainees to learn about ergonomics i.e. the American College of Surgeons' Ergonomics Taskforce recommendations, the SSE website and various articles

- Introduces the concept of an Ergonomics Timeout and how trainees can take the initiative to set up things in the OR

- Shares tips for urologists to optimize ergonomics for cystoscopy

You can connect with Dr. Gabrielson on X/Twitter: @UroGabe  or Blue Sky: urogabe.bsky.social

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Dr. Pamela Hess is a Clinical Assistant Professor at the University of Florida College of Public Health and Health Professions in the Department of Occupational Therapy, with a joint appointment in the Department of Surgery. Her clinical background includes inpatient acute care pelvic health. She holds a Bachelor of Science in Health Care Administration and a Doctorate in Occupational Therapy, specializing in women's health and surgical ergonomics and wellbeing.  In her current role, she is developing programmatic initiatives to support the surgeon’s wellbeing in the out of the OR. Lastly, she is also a certified pilates instructor.

 In this episode, Dr. Hess:  

a)    Shares her personal journey, training and how she became interested in surgical ergonomics

 b)    Explains the details and components of the Comprehensive Operating Room Ergonomics (CORE) program she helped launch at the University of Indiana, where she worked prior to moving to Florida. The program was focused on preventing surgeon work-related musculoskeletal disorders and led to a publication in the American Journal of Occupational Therapy.

c)    Emphasizes the importance of assessing work both inside and outside the operating room and highlights best practices including paying attention to one’s setup, posture and taking short breaks.

 d)    Stresses the importance of a strong core and provides information about Surgilates, a strength and stretching program she has developed (based on her Pilates training) specifically for surgeons and other personnel working in the OR.

 e)    Discusses some of the specific issues relating to ergonomics for women proceduralists, and provides tips for working in procedural areas while pregnant. 

 f)      Reminds us that pelvic floor dysfunction can affect all proceduralists, regardless of sex, and consulting a physical therapist or occupational therapist is essential in this scenario.

 You can follow Dr. Hess on LinkedIn and email her at pamgotr@gmail.com if you’re interested in surgical ergonomics coaching,

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Dr. M. Susan Hallbeck, PE, CPE is the Scientific Director of Human Factors Engineering and Professor of Health Care Systems Engineering in the Robert D. and Patricia E. Kern Center for the Science of Healthcare Delivery and a Consultant in Health Care Delivery Research, as well as a Consultant in Surgery at the Mayo Clinic in Rochester, MN. Dr. Hallbeck is the Past-President of both the Human Factors and Ergonomics Society (HFES) and the Society for Surgical Ergonomics. Dr. Hallbeck is a licensed professional engineer and a certified professional ergonomist.

 In this episode, Dr. Hallbeck:  

• Shares her personal journey, training and how she became interested in surgical ergonomics
• Defines the term “Ergonomics”, which is derived from the Greek words “ergon” meaning work and “nomos” meaning natural law.
• Shares that 60-80% of surgeons and procedural staff report suffering from work-related musculoskeletal (WRMSK) symptoms and that 50% of them fear that the symptoms will affect that career longevity
• Emphasizes that WRMSK symtoms have consequences for the individual health care worker (including being associated with burnout) and society as a whole.
• Provides some tips for healthcare workers wishing to improve their ergonomics both in and out of the operating room
• Discusses the importance of taking breaks and performing posture resets as an important ergonomic intervention which improved both physical and mental wellbeing, without increasing OR time. You can use the free OR stretch app to get started with taking breaks during procedures.
• Shares the initial results from the hand-size study being performed via the Society of Surgical Ergonomics.  The purpose of the study is to better inform future instrument design by learning how surgeon hand and glove size correlate with grip strength and other variables. Please take a few minutes to contribute to this study here.
• You can follow Dr. Hallbeck on LinkedIn and access other important resources pertaining to her work here. 

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