Surgical Ergonomics

The Hidden Toll of Veterinary Medicine with Dr. Sara White

This episode of the podcast is sponsored by Sunoptic Surgical. You can learn about them and schedule a demo via   https://sunopticsurgical.com/surgicalergonomics/ [https://sunopticsurgical.com/surgicalergonomics/] Disclosure:  Sunoptic Surgical is a paid sponsor and the affiliate link above supports the podcast at no cost to you.   Dr. Sara White is a veterinarian and has worked in mixed animal, small animal, shelter medicine and High-Quality, High-Volume Spay Neuter (HQHVSN) practices. Since 2006, Sara has operated Spay ASAP Inc, a nonprofit MASH-style mobile spay/neuter clinic. While working in spay-neuter, Sara developed an interest in ergonomics, health, wellbeing, and injury in veterinarians and staff, and  completed a Masters of Science in Health Ergonomics from University of Derby in the UK. She has been named Veterinarian of the Year by the Association of Shelter Veterinarians, coauthored the Association of Shelter Veterinarians Spay Neuter Guidelines and is the editor of the textbook High-Quality, High-Volume Spay and Neuter and Other Shelter Surgeries  In this episode, Dr. White: - Shares her journey into working in a high-volume spay/neuter practice and how that sparked her interest in ergonomics -Describes the high rate of work-related MSK injuries among veterinarians and especially those in high volume spay-neuter practices. The period prevalence of MSD was 99.1%, with 76.7% experiencing hand or wrist pain and 98.2% experiencing body pain. Further details can be found here: https://www.mdpi.com/2076-2615/3/1/85 - Emphasizes that increasing career length, increasing weekly hours in surgery and decreasing job satisfaction were the work-related factors with the greatest relative risk of hand pain severity and total pain. Interestingly, gender differences were not as prominent in her study, possibly because of the lack of instrument and hand size mismatch in the veterinary population - Shares that there wasn't any formal ergonomics training when she trained in veterinary medicine, however, there is now some incorporation of ergonomics teaching in programs and textbooks - Describes her journey into coaching veterinarians about ergonomics You can reach Dr. White via her website ergovet.com or via LinkedIn [https://www.linkedin.com/in/sara-white-7a7a342a/] Follow us on LinkedIn [https://www.linkedin.com/in/geeta-lal-md-232115199/], X [https://x.com/SurgErgonomics], Instagram [https://www.instagram.com/surgicalergonomics/] and Facebook [https://www.facebook.com/SurgicalErgonomics] and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

OR Ergonomics from the Anesthsiology Perspective with Dr. Christopher Perkes

Dr. Christopher Perkes is an Anesthesiologist at Trillium Health Partners in Mississauga, Ontario, Canada. His non-clinical pursuits have included serving as an Anesthesia Medical Director (Quinte Health), Premesis Inspection Committee member for the College of Physicians and Surgeons of Ontario, and delivering a Canadian Anesthesiology Society presentation on Ergonomics for the Anesthesiologist. His interest in ergonomics began in 2018 when he suffered a back injury that threatened his career.  In this episode, Dr. Perkes: - Shares how his own injury (herniated L5/S1 intervertebral disc) sparked his interest in ergonomics - Discusses the ergonomic risks faced by anesthesia providers in their daily work and the factors that keep people from getting help when their symptoms first develop - Emphazised the importance of working with a specialist (physical therapist, occupational therapist or ergonomist) to analyze our postures in our workflow - Outlines practical steps that practitioners can take to set up their environment ergonomically and also advocate for ergonomic equipment - Shared his thoughts on how good ergonomics can be incorporated into residency training and practicing providers  Follow us on LinkedIn [https://www.linkedin.com/in/geeta-lal-md-232115199/], X [https://x.com/SurgErgonomics], Instagram [https://www.instagram.com/surgicalergonomics/] and Facebook [https://www.facebook.com/SurgicalErgonomics] and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

OR ergonomics from the scrub technologist perspective with Ms. Jeannette Wagner

This episode of the podcast is sponsored by Smart Step Surgical LLC. You can learn about them and schedule a demo via https://www.smartstepsurgical.com/blogs/news/surgical-ergonomic-podcast-promotional-discount Disclosure:  Smart Step Surgical is a paid sponsor and the affiliate link above supports the podcast at no cost to you. They also provide our podcast listeners with a discount (20%), so we hope that it is a win-win! Episode details: Ms. Jeannette Wagner is a Surgical Technologist and is  Team Lead in the operating rooms at University of Iowa Health Care, Stead Family Children’s Hospital. She oversees multiple services along with scrubbing a large variety of surgeries. Her true passion is scrubbing pediatric cardiac and takes pride in being a part of the surgical team. An important part of her role as Team Lead is education for staff and training Surgical Technologists, as well as nurses to the scrub role. She is a dedicated and motivated professional with a passion for lifelong learning and personal growth.  She is a member of the Scheduling Committee in her department and in the past was a member and chair of the UPC council for SFCH surgical department.  Her personal interests include spending time with her family and 3 granddaughters, being out in nature and always willing to take on new challenges and expand her skills.   In this episode Ms. Wagner: - Shares the MSK issues she has faced over her almost 30-year career as a scrub technologist, including needing surgery for carpal tunnel syndrome and a shoulder injury - Emphasized that there is a lack of education around ergonomics in the training of scrub technologists -Discusses data that shows OR nurses have high rates of MSK injuries when compared to nurses working in other hospital environments and that back injuries are the most common MSK issue -  Describes some of the barriers to implementing ergonomic best practices among OR scrub staff - Provides tips on  handling the power differential in the OR when it comes to utilizing ergonomic aids - Emphasizes how communication between surgeons and techs can ease access to the field and improve ergonomics for everyone Follow us on LinkedIn [https://www.linkedin.com/in/geeta-lal-md-232115199/], X [https://x.com/SurgErgonomics], Instagram [https://www.instagram.com/surgicalergonomics/] and Facebook [https://www.facebook.com/SurgicalErgonomics] and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

How exoskeletons can improve ergonomics in the OR with Dr. Jackie Cha

Dr. Jackie Cha is the Patricia Flatley Brennan Assistant Professor in the Department of Industrial and Systems Engineering at the University of Wisconsin – Madison. Her research focuses on measuring physical human-robot interactions, particularly in healthcare environments, to improve worker performance, safety, and system efficiency. Her team investigates applications of robotics – both surgical robotic systems and wearables – in clinical environments and the changes of physical and cognitive interactions between human teams and robots. Prior to joining UW-Madison, she served as an assistant professor at Clemson University. Her research has been funded by several sponsors such as the National Science Foundation (NSF) (including the NSF CAREER award), National Institutes of Health (NIH), and the Agency of Healthcare Research and Quality (AHRQ). In this episode Dr. Cha: - Explains what exoskeletons are and the difference between active and passive exoskeletions - Shares how exoskeletons have been used to reduce strain in industrial sectors (as PPE)  - Describes why adapting exoskeletons to the OR is especially challenging i.e. due to the large physical and cognitive load intrinsic to OR work - Shares the work she and others have done evaluating exoskeletons for the OR both in the simulation environment and in actual OR rooms - Discusses the pros and cons of currently available exoskeletons in terms of adapting them to surgical work  The Society of Surgical Ergonomics webinar on exoskeletons can be found here:https://www.societyofsurgicalergonomics.org/copy-of-video-library The recent study with qualitative and objective data with use of a neck/back exoskeleton can be found here: https://pubmed.ncbi.nlm.nih.gov/40201977/ Dr. Jackie Cha can be reached via Linked In: https://www.linkedin.com/in/jackiecha/ Follow us on LinkedIn [https://www.linkedin.com/in/geeta-lal-md-232115199/], X [https://x.com/SurgErgonomics], Instagram [https://www.instagram.com/surgicalergonomics/] and Facebook [https://www.facebook.com/SurgicalErgonomics] and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

Ergonomics for otolaryngologists and incorporating ergonomics into daily work with Rhinologist, Skull base surgeon and Physical therapist Dr. Raewyn Campbell

This episode of the podcast is sponsored by Q-optics. You can learn about them, the special rates they are offering for podcast listerners and schedule a demo via : https://q-optics.com/pages/surgicalergonomics-drlal Disclosure:  Q-optics is a paid sponsor and the affiliate link above supports the podcast at no cost to you. It also provides you with a discount and a giveaway to listeners of the podcast, so we hope that it is a win-win! Dr. Raewyn Campbell is an Associate Progessor and a rhinologist and skull base surgeon in Sydney, Australia. She is also a former physical therapist with a post-graduate diploma in exercise and sport science. She completed 3 international fellowships in Rhinology and Skull Base surgery in Auckland, NewZealand and Philadelphia and Columbus, USA. She holds leadership positions in multiple societies and is the the ENT research lead for the Royal Prince Alfred Hospital Institute of Academic Surgery and the ENT Associate Member Representative for the Australian Society of Clinical Immunology and Allergy (ASCIA). She is currently pursuing a PhD in ergonomics at The University of Sydney. In this episode, Dr. Campbell: - Discusses her journey from working as a physical therapist to then pursuing a career as an surgical subspecialist and now pursuing her PhD in Ergonomics - Describes the research she has done looking at MSK injuries among  otolaryngologists, with high rates of injuries among rhinologists and skull base surgeons, which impact not only their work but also their lives outside the OR - Shares the common risk factors for MSK injury for her subspecialty including glove size, standing, case load, amount of exercise, time spent in clinic, female sex and BMI of the surgeon. Many of these are modifiable and are common to other specialties as well - Emphasizes strategies to incorporate ergonomics into OR practice such as keeping the patient as close to oneself as possible and tilting the bed as necessary, alternating foot use for the foot pedal, using anti-fatigue mats, wearing sport shoes, paying attention to the direction of the tubing, having the scrub assistant opposite to the surgeon and including microbreaks (for both physical and cognitive ergonomics) - Shares her strategies for incorporating ergonomics principles into clinic work - Discusses the importance of incorporating physical activity (stretching ans strengthening) inside and outside the OR - Describes new technologies on the horizon for surgeons working on the microscope, such as exoscopes and robotic surgery Follow us on LinkedIn [https://www.linkedin.com/in/geeta-lal-md-232115199/], X [https://x.com/SurgErgonomics], Instagram [https://www.instagram.com/surgicalergonomics/] and Facebook [https://www.facebook.com/SurgicalErgonomics] and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show