Division of Gastroenterology and Hepatology, University of Wisconsin-Madison, Madison, USA.
School of Medicine and Public Health, University of Wisconsin-Madison, Madison, USA.
Dig Dis Sci. 2019 Jun;64(6):1439-1447. doi: 10.1007/s10620-019-5463-7. Epub 2019 Jan 25.
Endoscopy-related musculoskeletal injuries are increasingly recognized among gastroenterologists. While injury rates and risk factors have been studied among practicing gastroenterologists, little is known about rates among trainees during fellowship.
This study analyzes the prevalence of endoscopy-related overuse injuries and risk factors for injuries among a national sample of gastroenterology (GI) fellows. We also surveyed GI fellowship program directors and fellows about perceptions of overuse injuries during GI training.
We distributed a 29-item electronic survey to GI fellows at accredited programs in the USA in April 2016. Survey items included demographic information, questions pertaining to injuries, and level of agreement on the importance of ergonomics training in GI fellowship. Additionally, we distributed a 7-item electronic survey to fellowship program directors evaluating perception of overuse injuries and prevention during fellowship training. Fisher's exact test determined factors associated with sustaining an injury.
An estimated 1509 fellows received the survey. Eleven percent (n = 165) of gastroenterology fellows completed the survey. Twenty percent reported having a musculoskeletal injury. Female gender was the only factor associated with a higher rate of reported injury (p < 0.01). The most common injuries reported were thumb and other hand-related pain (n = 28 [64%]).
Musculoskeletal injuries may affect up to 20% of GI fellows. Female fellows more frequently report injuries and may be at particularly high risk which has not been found in previously reported surveys of practicing gastroenterologists. Standardized curricula on ergonomic considerations and injury prevention are needed to enhance GI fellowship training and reduce injury rates.
内镜相关肌肉骨骼损伤在胃肠病学家中越来越受到关注。虽然已经研究了执业胃肠病学家中的损伤发生率和危险因素，但在研究员培训期间，对此类损伤的发生率知之甚少。
本研究分析了全国范围内胃肠病学（GI）研究员样本中内镜相关过度使用损伤的发生率和损伤危险因素。我们还调查了 GI 研究员培训项目主任和研究员对 GI 培训期间过度使用损伤的看法。
我们于 2016 年 4 月向美国认可项目中的 GI 研究员分发了一份 29 项的电子调查问卷。调查问卷包括人口统计学信息、与损伤相关的问题以及对 GI 研究员培训中人体工程学培训重要性的认同程度。此外，我们还向研究员培训项目主任分发了一份 7 项的电子调查问卷，以评估过度使用损伤的看法以及在研究员培训期间的预防措施。Fisher 精确检验确定了与受伤相关的因素。
估计有 1509 名研究员收到了该调查。11%（n=165）的胃肠病学研究员完成了调查。20%的人报告有肌肉骨骼损伤。女性性别是报告受伤率较高的唯一因素（p<0.01）。报告的最常见损伤是拇指和其他手部相关疼痛（n=28[64%]）。
肌肉骨骼损伤可能影响多达 20%的 GI 研究员。女性研究员更频繁地报告受伤，可能处于特别高的风险中，而这在之前对执业胃肠病学家的调查中并未发现。需要制定关于人体工程学考虑因素和损伤预防的标准化课程，以加强 GI 研究员培训并降低损伤率。
