Allespach Heidi, Sussman Matthew, Bolanos Jessica, Atri Elias, Schulman Carl I
DeWitt Daughtry Family Department of Surgery, University of Miami Miller School of Medicine/Jackson Memorial Hospital, Miami, Florida.
Department of Physical Therapy, University of Miami Miller School of Medicine, Coral Gables, Florida.
J Surg Educ. 2020 Sep-Oct;77(5):1024-1027. doi: 10.1016/j.jsurg.2020.04.001. Epub 2020 Aug 4.
Pain and disability among surgeons can lead to practice restrictions, early retirement, and physician burnout. This project sought to address the physical well-being of surgical residents by teaching ergonomic principles, a "microbreaks" model, and stretching exercises aimed at targeting the four anatomical areas identified as most problematic for surgeons.
Three modules, led by physical therapists, were presented to surgical residents over the course of the 2018-2019 academic year. These modules targeted specific problem areas for surgeons according to current literature. A perioperative micro-break model was also presented. Pre- and post-lecture surveys were administered to document pain, applicability of lecture content and effectiveness for use in the operating room (OR), and were reviewed retrospectively.
Jackson Memorial Hospital, DeWitt Daughtry Family Department of Surgery, Division of General Surgery, Miami, Florida RESULTS: A large number of participants reported pain in one or more body part (87%) prior to beginning this ergonomic training and 39% indicated that this pain was performance-limiting. The majority of residents (93%) who attended Module #3 reported that learning the targeted exercises and microbreaks model would help them physically perform better in the OR and, in fact, after practicing these exercises during this Module, 85% of residents reported decreased pain, especially in the areas of the cervical and lumbar spine.
Preliminary data indicate that this novel curriculum was perceived as valuable by surgical residents and that practicing these targeted exercises reduced pain, particularly in the neck and lower back. Further research is needed to determine the longitudinal effects of this ergonomics curriculum on surgical resident well-being and whether these exercises will be effective in reducing pain and enhancing performance in the OR setting.
外科医生的疼痛和残疾会导致执业受限、提前退休以及职业倦怠。本项目旨在通过教授人体工程学原理、“微休息”模式以及针对外科医生确定的四个最成问题的解剖区域的伸展运动，来解决外科住院医师的身体健康问题。
在2018 - 2019学年期间，由物理治疗师主导，向外科住院医师介绍了三个模块。这些模块根据当前文献针对外科医生的特定问题区域。还介绍了围手术期微休息模式。在讲座前后进行了调查，以记录疼痛情况、讲座内容的适用性以及在手术室（OR）使用的有效性，并进行了回顾性审查。
佛罗里达州迈阿密市杰克逊纪念医院德威特·道特里家庭外科系普通外科
大量参与者在开始这种人体工程学培训之前报告在一个或多个身体部位疼痛（87%），39%表示这种疼痛限制了工作表现。参加模块3的大多数住院医师（93%）报告说，学习有针对性的运动和微休息模式将有助于他们在手术室中身体表现得更好，事实上，在本模块中练习这些运动后，85%的住院医师报告疼痛减轻，尤其是在颈椎和腰椎区域。
初步数据表明，这一新颖的课程被外科住院医师认为是有价值的，并且练习这些有针对性的运动减轻了疼痛，特别是在颈部和下背部。需要进一步研究来确定这一人体工程学课程对外科住院医师幸福感的长期影响，以及这些运动在手术室环境中减轻疼痛和提高工作表现方面是否有效。
