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Ergonomic wellness for the trainee in gastrointestinal endoscopy
Nikko Gimpaya1, William T Tran1, Samir C Grover1,2,3
1Scarborough Health Network Research Institute.
Current Opinion in Gastroenterology
|April 25, 2024
Summary
Gastrointestinal endoscopy training must prioritize ergonomic wellness to prevent endoscopy-related injuries (ERIs). Implementing ergonomic education, improved equipment, and procedural adjustments can mitigate risks for a sustainable career.
Area of Science:
- Gastroenterology
- Occupational Health
- Medical Education
Background:
- Endoscopy-related injuries (ERIs) are a significant concern in gastrointestinal endoscopy.
- Factors contributing to ERIs include repetitive strain, poor posture, and equipment design.
- Specific risk factors identified include female sex and smaller hand sizes.
Purpose of the Study:
- To review the prevalence of ERIs in gastrointestinal endoscopy.
- To evaluate ergonomic risk factors associated with ERIs.
- To assess the effectiveness of interventions and educational strategies for mitigating ERIs.
Main Methods:
- Systematic review of literature on ERIs and ergonomics in gastrointestinal endoscopy.
- Analysis of risk factors, including physical and procedural elements.
- Evaluation of current and novel interventions and educational approaches.
Main Results:
- ERIs are highly prevalent, influenced by repetitive strain, nonneutral postures, and equipment.
- Ergonomic education and improved equipment design are crucial for trainees.
- Strategies like microbreaks, macrobreaks, and optimal positioning show promise in reducing ERIs.
Conclusions:
- Ergonomic wellness is essential for gastroenterology trainees to prevent ERIs and ensure career longevity.
- Integrating ergonomic education into curricula, improving equipment, and adapting procedures are key strategies.
- Future interventions may involve sensor-based and camera-based systems for ergonomic feedback.
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