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Improving Resident Knowledge of Ergonomics Guidelines.
Obstet Gynecol. 2022 Jun 01; 139(6):1194.OG

Abstract

OBJECTIVE

To improve resident knowledge of ergonomics guidelines for surgery, vaginal deliveries and repairs, and documentation.

PROJECT SUMMARY

We consulted with a licensed occupational therapist at our institution regarding our difficulties with maintaining proper ergonomics while operating, performing deliveries, and documenting. We conducted two separate sessions: one in the obstetrics workroom regarding techniques to improve the ergonomics of our documentation and one in the operating room and labor and delivery unit to address techniques to avoid injury and promote long-term wellness. The sessions were conducted during morning report at our institution, and the obstetrics and gynecology teams attended both sessions. The sessions were available by videoconference for the entire residency program. Handouts were created to present basic ergonomics guidelines and were provided at the conclusion of the sessions. The handouts summarized the information provided during the sessions and included recommendations for adjustments that could be made in the workroom, operating room, and delivery room. The sessions were conducted during ACOG Wellness Week.

OUTCOME

Adjustments were made in the obstetric and gynecology team workrooms to improve ergonomic function. Sessions improved resident knowledge of ergonomics recommendations for vaginal deliveries. Recommendations included guidelines for arm and shoulder position, tucked chins, and appropriate bed height (sitting vs standing). Adjustments were made in the workroom to position the top of the monitor just below eye level and arm's length away, and chairs were adjusted so that the keyboard and mouse height were just below elbow height. Residents were encouraged to keep arms and wrists in a relaxed, neutral position and to sit all the way back in the chair with back supported and feet firmly on the floor. Residents improved their knowledge of ergonomics guidelines and increased awareness of posture and positioning both on the labor and delivery unit and in the operating room.

RELEVANCE TO WOMENS HEALTH OR PHYSICIANS IN PRACTICE

Work-related musculoskeletal disorders are prevalent among surgeons and can have a significant effect on productivity and career longevity. If we are able to implement evidence-based guidelines developed by high-quality ergonomics research, we can potentially protect obstetricians and gynecologists from injury and improve overall wellness.

Authors+Show Affiliations

Department of Obstetrics & Gynecology, Indiana University, and the Department of Occupational Therapy, Eskenazi Health, Indianapolis, Indiana.No affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

35512307

Citation

Jeffries, Erin L., et al. "Improving Resident Knowledge of Ergonomics Guidelines." Obstetrics and Gynecology, vol. 139, no. 6, 2022, p. 1194.
Jeffries EL, Hardesty S, Scott NP. Improving Resident Knowledge of Ergonomics Guidelines. Obstet Gynecol. 2022;139(6):1194.
Jeffries, E. L., Hardesty, S., & Scott, N. P. (2022). Improving Resident Knowledge of Ergonomics Guidelines. Obstetrics and Gynecology, 139(6), 1194. https://doi.org/10.1097/AOG.0000000000004814
Jeffries EL, Hardesty S, Scott NP. Improving Resident Knowledge of Ergonomics Guidelines. Obstet Gynecol. 2022 Jun 1;139(6):1194. PubMed PMID: 35512307.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Improving Resident Knowledge of Ergonomics Guidelines. AU - Jeffries,Erin L, AU - Hardesty,Susan, AU - Scott,Nicole P, Y1 - 2022/05/04/ PY - 2022/5/6/pubmed PY - 2022/6/11/medline PY - 2022/5/5/entrez SP - 1194 EP - 1194 JF - Obstetrics and gynecology JO - Obstet Gynecol VL - 139 IS - 6 N2 - OBJECTIVE: To improve resident knowledge of ergonomics guidelines for surgery, vaginal deliveries and repairs, and documentation. PROJECT SUMMARY: We consulted with a licensed occupational therapist at our institution regarding our difficulties with maintaining proper ergonomics while operating, performing deliveries, and documenting. We conducted two separate sessions: one in the obstetrics workroom regarding techniques to improve the ergonomics of our documentation and one in the operating room and labor and delivery unit to address techniques to avoid injury and promote long-term wellness. The sessions were conducted during morning report at our institution, and the obstetrics and gynecology teams attended both sessions. The sessions were available by videoconference for the entire residency program. Handouts were created to present basic ergonomics guidelines and were provided at the conclusion of the sessions. The handouts summarized the information provided during the sessions and included recommendations for adjustments that could be made in the workroom, operating room, and delivery room. The sessions were conducted during ACOG Wellness Week. OUTCOME: Adjustments were made in the obstetric and gynecology team workrooms to improve ergonomic function. Sessions improved resident knowledge of ergonomics recommendations for vaginal deliveries. Recommendations included guidelines for arm and shoulder position, tucked chins, and appropriate bed height (sitting vs standing). Adjustments were made in the workroom to position the top of the monitor just below eye level and arm's length away, and chairs were adjusted so that the keyboard and mouse height were just below elbow height. Residents were encouraged to keep arms and wrists in a relaxed, neutral position and to sit all the way back in the chair with back supported and feet firmly on the floor. Residents improved their knowledge of ergonomics guidelines and increased awareness of posture and positioning both on the labor and delivery unit and in the operating room. RELEVANCE TO WOMENS HEALTH OR PHYSICIANS IN PRACTICE: Work-related musculoskeletal disorders are prevalent among surgeons and can have a significant effect on productivity and career longevity. If we are able to implement evidence-based guidelines developed by high-quality ergonomics research, we can potentially protect obstetricians and gynecologists from injury and improve overall wellness. SN - 1873-233X UR - https://www.unboundmedicine.com/medline/citation/35512307/Improving_Resident_Knowledge_of_Ergonomics_Guidelines_ DB - PRIME DP - Unbound Medicine ER -