First Year Fellows Endoscopy Course (July 28-29)

13_Ergonomics
Pdf Summary
This document discusses the importance of ergonomics in endoscopy procedures and provides recommendations to minimize the risk of injuries in fellowships. The document highlights that endoscopy-related injuries are common among GI trainees, with up to 50% reporting an injury. It also mentions that only a small percentage of fellows receive formal ergonomic education or hands-on training. The lack of institutional safeguards and training evaluation further contribute to the issue.<br /><br />The document suggests several interventions to improve ergonomics in different stages of endoscopy. Pre-endoscopy interventions include education, setting ergonomic goals, open communication, scheduling breaks, and performing an ergonomic time-out. The time-out checklist includes guidelines for monitor positioning, bed height, endoscope insertion, foot pedal placement, cord management, and endoscopist posture.<br /><br />During the intra-endoscopy stage, the document emphasizes the importance of technique and teamwork. It suggests ergonomic-focused instruction, speaking up to address ergonomic concerns, taking micro-breaks, wearing compression stockings, anti-fatigue mats, and using 2-piece lead aprons. Performance-enhancing feedback, breaks between procedures, and stretching are also recommended.<br /><br />Post-endoscopy interventions include recovery and feedback, such as hydrating, using support devices, and ensuring radiation safety measures. The document also provides tips for minimizing injury risks during pregnancy, including proper positioning and wearing personal and fetal dosimeters.<br /><br />The document encourages GI fellows to become advocates for ergonomics by asking for hands-on feedback, speaking up about poor ergonomics, participating in ergonomics curriculum development, collaborating with physiotherapy colleagues, conducting research on interventions, and advocating for standardized ergonomics training and equipment design improvements.<br /><br />Overall, the document highlights the importance of ergonomics in endoscopy and provides strategies to enhance the ergonomic practices in fellowship programs.
Keywords
ergonomics
endoscopy procedures
injuries
fellowships
GI trainees
ergonomic education
hands-on training
interventions
monitor positioning
technique