Changing the culture from the bottom Up: Results of a resident-led ergonomics quality improvement initiative.

IF 2.7 3区医学 Q1 SURGERY

American journal of surgery Pub Date : 2025-11-01 Epub Date: 2025-07-31 DOI:10.1016/j.amjsurg.2025.116551

Sean Perez, Myat Wai, Bryanna Chavez, Sabrina Chriqui, Jennifer Berumen

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引用次数: 0

Abstract

Background: Poor ergonomic habits in residency contribute to musculoskeletal (MSK) disorders later in a surgeon's career. Despite growing awareness, formal ergonomics training is limited. This study implemented a resident-led ergonomics curriculum to assess its impact on resident habits.

Methods: A 1-h educational session covering MSK disorders, microbreaks, and ergonomics best practices was delivered to general surgery residents. The session included active demonstrations, pre- and post-lecture knowledge assessments, and surveys on ergonomic practices. Follow-up assessments were conducted at 4 months and 1 year.

Results: Among 26 attendees, knowledge scores improved by 16.8 % (p = 0.001). At 4-month follow-up 26.7 % adopted microbreaks and 46.7 % implemented ergonomic exercises into their regular routine. At 1 year, adoption of practices remained similar, with time constraints and faculty disapproval as common barriers.

Conclusion: The curriculum improved ergonomics awareness and practices, but more robust adoption of ergonomic techniques and microbreaks remains limited largely due to hierarchical barriers and time constraints.

查看原文本刊更多论文

从下到上改变文化：居民领导的人体工程学质量改进倡议的结果。

背景：住院医师不良的人体工程学习惯会导致外科医生职业生涯后期的肌肉骨骼（MSK）疾病。尽管越来越多的人意识到，正式的人体工程学培训是有限的。本研究实施了居民主导的人体工程学课程，以评估其对居民习惯的影响。方法：对普通外科住院医师进行为期1小时的教育课程，内容包括MSK疾病、微裂和人体工程学最佳实践。会议包括积极的演示，课前和课后的知识评估，以及对人体工程学实践的调查。随访时间分别为4个月和1年。结果：26名参与者的知识得分提高了16.8% （p = 0.001）。在4个月的随访中，26.7%的人采用了微休息，46.7%的人在日常生活中采用了人体工程学锻炼。在第1年，实践的采用仍然相似，时间限制和教师的反对是常见的障碍。结论：课程提高了人们对人体工程学的认识和实践，但由于等级障碍和时间限制，更多地采用人体工程学技术和微休息仍然有限。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

American journal of surgery 医学-外科

CiteScore

5.00

自引率

6.70%

发文量

570

审稿时长

56 days

期刊介绍： The American Journal of Surgery® is a peer-reviewed journal designed for the general surgeon who performs abdominal, cancer, vascular, head and neck, breast, colorectal, and other forms of surgery. AJS is the official journal of 7 major surgical societies* and publishes their official papers as well as independently submitted clinical studies, editorials, reviews, brief reports, correspondence and book reviews.