๐ ็ธฝ็ฎ้ ๏ฝ ๐ ่ฑๆๅๆ๏ผๆฌ็ฏ๏ผ ๏ฝ ๐ ๅฎๆด็ฟป่ญฏ ๏ฝ โญ ็ฒพ่ฏ็ญ่จ
Ergonomics
Ergonomics
Though dermatologic surgeons rarely complain about physical stress or discomfort, they should be aware of some of the hazards of work-related injuries and how to avoid them. An appreciation of ergonomics, the study of fitting the job to the worker and altering the work environment and tasks to the capability of the one performing work, is very helpful when designing a surgical suite.8,9
A 2007 survey of Mohs surgeons found that 94% of survey respondents experienced symptoms exacerbated by surgery including stiffness and pain of the neck, shoulders, and lower back, as well as headaches.10 Analysis of these surgeons found that ergonomic issues existed with operating room setup, awkward posture, poor positioning, length of procedures, and lighting. A similar survey of Mohs surgeons, conducted in 2010, found that 90% of respondents experienced musculoskeletal symptoms or injuries.11 Again, the neck, shoulders, lower and upper back were the most commonly affected areas. These injuries were attributed to lack of ergonomic modifications within the surgeonsโ practice, and were seen to start early in their career, at an average age of 35. Recommendations from these studies included modifying footwear, flooring, surgical instruments, operating position, lighting, and table height. Other surgical subspecialties, such as otorhinolaryngology and gynecology, report a
similar incidence of musculoskeletal pain. A common theme among specialties is a lack of awareness and/or implementation of ergonomic principles.
Ergonomic professionals and resources, such as the OSHA website on Healthcare Wide Hazards (https://www.osha.gov/SLTC/etools/hospital/hazards/ergo/ergo.html) can be employed to optimize ergonomic interventions. Attention to these practices can improve day-to-day comfort and potentially career longevity.