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This is a voluntary research study to implement and assess the efficacy of interventions aimed to improve surgical ergonomics in OBGYN residents, fellows, and attendings and decrease the incidence of work-related musculoskeletal disorders (WRMD). We want to learn the baseline incidence of WMRD in our population and to see if the implementation of a surgical ergonomics lecture, pre-operative surgical ergonomics time-out, and intra-operative stretch breaks will improve the incidence of WRMD in this population.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Intervention Arm | Experimental | Intervention 1: Surgical Ergonomics Lecture Intervention 2: 6 months of pre-surgical time out procedure focusing on surgical ergonomics Intervention 3: 6 months of intra-operative stretch breaks |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Surgical Ergonomics Lecture | Behavioral | 60 min lecture regarding surgical ergonomics |
| |
| Measure | Description | Time Frame |
|---|---|---|
| Symptom frequency as measured by the Cornell Muscular Discomfort (MSK) Questionnaire | Symptom frequency is measured on a likert scale of 0-4, with 0 being never and 4 being several times a day. | weekly x 12 months |
| Symptom severity as measured by the Cornell Muscular Discomfort (MSK) Questionnaire | Symptom severity is measured on a scale of 0-3, with 0 being slightly uncomfortable and 3 being very uncomfortable. | weekly x 12 months |
| Work interference as measured by the Cornell Muscular Discomfort (MSK) Questionnaire | Work interference is measured on a scale of 0-3, with 0 being not at all and 3 being substantially interfered. | weekly x 12 months |
| Total Cornell Muscular Discomfort Scores | For each body region, a region-specific Cornell MSK discomfort score will be calculated as: Frequency × Severity × Work Interference. This yields a possible score range of 0-36 per body region. | Weekly x 12 months |
| Measure | Description | Time Frame |
|---|---|---|
| Incidence of work related musculoskeletal disorders (WRMDs) | Initial incidence (presence or absence) of work related MSK disorders | 1 month |
| Number of days of painkiller use | Measure of how many days per week a participant took over the counter medications (such as NSAIDs or tylenol) for musculoskeletal pain related to work. Scoring includes 0 days, 1-3 days, 4-5 days, daily |
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Inclusion Criteria:
Current attending in the OBGYN department at University Hospitals Current resident or fellow in the OBGYN department at University Hospitals Participation in laparoscopic or open surgical procedures
Exclusion Criteria:
Not a current fellow, resident, or attending in the OBGYN department at University Hospitals
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Ayesha Kar, MD | Contact | 2168441000 | ayesha.karkasal@Uhhospitals.org |
| Name | Affiliation | Role |
|---|---|---|
| Ayesha Kar Kasal | University Hospitals Cleveland Medical Center | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| University Hospitals Ahuja Medical Center | Beachwood | Ohio | 44122 | United States |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 41077957 | Background | Tsunemi M, Matsuzaki I, Hori Y, Hayashi K, Tamada H, Yamada S, Matsuzaki K, Sakai K, Kamijima M, Ebara T. The One-Minute Triple Stretch Reduces Musculoskeletal Discomfort in Endoscopic Assistants: A Crossover Trial With Motion Analysis. Dig Endosc. 2026 Jan;38(1):e70040. doi: 10.1111/den.70040. Epub 2025 Oct 13. | |
| 28059962 | Background |
| Label | URL |
|---|---|
| American College of Surgeons: Surgical Ergonomics Recommendations | View source |
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Institution specific study
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| Pre-Incision Surgical Ergonomics Time Out |
| Behavioral |
Pre-incision time-out (30-60s) focusing on surgical ergonomics in OR prior to starting a surgery |
|
| Intra-operative stretch breaks | Behavioral | 30-60s breaks every 90 min to perform stretches during a surgical procedure |
|
| weekly x 12 months |
| University Hospitals Cleveland Medical Center | Cleveland | Ohio | 44106 | United States |
|
| Park AE, Zahiri HR, Hallbeck MS, Augenstein V, Sutton E, Yu D, Lowndes BR, Bingener J. Intraoperative "Micro Breaks" With Targeted Stretching Enhance Surgeon Physical Function and Mental Focus: A Multicenter Cohort Study. Ann Surg. 2017 Feb;265(2):340-346. doi: 10.1097/SLA.0000000000001665. |
| 39171296 | Background | Restaino S, D'Indinosante M, Perelli F, Arcieri M, Cherchi V, Petrillo M, Cavaliere AF, Cianci S, Pellecchia G, Meniconi RL, Coppola A, Chiantera V, Scambia G, Driul L, Vizzielli G; SPIGC Working Group. Ergonomics in the operating room and surgical training: a survey on the Italian scenario. Front Public Health. 2024 Aug 7;12:1417250. doi: 10.3389/fpubh.2024.1417250. eCollection 2024. |
| 39900174 | Background | Young RJ, Allen A, McIntire D, Robinson EF, Bougie O, Kho KA. Work Related Pain in Gynecologic Surgeons - A National Survey. J Minim Invasive Gynecol. 2025 Jul;32(7):614-620.e3. doi: 10.1016/j.jmig.2025.01.014. Epub 2025 Feb 1. |