This week on BackTable Urology, urologists Dr. Suzette Sutherland (University of Washington) and Dr. Kristin Chrouser (University of Michigan) discuss the importance of ergonomics for surgeons in the OR and in the clinic to prevent physical ailments that can lead to early retirement and burnout.

---

SHOW NOTES

First, Suzette and Kristin explain the risks of various procedures and the positions that can put urologists in vulnerable positions. They discuss how the angle, length of time, stillness, and head weight play a role in the potential for injury. They also explore how technology like adjustable loupes and the placement of surgical monitors can help reduce the strain. Next, they highlight the importance of educating staff on proper ergonomics and encouraging urologists to incorporate ergonomic checks into the World Health Organization's universal time out process. They also recommend taking micro breaks, which are short 60 second stretching breaks every 45 minutes. They encourage surgeons to involve the entire team when stretching as well.

The importance of physical fitness is indisputable in reducing musculoskeletal problems for surgeons. Suzette and Kristin discuss the culture of surgery and the generational differences between surgeons, which influence the way doctors think about and talk about pain. According to them, making ergonomic initiatives part of the core residency education is crucial.