This episode of the podcast is sponsored by Q-optics. You can learn about them and schedule a demo via : https://q-optics.com/pages/surgicalergonomics-drlal

Disclosure: 

Q-optics is a paid sponsor and the affiliate link above supports the podcast at no cost to you. It also provides you with a discount and a giveaway to listeners of the podcast, so we hope that it is a win-win!

Episode details:

Dr. Amanda Laird is a fellowship-trained endocrine surgeon Dr. Laird is a fellowship trained endocrine surgeon and Chief of the Section of Endocrine Surgery at Rutgers Cancer Institute. She treats neuroendocrine and endocrine tumors of the thyroid, parathyroid glands, and adrenal glands, and has obtained a Designation of Focused Practice in Adult Complex Thyroid and Parathyroid Surgery from the American Board of Surgery.  Dr. Laird serves on several committees for both the American Association of Endocrine Surgeons and the Association of Academic Surgery. Her clinical research has yielded peer-reviewed publications, reviews, book chapters, and both national and international presentations. 

In this episode, Dr. Laird:

- Provides how the spectrum of MSK injuries varies, depending upon specialty and the types of cases one does

- Discusses that endocrine surgeons have a high rate of MSK symptoms (90% in a survey study Am J Surg 2022 Jul;224(1 Pt B):315-318).

- Shares that she has had multiple MSK injuries (some needing surgery) throughout her training and career, ultimately leading to a diagnosis of Ehlers-Danlos Type 3

- Reflects on how the expectations placed on providers and the culture of surgery makes it harder for individuals to seek help for their MSK symptoms

- Described some of the lessons she has learned during her ergonomics journey, including how she has modified her endocrine practice to reduce the strain on her body (e.g. operating from the same side of the table as the pathology during thyroidectomy, taking breaks)

You can reach Dr. Laird on LinkedIn here.

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by PearsonRavitz Insurance. You can learn about them and schedule a consultation on my website at: https://pearsonravitz.com/surgicalergonomics/

Disclosure: 

PearsonRavitz is a paid sponsor and the affiliate link above supports the podcast at no cost to you. 

Episode details:

Barbara Van Gorp is a clinical specialist with Iowa Orthopedics, Sports Medicine & Rehabilitation within University of Iowa Health Care.  She received both her MTP and tDPT from Concordia University Wisconsin.  She has nearly 25 years of clinical experience. In addition, Barbara performs research on the management of chronic spine  and tendinopathy pain.  She has presented her work at numerous state, national and international conferences.  In her free time, Barbara enjoys painting nature and outdoor scenes, bike riding, hiking, gardening and cooking for her family and friends.  

In this episode Dr. Van Gorp:

- Shares how she became interested in treating healthcare workers for MSK symptoms

- Describes how sustained forward head posture (in and out of the OR)can head to imbalances which manifest as Upper Cross Syndrome

- Explains how physical therapy can help with alleviating work-related MSK symptoms via pain relief, postural dynamics via stretching/strenghtening and assessing the mind-body connection. 

- Discusses how one doesn't need multiple PT appointments a week to get a treatment plan in place 

- Shares her top high-yield exercises for proceduralists and trainees to address forward head posture

You can reach Barbara here: https://uihc.org/providers/barbara-van-gorp

Find additional info at: https://painguide.com/pain-care/self-care/

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by Q-optics. You can learn about them and schedule a demo via : https://q-optics.com/pages/surgicalergonomics-drlal

Disclosure: 

Q-optics is a paid sponsor and the affiliate link above supports the podcast at no cost to you. It also provides you with a discount and a giveaway to listeners of the podcast, so we hope that it is a win-win!

Episode details:

Dr. Jeremy Greenlee is a Professor of Neurosurgery and Pediatrics at the University of Iowa specializing in adult and pediatric neurosurgery. He is the Dr. Arnold H. Menezes Chair in Neurosurgery and Vice-chair in the Department. His research interests include neurophysiology of the frontal lobe, endoscopic and minimally invasive neurosurgery and the treatment of pituitary tumors and movement disorders.

In this episode, Dr. Greenlee:

- Shares how traditional loupes, although great for visualization, can lead to cervical spine issues due to their weight and fixed (declination) angles 

- Describes why he gravitated towards using the operating microscope for his cases and how this may help remove some of the ergonomic issues related to using loupes and headlights

- Emphasizes that the microscope is not a panacea and it is important to pay attention to how you set up the microscope, keep the arms at the correct height and use arm rests as needed

- Discusses how newer loupes with steep angles of declination (including deflection loupes) can be helpful to maintain neutral neck posture in some situations, depending on the depth of the field one is working in

- Advises using breaks for improving both physical and cognitive ergonomics

- Suggests trying out exoscopes instead of using the operating microscopes, especially when working in small fields

- Advises attention to spine health via stretching and strengthening exercises to reduce the risk of degenerative spine issues

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by Q-optics. You can learn about them and schedule a demo via : https://q-optics.com/pages/surgicalergonomics-drlal

Disclosure: 

Q-optics is a paid sponsor and the affiliate link above supports the podcast at no cost to you. It also provides you with a discount and a giveaway to listeners of the podcast, so we hope that it is a win-win!

Episode details:

Dr. Thomas Varghese Jr. is the Chief, Section of General Thoracic Surgery at the University of Utah; Chief Value Officer (Ambulatory and Inpatient) at the Huntsman Cancer Institute (HCI); Associate Chief Medical Quality Officer at Huntsman Cancer Hospital; and a Professor (Tenure-track) in the Department of Surgery at the University of Utah School of Medicine. Tom is a health services researcher whose clinical, research and operational experience span the fields of innovation science and implementation science. He helped create the American College of Surgeons (ACS) Strong for Surgery program and is a co-PI on the National Cancer Institute RO1-funded clinical trial on the role of Precision Exercise Prescription (PEP) for elective lung cancer surgical resection .

Dr. Varghese has served in several leadership positions in various organizations and is the immediate Past President of SUS (presidential term 2024-2025), and is the Editor-in-Chief for the Journal of the American College of Surgeons (JACS)

In this episode, Dr. Varghese:

- Shares his journey with musculoskeletal symptoms, which developed on a background of childhood hip dysplasia

- Discusses the culture of surgery as a huge barrier to surgeons and procedualists getting the help that they need when they initially develop symptoms

- Emphasizes the high rate of musculoskeletal symptoms ("not if, but when") in cardiothoracic surgeons and the risk factors for their development as described in this paper https://www.jtcvs.org/article/S0022-5223(23)00749-3/abstract

- Shares his best practices for improved ergonomic health inside and outside the OR

Dr. Varghese can be reached via his social media handles and website:

X: @tomvarghesejr

LinkedIn: www.linkedin.com/in/tomvarghesejr

University of Utah Academic Website: https://healthcare.utah.edu/fad/mddetail.php?physicianID=u6001828

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by PearsonRavitz Insurance. You can learn about them and schedule a consultation on my website at: https://pearsonravitz.com/surgicalergonomics/

Disclosure: 

PearsonRavitz is a paid sponsor and the affiliate link above supports the podcast at no cost to you. 

Episode details:

Dr. Corwin is a Clinical Associate Professor on the faculty of the University of Iowa Carver College of Medicine.  As both a surgeon and occupational / environmental medicine physician, she has broad clinical experience that informs her public health practice.  She currently serves as Associate Director of Employee Health for the University of Iowa. In this role  she engages her expertise in,  collaborative work related to the health and safety of healthcare system workershazard recognition, evaluation, control, and policy development.

In this episode Dr. Corwin:

- Shares her journey from training in General and Transplant surgery and then switching career paths by pursuing her Masters in Public Health and training in occupational medicine

- Describes that surgeons, other proceduralists and OR personnel have a high rate of work-related MSK injuries, on par with prevalence rates in construction workers

- Defines work-related injury per OSHA's description and the conditions that need to be met for a worker's symptoms to be considered work-related (i.e. temporality and plausibility)

- Elaborates on the difficulties of instituting work restrictions for surgeons and proceduralists, both due to individual and system-related issues (lack of infrastructure).  This is in contrast to the situation among departments of nursing.

- Clarifies the differences between impairment (loss of structure and/or function which is very algorithmic per AMA guidelines) and disability (inability to perform duties of the job)

- Shares her advice for early career surgeons/proceduralists  i.e. urges them to get evaluated early by physical therapists familiar with the OR work environment and learn preventive strategies, not to ignore their symptoms and to share them with trusted colleagues and get the help they need

You can reach Dr. Corwin via LinkedIn: https://www.linkedin.com/in/ccorwin31/

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by Q-optics. You can learn about them and schedule a demo via : https://q-optics.com/pages/surgicalergonomics-drlal

Disclosure: 

Q-optics is a paid sponsor and the affiliate link above supports the podcast at no cost to you. It also provides you with a discount and a giveaway to listeners of the podcast, so we hope that it is a win-win!

Episode details:

Dr. Sanjay Kumar Yadav is a Breast, Thyroid, and Endocrine surgeon at NSCB Medical College, Jabalpur. A pioneer in low-cost innovations for breast cancer and endocrine surgery, he has led work to make advanced surgical care accessible in underserved regions. An international awardee and educator, he is deeply committed to research, mentorship, and health equity.

In this episode, Dr. Yadav:

- Shares that he became interested in ergonomics during fellowship training when he started developing neck pain and stumbled upon the Surgical Ergonomics Interest group

- Discusses the results of his study of the prevalence of work-related MSK symptoms among surgeons and trainees in India which showed that > 70% of them had symptoms from operating. Learn more here at https://pubmed.ncbi.nlm.nih.gov/37308348/

- Describes how a single webinar sharing ergonomic best practices improved awareness and implementation of basic best practices up to 6 months afterwards

- Shares how implementing breaks (and stretches) has been a crucial and easy to implement strategy for the physicians and nursing staff which allows one to circumvent intrument and OR set up issues. You can  implement this strategy is to use the OR stretch app available for free here: https://orstretch.mayoclinic.org/ or using resources by the Society of Surgical Ergonomics: https://www.societyofsurgicalergonomics.org/education

- Describes that the major challenges to implementing best practices are primarily financial, even for low-cost interventions such as anti-fatigue mats (which they purchased themselves)

- Shares that there is growing momentum in spreading awareness about surgical ergonomics within various conferences in India and efforts are being made to incorporate ergonomics into surgical training programs

You can reach Dr. Yadav via the following social media platforms:

LinkedIn: https://www.linkedin.com/in/sanjay-yadav-ms-mch-facs-36268282/?originalSubdomain=in

Instagram: https://www.instagram.com/yadav_sanjaykumar/

X: https://x.com/drskyind

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by Q-optics: https://q-optics.com/pages/surgicalergonomics-drlal

Disclosure: 

Q-optics is a paid sponsor and the affiliate link above supports the podcast at no cost to you. It also provides you with a discount, so we hope that it is a win-win!

Dr. Julie Hallet is an Associate Professor of Surgery at the University of Toronto and a Surgical Oncologist with a clinical practice devoted to hepato-biliary, pancreatic, and upper gastrointestinal malignancies at the Odette Cancer Centre - Sunnybrook Health Sciences Centre. Her practice further focuses on neuroendocrine tumors as part of the Susan Leslie Clinic for Neuroendocrine Tumors. Dr. Hallet is chairholder of the Canada Research Chair in Patient-Centred & Quality Cancer Surgery. Her program in health services research aims to improve the fidelity of care delivery in cancer surgery through access to quality care, high-performing team care models, and risk communication support, with a commitment to patient-centred research and equity. Dr. Hallet holds leadership roles in National and International societies, including being the current President of the Society of Surgical Ergonomics.

In this episode, Dr. Hallet:

- Shares her journey about joining the Society of Surgical Ergonomics, and how she became involved in research relating to the topic of ergonomics in the OR

- Discusses the importance of Team ergonomics and the initial results of the SORE (Simulation and Operating Room Ergonomics) where OR personnel were surveyed and interviewed to identify the ergonomic education needs and design interventions to involve all members of the team. Up to 25% of personnel reported missing work related to their symptoms. Read more about the findings here: (https://pubmed.ncbi.nlm.nih.gov/39502068/)

- Highlighted that one of the barriers to improved ergonomics is OR personnel's perception of what should be organizational versus individual responsibility

- Describes using the concept of circle of influence/control as a step-wise approach to making incremental changes regarding improved ergonomics

- Elaborates on the idea of an Ergonomics time-out as a way to create a space to discuss ergonomics-related issues prior to the start of a procedure. Read more about the concept here: https://pubmed.ncbi.nlm.nih.gov/40082104/

- Shares her best ergonomic practices for hepatobiliary surgery

You can reach Dr. Hallet at: https://www.linkedin.com/in/juliehallet/ or via email at: [email protected]

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by PearsonRavitz Insurance. You can learn about them and schedule a consultation on my website at: https://pearsonravitz.com/surgicalergonomics/

Disclosure: 

PearsonRavitz is a paid sponsor and the affiliate link above supports the podcast at no cost to you. 

Episode details:

Dr. Linda Miller is the CEO and Founder of EWI Works International Inc., Western Canada’s leading ergonomics and wellness company. With more than 35 years of experience in ergonomics and occupational therapy, Dr. Miller continues to lead EWI Works into new territory, particularly in technology.   She has extensive experience in healthcare ergonomics.  Recently, Dr. Miller and her team developed a marker-less motion capture system called PoseChecker (TM) designed to analyze worker videos to determine the level of musculoskeletal injury risk associated with their work activities.   

Dr. Miller’s also has a passion for education and empowerment which is reflected not only in EWI Works’ services and products, but also in her position as an Adjunct professor at the University of Alberta’s Faculty of Rehabilitation Medicine Department of occupational therapy where she is a part-time clinical lecturer.

In this episode, Dr. Miller

- Shares her journey of dual training in Occupational therapy and Ergonomics

- Delves into details regarding the goals of anti-fatigue mats, where they are typically used and how they can benefit workers, including health care workers in OR and procedural spaces

- Elaborates on the findings of a recent study showing reduced MSK symptoms from using anti-fatigue mats in the OR for up to 24 hours post-op and for all surgical personnel i.e. surgeons, assistants and scrub techs (https://pmc.ncbi.nlm.nih.gov/articles/PMC11775457/)

- Discusses the pros and cons of various types of footwear used in procedural areas such as running shoes and clogs and shares that the task they are going to be used for is what determines which footwear is usitable

- Provides tips for purchasing footwear and orthotics (if needed) and also considerations for when they should be replaced

You can read more about Posechecker (TM) here: https://ewiworks.com/posechecker/

You can reach Linda at: https://www.linkedin.com/in/lindalmiller/?originalSubdomain=ca

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by Q-optics: https://q-optics.com/pages/surgicalergonomics-drlal

Disclosure: 

Q-optics is a paid sponsor and the affiliate link above supports the podcast at no cost to you. It also provides you with a discount, so we hope that it is a win-win!

Amanda Amin MD MS FACS FSSO is breast surgical oncologist and the Section chief of breast surgery at University  Hospitals Cleveland Medical Center and co-director of the breast program in the Seidman Cancer Center. She is also the Nancy and Donald Maltby Master Clinician in Breast Health and holds the academic rank of Associate professor through Case Western Reserve School of Medicine. 

In this episode Dr. Amin

- Shares her story  of work-related neck pain and cervical disc herniation , which ultimately led to the need for surgical intervention

- Discusses the predisposing factors for work-related MSK injury among breast surgeons including awkward postures with minimally invasive procedures (especially nipple-sparing mastectomy) and use of headlights

- Discusses some of the adjustments  that can help improve breast surgery ergonomics including using a light-weight headlamp attached to her glasses, using a cordless light model (with a battery), using lighted retractors and suction devices

-  Re-iterates the importance of sharing our experiences and de-stigmatizing MSK injuries among surgeons 

- Emphasized the importance of taking breaks and doing stretches during surgery and  strengthening our bodies outside of the OR 

- Outlines the emerging role of robot-assisted breast surgery with respect to ergonomics

Read about the ergonomic risks of nipple-sparing mastectomy compared to skin-sparing mastectomy here: https://pubmed.ncbi.nlm.nih.gov/31342398/

 Learn more about robotics in breast surgery here: https://pubmed.ncbi.nlm.nih.gov/38220537/

You can reach Dr. Amin at [email protected] or social media 

LinkedIn: https://www.linkedin.com/in/amanda-amin-384689377/ 

X: https://x.com/amandaaminmd/status/1560201878444572672

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show

This episode of the podcast is sponsored by Q-optics: https://q-optics.com/pages/surgicalergonomics-drlal

Disclosure: 

Q-optics is a paid sponsor and the affiliate link above supports the podcast at no cost to you. It also provides you with a discount, so we hope that it is a win-win!

Paul W.M. Fedak, MD PhD, FRCS(C) is a cardiac surgeon and Director of the Libin Cardiovascular institute at the University of Calgary.  He is also a scientist and physician-writer who leads at the forefront of medical innovation and academic medicine.  His work explores the intersection of excellence, identity, and healing — especially the silent cost of high achievement in healthcare. Through his leadership, writing, and speaking, Paul invites a new conversation about moral injury, burnout, and the path from performance to presence, helping to reconnect medicine with its deeper purpose.

In this episode Dr. Fedak

- Shares how he started experiencing pain during the course of doing his job, ultimately leading to irreversible injury while operating

- Discusses how the culture of surgery (not showing weakness, accepting symptoms as a part of the job, lack of back up and redundancy in our medical systems)  often prevents surgeons and other proceduralists getting the help they needed when they first start experiencing symptoms

-  Acknowledges that fear of losing their livelihood and stigma attached to having physical limitations are huge barriers to surgeons reporting their symptoms 

- Shares how the gap between his expectations regarding the results of his surgery and how his recovery actually went led to a mental spiral, clinical depression, shame and a loss of identity

- Explains how he found a new purpose and meaning in his suffering via writing and sharing his story 

- Reminds us that we can take steps to reduce our risk of injury, but that workspaces within our institutions and instrument design also need to improve

You can reach Dr. Fedak via LinkedIn at: https://www.linkedin.com/in/paul-w-m-fedak-md-b833b417a/?originalSubdomain=ca

You can learn about the Society of Surgical Ergonomics here: https://www.societyofsurgicalergonomics.org/

You can learn about work-related MSK injuries among cardiothoracic surgeons in this article: https://pubmed.ncbi.nlm.nih.gov/37659461/

Follow us on LinkedIn, X, Instagram and Facebook and please reach out to us if you have any suggestions regarding episode ideas and guests or if you'd like to be a guest on the show