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CC BY-NC-ND 4.0 · Endosc Int Open 2022; 10(08): E1095-E1104
DOI: 10.1055/a-1869-9202
Original article

Endoscopy-related injury among gastroenterology trainees

Swati Pawa
1   Wake Forest School of Medicine, Winston-Salem, North Carolina, United States
2   W. G. (Bill) Hefner VA Healthcare System, Salisbury, North Carolina, United States
,
Sarah L. Martindale
1   Wake Forest School of Medicine, Winston-Salem, North Carolina, United States
2   W. G. (Bill) Hefner VA Healthcare System, Salisbury, North Carolina, United States
,
Jill K.J. Gaidos
3   Yale School of Medicine, New Haven, Connecticut, United States
,
Promila Banerjee
4   Loyola University Stritch School of Medicine, Maywood, Illinois, United States
5   Hines VA Hospital, Hines, Illinois, United States
,
Shivangi Kothari
6   University of Rochester Medical Center, Rochester, New York, United States
,
Sharlene L. D’Souza
7   Gastroenterology Consultants, PC, Medford, Oregon, United States
,
Amy S. Oxentenko
8   Mayo Clinic, Scottsdale, Arizona, United States
,
Carol A. Burke
9   Cleveland Clinic, Cleveland, Ohio, United States
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Abstract

Background and study aims Endoscopy-related injury (ERI) is widespread among practicing gastroenterologists. However, less is known about the incidence among trainees. This study assesses the rate of self-reported ERI occurrence, patterns of injury, and knowledge of preventive strategies in a nationally representative sample of gastroenterology fellows.

Methods A 38-item electronic survey was sent to members of the American College of Gastroenterology. One hundred and sixty-eight gastroenterology fellows were included in analyses. Descriptive and univariate analyses evaluated the likelihood of ERI by workload parameters and gender.

Results ERI was reported by 54.8 % of respondents. ERI was most common in the thumb (58.7 %), hand/finger (56.5 %), and wrist (47.8 %). There was no significant difference in the reported occurrence of ERI between male and female gastroenterology fellows. However, female fellows were significantly more likely to report a greater number of body areas affected by ERI, and male fellows were more likely to report elbow pain. Most respondents (85.1 %) reported discussion about, or training in, ergonomic strategies during gastroenterology fellowship.

Conclusions ERI is reported to occur as early as gastroenterology fellowship. Results of this study support this finding and highlight the need for ongoing implementation and monitoring of a formal ergonomics training program as well as development of ergonomically appropriate instruments. Implications of these findings likely extend to trainees in other procedural related specialties like orthopedics and general surgery, though further research is required. Ergonomics training in gastroenterology fellowship and monitoring of its impact on trainees reported ERI is important due to negative effects on productivity and career longevity.

Supplementary material



Publication History

Received: 15 February 2022

Accepted after revision: 31 May 2022

Accepted Manuscript online:
07 June 2022

Article published online:
15 August 2022

© 2022. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

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