Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

1. What is your gender?

*

Female Male Feet Inches

2. Height:

*

lbs

3. Weight:

*

4. Indicate your age in years:

*

5. What best describes your practice setting? (Select ALL that apply)

*

Private Academic Hospital employee Veteran Affairs Industry Retired

Trainee (GI Fellow)

6. What best describes your clinical practice? (

Select ALL that apply)

*

General gastroenterology Hepatology

Inflammatory Bowel Disease

Interventional Endoscopy Motility

7. Are you currently performing endoscopic procedures?

*

Yes No

Not currently, but did perform in the past (Please answer the remainder of the survey based on your prior endoscopic practice)

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

8. Please select one glove size that you most often wear.

*

9. Indicate the years you've spent performing endoscopic procedures, including your fellowship training?

*

10. On average, how many total endoscopic procedures do you perform in a week?

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Less than 10 11-20 21-30 31-40 41-50 51-60 >60

11. How many hours per week do you spend performing endoscopic procedures?

*

0-5 6-10 11-15 16-20 21-25 26-30 31-35 36-40 >40

Approximate number of procedures in a week EGD

Colonoscopy ERCP

EUS/Interventional

12. Estimate how many of the following procedures do you perform in a week?

*

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What % of patients are Females

BMI >40 BMI < 23 Age > 75

13. Regarding your practice demographics, what % of patients are _______? (Responses don't need to add

up to 100%)

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

14. Have you ever experienced or are currently experiencing injury (bothersome pain or numbness) in your

neck, back, upper or lower limbs?

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Yes No

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

15. Do you feel that the pain is/was caused by _________?

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Endoscopy

Endoscopy and Pregnancy

Endoscopy, Pregnancy and Other (Age, Sports, or Pre-existing health condition)

Endoscopy and Other (Age, Sports, or Pre-existing health condition)

Pregnancy

Pregnancy and Other (Age, Sports, or Pre-existing health condition)

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

Please indicate Yes, No, N/A Did you notice you

symptoms during pregnancy? Did your symptoms worsen during pregnancy?

Did you notice symptoms in the postpartum phase? Did you perform

endoscopy during pregnancy?

If "Yes" did you have a reduced case load during pregnancy?

Were you allotted longer procedure times during pregnancy?

Did you continue to use fluoroscopy during pregnancy?

If "Yes", which trimester? First, Second or Third

16. FEMALE SUBSECTION

*

17. If symptoms were due to endoscopy, what in your mind has contributed to the injury? (

Select ALL that

apply)

*

Not applicable if you did not select endoscopy in #15 Adjusting tip angulation with left hand

Torqueing with right hand Use of Lead aprons

Use of the elevator on the duodenoscope

Standing for prolonged periods of time

Standing in awkward positions while supporting an endoscope Non-adjustable bed /monitor

All of the above Not sure

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

Right Left Both Yes No

Thumb pain Hand pain Hand Numbness Carpal Tunnel Syndrome De Quervain’s Tendonitis Wrist pain

Elbow pain Shoulder pain Neck pain Upper Back pain Lower Back pain Hip pain Knee pain Foot pain

Other ( please specify )

18. Description of type of injury and side affected? (

Select ALL that apply)

Please note: Yes and No choices

ONLY apply to Upper and Lower back pain

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

At work while performing endoscopy only

At work performing endoscopy and other

work-related activities At work & outside work Outside work only Thumb pain

Hand pain Hand Numbness Carpal Tunnel Syndrome De Quervain’s Tendonitis Wrist pain Elbow pain Shoulder pain Neck pain Upper Back pain Lower Back pain Hip pain Knee pain Foot pain

19. When is the pain present? (Check ALL that apply

)

*

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o (least severe) 1 2 3 4 5 (most severe) Thumb pain

Hand pain Hand Numbness Carpal Tunnel Syndrome De Quervain’s Tendonitis Wrist pain Elbow pain Shoulder pain Neck pain Upper Back pain Lower Back pain Hip pain Knee pain Foot pain

20. How would you rate your pain?

*

0-3 Months 3-6 Months 6-9 Months 9-12 Months >12 Months Thumb pain

Hand pain Hand Numbness Carpal Tunnel Syndrome De Quervain’s Tendonitis Wrist pain

Elbow pain Shoulder pain Neck pain Upper Back pain Lower Back pain Hip pain Knee pain Foot pain

21. How long have you had these symptoms?

*

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Yes No Thumb pain

Hand pain Hand Numbness Carpal Tunnel Syndrome De Quervain’s Tendonitis Wrist pain Elbow pain Shoulder pain Neck pain Upper Back pain Lower Back pain Hip pain Knee pain Foot pain

22. Have you taken time off from performing endoscopy because of this perceived endoscopic related

musculoskeletal injury?

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None 0-2 Months 3-4 Months 5-6 Months >6 Months Thumb pain

Hand pain Hand Numbness Carpal Tunnel Syndrome De Quervain’s Tendonitis Wrist pain

Elbow pain Shoulder pain Neck pain Upper Back pain Lower Back pain Hip pain Knee pain Foot pain

23. If yes to above what is the longest consecutive amount of time you have taken off from work?

*

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None Acupuncture Chiropractor Medications

Steroid

injections Massage

Physical

Therapy Rest Splinting Surgery Thumb pain Hand pain Hand Numbness Carpal Tunnel Syndrome De Quervain’s Tendonitis Wrist pain Elbow pain Shoulder pain Neck pain Upper Back pain Lower Back pain Hip pain Knee pain Foot pain

Other (please specify)

24. What treatments have you received for your condition? (

Select ALL that apply)

*

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Yes, Short-term disability

Yes, Long-term disability

Not claimed

any disability Changed jobs

Changed schedule / hours or case volume Changed Profession I have not changed my practice Thumb pain Hand pain Hand Numbness Carpal Tunnel Syndrome De Quervain’s Tendonitis Wrist pain

Elbow pain Shoulder pain Neck pain Upper Back pain Lower Back pain Hip pain Knee pain Foot pain

25. Have you ever claimed disability or altered your practice due to endoscopy related injury? (

Select ALL

that apply)

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

26. The following questions are regarding your endoscopy room design and product availability for most of

your procedures.

The bed height is kept:

Below my elbow At the level of my elbow Above my elbow

27. The monitor height is adjustable:

Yes

No

28. The monitor height is kept:

Above my eye level

At my eye level Below my eye level

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

29. Your lead aprons are:

Lightweight and one-piece Lightweight and two-piece Standard weight and one-piece

Standard weight and two-piece Not applicable

30. During EUS, images are projected to the endoscopy monitor:

Yes

No

I don’t have that capability Not applicable

31. Do you take micro breaks throughout the day (a small biologically meaningful movement break lasting 30

sec to 2 minutes)

*

Yes No

Was not aware of this term

32. How many regular breaks are scheduled between procedures? (Select ALL that apply)

One per half day

More than one per half day One per full day

More than one per full day No Scheduled Breaks

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

33. What is the average duration of your breaks?

1-15 minutes

16-30 minutes 30-45 minutes 45-60 minutes

34. If you have suffered an endoscopy-related injury, have you made any adjustments to your practice?

(Select ALL that apply)

*

No adjustments despite endoscopy related injury Bed height

Monitor height Lead apron weight

Addition of separate monitor for endoscopic ultrasound image projection

Scheduled breaks Cushioned mats

Stretching exercises

Orthopedic or soft insole shoes Less endoscopy or decreased caseload Sit when you perform colonoscopy Use braces or supportive prosthetic device Wear compression stockings

N/A

35. On average, how many days per week do you engage in moderate to strenuous exercise (like a brisk

walk)?

36. On average, how many minutes do you engage in exercise at this level?

37. Which of the following techniques were discussed or taught during your GI fellowship training? (Select

ALL that apply)

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

38. Which of the following techniques were discussed in your current practice setting? (Select ALL that

apply)

I am currently completing my GI Fellowship Posture awareness

Adjustment of bed height Adjustment of monitor height

Special maneuvers/techniques/ to reduce musculoskeletal injury

Building muscle strength through exercise and stretching None of the above

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

39. Have you received formal training in optimizing ergonomics in endoscopy after GI fellowship? (Select ALL

that apply)

I am currently completing my GI Fellowship Yes, in person training (i.e. lectures or course) Yes, through a webinar or video

Yes, through publications (i.e. journal articles, books) No, I have not had any ergonomics training after fellowship

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Identification and Prevention of Musculoskeletal Injuries Among GI Endoscopists

40. Would you be interested in additional training in ergonomics in endoscopy? (Select ALL that apply)

Yes, in person

Yes, through webinar or video conference No

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Speakers: Patrick E. Young, MD, FACG, Manish B. Singla, MD

Ergonomics in Endoscopy Video

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