Musculoskeletal disorders and ergonomics in dermatologic surgery: a survey of Mohs surgeons in 2010.
BACKGROUND
Dermatologic surgeons perform numerous procedures that put them at risk of developing work-related musculoskeletal disorders.


OBJECTIVE
To study the prevalence of work-related musculoskeletal disorders and role of ergonomics in dermatologic surgery.


METHODS
A survey study was sent to members of the American College of Mohs Surgery in 2010. The main outcome measures were survey responses relating to surgeon demographics, musculoskeletal symptoms, workstyle habits and attitudes, and ergonomic practices.


RESULTS
Ninety percent of respondents reported some type of musculoskeletal symptoms or injuries. The most common complaints were neck, lower back, shoulder, and upper back pain. Most respondents were not using ergonomic modifications in their practice.


CONCLUSIONS
Mohs surgeons have a high prevalence of musculoskeletal disorders. Symptoms present early and persist throughout the careers of Mohs surgeons. The nature of the occupation leaves the surgeon vulnerable to injury. Ergonomic modifications in behavior and workplace are recommended to reduce pain and injury to surgeons.
Department of Dermatology, Brigham and Women's Hospital, Boston, Massachusetts 02115, USA. caliang@partners.org
Christine A
CA
Liang
Vicki J
VJ
Levine
Stephen W
SW
Dusza
Elizabeth K
EK
Hale
Kishwer S
KS
Nehal
D000328:Adult; D003625:Data Collection; D006804:Ergonomics; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D015580:Mohs Surgery; D009140:Musculoskeletal Diseases / Q000209:etiology*; D009784:Occupational Diseases / Q000209:etiology*; D010147:Pain Measurement; D013647:Task Performance and Analysis