A Mixed-Methods Approach to Understanding Medical Student Perceptions of Ergonomics on Ophthalmology Rotations

Authors

Nathalie Tsimhoni
Kathik Reddy
Huiyan Jin, Corewell Health East Resident
Jeremy Nathan Shapiro
Amy D. Zhang

Document Type

Conference Proceeding

Publication Date

6-2025

Publication Title

Investigative Ophthalmology and Visual Science

Abstract

Purpose :
There is clear evidence to suggest that surgeons experience work-related musculoskeletal pain. Among ophthalmologists, neck, shoulder, and back pain are frequently reported. Ophthalmologists attribute this pain primarily to time spent in clinic and repetitive activities in the OR, which may involve awkward positioning of the body. Past studies of medical students on surgery rotations have indicated that medical students commonly cite pain related to retracting, standing in the OR, and overall physical demands as deterrents to pursuing a surgical career. Furthermore, the majority of schools offer no ergonomics education for medical students.

Understanding the qualitative ergonomics-related factors addressed by students on ophthalmology rotations is imperative to aiding future recruitment and identifying areas for intervention as early as possible in ophthalmology training.

Methods : Semi-structured interviews were performed with a cohort of thirteen medical students at a single institution. A mixed-methods approach was used to qualify their experience, involving thematic analysis of open-ended feedback and summary statistics of their reported work experience during the rotation.

Results : Five major themes emerged during the interviews, including hospital culture, positioning/postural challenges, duration of discomfort, impact of height, and challenges in adjustment. These themes were noted across subjects. 31% of participants felt that ergonomics influenced their career decision.

Conclusions :
A qualitative understanding of student ergonomic experiences during their ophthalmology rotation elucidates major themes that may aid further research efforts. Ergonomics may be an overlooked factor in aiding recruitment to the field of ophthalmology.

Volume

66

Issue

8

First Page

5814

Comments

Association for Research in Vision and Ophthalmology ARVO Annual Meeting, May 4-8, 2025, Salt Lake City, UT

Last Page

5814

Recommended Citation

Tsimhoni N, Reddy K, Jin H, Shapiro JN, Zhang AD. A mixed-methods approach to understanding medical student perceptions of ergonomics on ophthalmology rotations. Invest Ophthal Vis Sci. 2025 Jun;66(8):5814.