Healing from MSK injury and Advocacy with Minimally Invasive Gynecologic Surgeon Dr. Kimberly Kho

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Episode details:

Dr. Kimberly Kho is currently a Professor, inaugural Chief of
Advanced Gynecology and MIGS and Associate Chair of Faculty Development in the Department of Obstetrics, Gynecology & Women’s Health at the University of Hawaii John A. Burns School of Medicine. Most recently, she was a Professor, the Associate Chief of Gynecology, and the Director of the Minimally Invasive Gynecologic Surgery Fellowship Program at UT Southwestern Medical Center.
In addition to patient care, Dr. Kho has been a National Institutes of
Health-supported clinical scholar with a focus on evaluating surgical techniques and technologies for the treatment of fibroids, adenomyosis and endometriosis, and more recently on surgical ergonomics. She currently serves on the Board of Directors for AAGL.

In this episode (recorded prior to her move) Dr. Kho:

Shares how she first became aware of body mechanics in her intern year while performing an elective C-section with her attending and how her MSK pain was exacerbated in fellowship

Describes how she felt that she could not disclose or discuss her injuries as a new attending trying to establish a practice

Discusses why high-achieving surgeons and proceduralists experience shame, guilt and pressure to perform, thus not seeking help until their bodies force them

Shares results of a recent study showing that 95.7% of gynecologic surgeons have pain during or after performing surgery. In addition, nearly 24% reported changing the surgical modality they offered patients based on their symptoms, and 62.5% were concerned about their ability to operate in the future

Emphasizes that although she still uses conventional laparoscopy, she has switched to doing more robot-assisted surgery for improved ergonomics

Expands on her ergonomics non-negotiables for the OR - Correct set-ups for both laparoscopic and robot-assisted surgery, anti-fatigue mats, proper footwear and intra-operative breaks and stretches

Encourages us all to work to improve OR culture for all personnel including nurses and scrub techs

Dr. Kho can be reached on LinkedIn and Instagram