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NCIRE-The Veterans Health Research Institute is the leading private nonprofit institute devoted to Veterans health research in the United States. Our mission is to advance Veterans health through research.

We support the work of some of the nation's foremost physicians and scientists at the San Francisco Veterans Affairs Medical Center, the premier biomedical research facility in the VA system. All have faculty appointments at the University of California, San Francisco, which has its own proud traditions of research and patient care. We also partner with the U.S. Department of Defense to support health research on behalf of our men and women in the Armed Forces.

Those who have served in uniform have given their best for their country. In return, we believe that they deserve nothing less than the best health care research we can provide.

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Amandeep Shergill, MD

Staff Physician, Medical Service, SFVAHCS
Assistant Clinical Professor of Medicine, UCSF


Preventing Injuries Among Gastroenterologists

Dr. Shergill's research interest is injury to physicians related to performing endoscopies, which is an under-studied area with significant impact on the quality of life of most gastroenterologists. Many studies to date have documented an association between endoscopy and musculoskeletal complaints such as pain in the back, neck, shoulder, elbow, and hand as well as carpal tunnel syndrome. Indeed, the endoscope design has not changed much over the last few decades. Yet, there has been no formal evaluation of the ergonomics of endoscopy and, specifically, what features of the endoscope or subtasks during endoscopy are implicated in work-related injury. Dr. Shergill, in conjunction with Dr. David Rempel's Ergonomics Lab at UC Berkeley, recently completed a pilot study which suggested that load levels during routine colonoscopy can exceed established thresholds for injury. Dr. Shergill's ongoing research expands the scope of the pilot study by increasing the sample size, improving the measurement methods, and identifying possible interventions to minimize this risk. The overall purpose of this line of research is to prevent overuse injuries among endoscopists.

To see Dr. Shergill on Pub Med, click here.