Consultant medical trainers, modernising medical careers (MMC) and the European time directive (EWTD): tensions and challenges in a changing medical education context

Tsouroufli, Maria; Payne, Heather

doi:10.1186/1472-6920-8-31

Cited by 47 publications

(37 citation statements)

References 16 publications

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“…Numerous European studies have demonstrated reduced continuity of care, involvement in patient care directly with faculty, exposure to high-quality operative education, and general discontent among faculty and trainees. [28][29][30][31][32][33][34] The experiential learning model has been used to formulate medical educator professional development curricula 35 and could similarly be used to refine surgical educational curricula. The pre- (Table 5) [36][37][38][39][40] ; generally, our results confirm these findings on a larger scale and for the first time compare surgical faculty with residents and students.…”

Section: Discussionmentioning

confidence: 99%

Improving Education under Work-Hour Restrictions: Comparing Learning and Teaching Preferences of Faculty, Residents, and Students

Jack

Kenkare

Saville

et al. 2010

Journal of Surgical Education

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Section: Discussionmentioning

confidence: 99%

Improving Education under Work-Hour Restrictions: Comparing Learning and Teaching Preferences of Faculty, Residents, and Students

Jack

Kenkare

Saville

et al. 2010

Journal of Surgical Education

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“…Staffing issues have recently come to the fore in UK hospitals with the introduction of the European Working Time Directive (Tsouroufli and Payne 2008). This legislation limits the number of hours a junior doctor is able to work in the hospital for health and safety reasons.…”

Section: Discussionmentioning

confidence: 99%

Initial evaluation of a new device for gynaecological laparoscopic surgery: The Atiomo-Laparoscopic Assistant™

Atiomo¹,

Weemba

Dhange

et al. 2010

Journal of Obstetrics and Gynaecology

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The aim of this study was to evaluate the number of surgeons required to successfully complete a range of gynaecological laparoscopic procedures using a new device (the Atiomo-Laparoscopic Assistant™), which enables one surgeon to easily simultaneously manipulate the uterus and the laparoscope. The number of surgeons required to complete the operation in 15 women undergoing a range of laparoscopic procedures using the Atiomo-Laparoscopic Assistant™ was compared with data retrospectively collected from theatre records. It was possible for one surgeon to assess the pelvis during laparoscopy in 10 (67%) of the 15 procedures where the Atiomo-Laparoscopic Assistant™ was used, compared with 177 of the 599 (30%) procedures where it was not used (p = 0.005). However, with the Mark 3 device, it was possible for one surgeon to perform the procedure in all seven procedures (100%) where it was used. Surgeons felt that the device was easy to use and no complications occurred.

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“…FT offers more structured and focused training that is less dependent on the formal clinical environment. However, postgraduate training is tested by the restrictions in hours and patterns of working resulting from the implementation of the European Working Time Directive (EWTD) 4 5. All these factors have the potential to reduce postgraduates' exposure to clinical activity, reduce close contact with senior doctors, and offer less opportunity to be part of complete patient episodes.…”

Section: Introductionmentioning

confidence: 99%

The value of emergency medicine placements for postgraduate doctors: views of Foundation Year 2 doctors and training leads in the emergency department (ED)

O’Keeffe

Carter

Mason

2016

Postgraduate Medical Journal

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ObjectivesTo examine the delivery of postgraduate training in the emergency medicine setting and its impact on postgraduate doctor (Foundation Year 2) performance and competence. Methods A national study in four Emergency ResultsInterviews were carried out with eight TLs and focus groups with 30 F2s. F2 doctors and EDTLs agreed that ED was a valuable environment for F2 Doctors to develop their competence, with exposure to a broad range of patients and the opportunity to make decisions about clinical care.Diverging views existed around competence and performance of F2s. F2 doctors had anxieties about decision-making (particularly discharging patients) and required regular feedback to feel confident in their care. TLs recognised a need for more supervision and support for F2 doctors but this was challenging in a busy, performance led service. ConclusionEmergency medicine placements were important in the development of confident and competent F2 doctors, particularly in the context of less clinical exposure in other specialty placements. However, there are competing tensions between elements of postgraduate learning and service delivery within emergency medicine that require addressing to enable trainees to optimally develop knowledge and skills in this environment.3 BACKGROUND

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Consultant medical trainers, modernising medical careers (MMC) and the European time directive (EWTD): tensions and challenges in a changing medical education context

Cited by 47 publications

References 16 publications

Improving Education under Work-Hour Restrictions: Comparing Learning and Teaching Preferences of Faculty, Residents, and Students

Improving Education under Work-Hour Restrictions: Comparing Learning and Teaching Preferences of Faculty, Residents, and Students

Initial evaluation of a new device for gynaecological laparoscopic surgery: The Atiomo-Laparoscopic Assistant™

The value of emergency medicine placements for postgraduate doctors: views of Foundation Year 2 doctors and training leads in the emergency department (ED)

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