Continuity of care of emergency surgical admissions: Impact on SPR training

The effects of the European Working Time Directive on surgical training: the basic surgical trainee’s perspective

“…This translates to less clinical and less operative training, but also, in our study, to a noticeable reduction in the quality of patient care. Ledwidge et al [8] pointed out the reduction in the continuity of patient care for acute surgical admissions. In the pilot study in GUH, 81% of SHOs felt that patient care had deteriorated for the duration of the study.…”

Ward rounds: missed learning opportunities in diagnostic changes?

“…The most direct solution is to adjust working patterns to allow the relevant doctors to be present on the PTWR. This would also improve continuity of care, and the admitting doctor may have further useful information to impart 12,19 …”

“…These may include written feedback (such as allocated space on handover sheets, which are then routinely sent back to the previous on‐call doctors), computerised feedback (which the doctor then accesses themselves at a later point) or formal verbal feedback 21,22 . It could be argued that the individual doctor should find time to return to their patient or review the medical notes themselves, although this may result in a poorly compliant mechanism 19 . As trainers, there is a responsibility to form effective and reliable systems of education.…”

Medical Trainee Continuity of Care Following Emergency Department Consultations in a Pediatric Hospital

“…[5][6][7] A number of studies from the surgical literature have also examined resident continuity of care. [8][9][10][11][12][13] Mittal et al 8 highlighted the importance of surgical residents participating in all phases of patient care to fully appreciate the impact of preoperative and intraoperative decisions on postoperative outcomes. Ledwidge et al 9 advocated measures to increase care continuity for surgical residents after their study noted that only 23% of patients had the same admitting resident from the emergency department for all phases of care.…”