Implementation of the European Working Time Directive in neurosurgery reduces continuity of care and training opportunities

Abstract

The EWTD has had a marked adverse impact on continuity of care for neurosurgical patients at St. George's Hospital. Residents' training opportunities were reduced.

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

“…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.…”

“Do no harm”: Fortifying MDT collaboration in changing technological times

“…On one hand a guideline is only a guide or suggestion, but once published it can assume an authority on evidence, which is often lacking. Indeed in some cases it is argued that strict adherence to a guideline can be counterproductive [12,13].…”

Neurosurgical trainees' perceptions of course value and study leave budgets

“…This has led to reduced training opportunities [1][2][3][4] and as a consequence there has been a drive to maximise such opportunities, both within working hours and through the use of adjuncts such as educational courses.…”