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

Kelly, Brian D.; Curtin, P.; Corcoran, M.

doi:10.1007/s11845-010-0670-4

Cited by 21 publications

(9 citation statements)

References 5 publications

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“…10 Studies of the surgical specialties typically report surgeons to have a negative view of the EWTD. [11][12][13][14][15] Our findings confirm this. Previous studies of the views of surgical trainees have found concerns about reduced contact time with trainers, 14 reduced clinical exposure and operative experience 12 16 and adverse impact on patient care.…”

Section: The Impact Of the Ewtd On Junior Doctorssupporting

confidence: 85%

UK doctors’ views on the implementation of the European Working Time Directive as applied to medical practice: a quantitative analysis

2014

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ObjectivesTo report on doctors’ views, from all specialty backgrounds, about the European Working Time Directive (EWTD) and its impact on the National Health Service (NHS), senior doctors and junior doctors.DesignAll medical school graduates from 1999 to 2000 were surveyed by post and email in 2012.SettingThe UK.MethodsAmong other questions, in a multipurpose survey on medical careers and career intentions, doctors were asked to respond to three statements about the EWTD on a five-point scale (from strongly agree to strongly disagree): ‘The implementation of the EWTD has benefited the NHS’, ‘The implementation of the EWTD has benefited senior doctors’ and ‘The implementation of the EWTD has benefited junior doctors’.ResultsThe response rate was 54.4% overall (4486/8252), 55.8% (2256/4042) of the 1999 cohort and 53% (2230/4210) of the 2000 cohort. 54.1% (2427) of all respondents were women. Only 12% (498/4136 doctors) agreed that the EWTD has benefited the NHS, 9% (377) that it has benefited senior doctors and 31% (1289) that it has benefited junior doctors. Doctors’ views on EWTD differed significantly by specialty groups: ‘craft’ specialties such as surgery, requiring extensive experience in performing operations, were particularly critical.ConclusionsThese cohorts have experience of working in the NHS before and after the implementation of EWTD. Their lack of support for the EWTD 4 years after its implementation should be a concern. However, it is unclear whether problems rest with the current ceiling on hours worked or with the ways in which EWTD has been implemented.

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Section: The Impact Of the Ewtd On Junior Doctorssupporting

confidence: 85%

UK doctors’ views on the implementation of the European Working Time Directive as applied to medical practice: a quantitative analysis

2014

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“…This is in contrast to the demand stipulated by a recent publication on Improving Outcomes: A Strategy for Cancer by the Department of Health in the United Kingdom, which reinforced the aim of promoting the latest surgical techniques, including the training of the existing workforce and extending the benefits of surgical intervention to the older population (DOH, 2011). The issue of training surgeons to deliver high-quality care using minimally invasive surgery within the constraints of the European Working Time Directive (EWTD, 2009) is the main focus of discussions and workforce planning in the United Kingdom (Canter, 2011;Kelly et al, 2011;Simpson et al, 2011). Patient safety regulations and strict clinical governance would preclude performance of these complex techniques on live patients by novice surgeons.…”

Section: Introductionmentioning

confidence: 99%

A qualitative assessment of human cadavers embalmed by Thiel's method used in laparoscopic training for renal resection

Prasad

Tang

Eisma

et al. 2012

Anatomical Sciences Ed

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Human cadaveric tissue is the fundamental substrate for basic anatomic and surgical skills training. A qualitative assessment of the use of human cadavers preserved by Thiel's method for a British Association of Urological Surgeons-approved, advanced laparoscopic renal resection skills training course is described in the present study. Four trainees and four experienced laparoscopic surgeons participated in the course. All participants completed a five-point Likert scale satisfaction questionnaire after their training sessions. The quality of cadaveric tissue and the training session were assessed with particular emphasis placed on the ease of patient positioning, the ease of trocar placement, the preservation of tissue planes, the ease of renal pedicle dissection, and the quality of tissue preservation. All of the participants highly rated the quality of the cadaveric tissue embalmed by Thiel's method (mean scores for quality on the five-point Likert scale were 4.5 and 4.3 by the trainees and experienced laparoscopic surgeons, respectively). All of the steps of laparoscopic renal resection were rated 4.0 or more on the Likert scale by both trainees and faculty members. The initial response rates for using a human cadaver embalmed by Thiel's method as a training tool for laparoscopic nephrectomy showed encouraging results. The performance of a laparoscopic nephrectomy on a human cadaver embalmed by Thiel's method bears close resemblance to real laparoscopic nephrectomy procedures, and thus demonstrates added advantages to the previously reported models.

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“…Because laparoscopy requires other skills than open surgery, simulator-based skills training is currently widely accepted (2,3). However, we are still seeking optimal methods for assessing laparoscopic skills performance (4)(5)(6). In response to urgent calls from the government and the public for well-defined proficiency standards to safeguard the quality of care, the profession itself should accept its primary responsibility for patient safety and take the lead in setting proficiency standards based on professionals' knowledge and experience (7)(8)(9).…”

Section: Introductionmentioning

confidence: 99%

Program for laparoscopic urological skills assessment: Setting certification standards for residents

Tjiam

Schout

Hendrikx

et al. 2012

Minimally Invasive Therapy & Allied Technologies

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

Abstract: Surgical training faces a challenge with the implementation of EWTD Rotas. Major changes need to be made to the surgical training structure to train surgeons to the highest standard and to retain Irish-trained surgeons in the Irish healthcare system.

Cited by 21 publications

References 5 publications

UK doctors’ views on the implementation of the European Working Time Directive as applied to medical practice: a quantitative analysis

UK doctors’ views on the implementation of the European Working Time Directive as applied to medical practice: a quantitative analysis

A qualitative assessment of human cadavers embalmed by Thiel's method used in laparoscopic training for renal resection

Program for laparoscopic urological skills assessment: Setting certification standards for residents

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