The European Working Time Directive: One for all and all for one?

Morris-Stiff, G.; Sarasin, S.; Edwards, P. D.; Lewis, WG; Lewis, MH

doi:10.1016/j.surg.2004.11.002

Cited by 79 publications

(43 citation statements)

References 6 publications

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“…To address this, the positive aspects of these specialties need to be promoted, such as the highly valued working relationships with patients in obstetrics and gynaecology. A long-term review of working conditions, including eVective implementation of measures, such as the European Working Time Directive, is needed [14].…”

Section: Discussionmentioning

confidence: 99%

Do women seeking care from obstetrician–gynaecologists prefer to see a female or a male doctor?

Makam

Saroja

Edwards

2009

Arch Gynecol Obstet

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Purpose To examine whether women seeking care from obstetrician-gynaecologists prefer to see a female or a male doctor or have no preference. Methods Five hundred consecutive women attending gynaecology and antenatal clinics were asked to complete a survey questionnaire containing 12 items requiring opinion on whether they want to be seen by a female or male obstetrician-gynaecologist or have no preference. It also contained questions regarding their reasons for the stated preference. Results Of the consecutive 500 patients that were given the questionnaire, 435 responded (87% response rate). Two hundred and twenty-Wve patients had no preference, 194 patients preferred female obstetrician-gynaecologist and 16 patients preferred male obstetrician-gynaecologist. The reasons stated by women who preferred to see a female doctor were as follows: religious beliefs-5%, understands problems better-48%, unspeciWed reasons-6%, issues of personal modesty-41%. All 16 women who preferred to see a male doctor stated the reason as 'understands problems better' (100%). Conclusions The majority of women expressed no preference to either gender of their obstetrician and gynaecologists, but signiWcant proportion of the remainder would prefer to see a female doctor when given the choice. Although women gave a variety of subjective reasons for this, demographically it appears that women who are less educated with lower income and being non-white are more likely to prefer to see a female doctor.

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Section: Discussionmentioning

confidence: 99%

Do women seeking care from obstetrician–gynaecologists prefer to see a female or a male doctor?

Makam

Saroja

Edwards

2009

Arch Gynecol Obstet

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“…6 Our EST model has adopted the traditional 'firm-based' style of emergency patient management with the perceived benefit of continuity of care, which has recently come under threat with the enforcement of shift systems. 3 Not only does this foster the 'team spirit' but allows the consultant to observe the patient management and operative skills of their allocated junior doctors and makes training opportunities more readily available. This is especially important with the high intensity of emergency activity demonstrated by our audit.…”

Section: Discussionmentioning

confidence: 99%

“…With increasing enforcement of the European Working Time Directive (EWTD) resulting in more shift systems for junior doctors, the traditional firm structure is being eroded, training opportunities are being lost 2 and we run the risk of compromising the continuity of patient care. 3 Whilst concerns about patient care may hold true across many medical specialities, it is in the emergency surgical setting that regular review and decision making on each patient remains vital.…”

mentioning

confidence: 99%

The Emergency Surgical Team – The Way Forward in Emergency Care?

Tincknell

Burton

Cooke

et al. 2009

annals

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INTRODUCTION With reduced working hours and shift patterns, surgical training and continuity of patient care is being put at risk. We have devised a system for managing the emergency surgical patients in an effort to counteract these perceived problems. This study describes the emergency surgical team and audits its activity. PATIENTS AND METHODS The emergency surgery team concept is described in detail. Over a 2-week period, general surgical referral data, patient management and operative activity were audited. RESULTS A total of 229 patients were referred to the emergency surgical team with 159 treated conservatively, 45 underwent operative intervention and 25 were discharged without admission. Of the emergency surgical team referrals, 58% had gallstone pathology, appendicitis or constipation/non-specific abdominal pain. Average daily number of patients under the care of the emergency surgical team was 26 (range, 10-40). CONCLUSIONS The consultant-led emergency surgical team look after many of the acutely sick surgical patients. Our system not only provides good teaching opportunities but ensures optimal continuity of patient care in a busy district general hospital. Such an approach to emergency surgical care has been successfully developed to optimise training opportunities and improve patient care in a setting of reduced working hours and shift systems in our hospital.

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“…These changes have resulted in the reduction of training opportunities for those in Higher Surgical Training programmes, an issue which has been widely discussed. [1][2][3][4] There is now growing concern over the standards of UK Higher Surgical Training programmes amid the current work-based assessment competency system. Significant challenges and responsibility are placed on the trainee to be sufficiently experienced to become a consultant.…”

Section: Introductionmentioning

confidence: 99%

“…[1][2][3][4] Trainees and trainers are now required to come up with innovative ways to provide coverage of the wide range of clinical skills and experience, whilst working within the new time constraints. There is a conflict for trainees between this undertaking and the necessity for service provision.…”

Section: Introductionmentioning

confidence: 99%