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January 31, 2022CureusOpen Access

The European Working Time Directive: Will Modern Surgical Training in the United Kingdom Be Sufficient?

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Why the study?

The introduction of the European Working Time Directive raised concerns that reduced surgical training time could impair the ability of future surgeons to deliver safe and effective care.

Population

Nine consultant general surgeons at a tertiary referral centre in the United Kingdom

Design

Interview-based qualitative study

Authors

MWMatthew WymanPinderfields HospitalRHRoy HuynhThe University of SydneyCOCorinne OwersBoston Children's Hospital

Discussion

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Member takes

Implication

May limit future surgical competence; leaves open optimal training strategies under hour restrictions.

Structured PICO

P
Population
9 consultant general surgeons working within the general surgery directorate at Sheffield Teaching Hospitals NHS Foundation Trust, who attained their Certificate of Completion of training (CCT) before the full introduction of the EWTD.
I
Intervention
European Working Time Directive (EWTD) impact assessment
O
Outcome
Opinions on how surgical trainees can comply with the European Working Time Directive whilst gaining sufficient knowledge, skill and experience to be safe surgeons

Senior surgeons believe the European Working Time Directive has negatively impacted surgical training and experience, suggesting a need for alternative learning methodologies and mentorship to ensure future patient safety.

Limitations

  • Conducted at a single tertiary trauma centre in one of the UK's largest cities, which may not reflect smaller district general hospitals.
  • The interviewer was a surgical trainee under the supervision of several study participants, which may have altered their responses.

Cite This Study

Wyman et al. (2022) studied this question.

synapsesocial.com/papers/6a727a5cc1a24a6142dbdac0https://doi.org/10.7759/cureus.21797
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1The European Working Time Directive: A practical review for surgical trainees2012 · 84 citations
  2. 2Laparoscopic performance after one night on call in a surgical department: prospective study2001 · 308 citations
  3. 3Consultant medical trainers, modernising medical careers (MMC) and the European time directive (EWTD): tensions and challenges in a changing medical education context2008 · 53 citations
  4. 4A General Inductive Approach for Analyzing Qualitative Evaluation Data2006 · 11,014 citations
  5. 5Effect of Reducing Interns' Work Hours on Serious Medical Errors in Intensive Care Units2004 · 1,769 citations