Key result
The EWTD 58-hour limit may compromise UK surgical training within the current six-year timeframe.
Working hour restrictions and time-limited training have raised concerns regarding the adequacy of surgical training within a 6-year timeframe.
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May warrant review of UK surgical training duration under hour limits; leaves open whether competency-based models or extensions restore adequate experience.
The introduction of time-limited Calman training in 1994 significantly reduced the length of operative surgical experience for trainees in general surgery in the UK and the New Deal, published in 1991 to curtail excessive hours of on-duty, gradually came into effect at about the same time. Both measures addressed long-standing problems but there is concern that the additional 58-h limit required by the European Working Time Directive (EWTD) in 2004 may have compromised the ability to deliver surgical training within the current time-scale of 6 years.
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Bates et al. (2007) conducted an editorial in Surgical training. European Working Time Directive (EWTD) was evaluated. The introduction of the European Working Time Directive (EWTD) 58-hour limit may have compromised the ability to deliver surgical training within the current 6-year time-scale in the UK.
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