Shift work and surgical training: an observational study in one district general hospital

2003 ◽  
Vol 85 (6) ◽  
pp. 196-198 ◽  
Author(s):  
D Garg ◽  
JJ French ◽  
M Bradburn
2006 ◽  
Vol 88 (7) ◽  
pp. 244-246 ◽  
Author(s):  
C Beaton ◽  
MR Stephens ◽  
AN Hopper ◽  
WG Lewis

The European Working Time Directive (EWTD) will reduce the clinical experience obtained by surgeons prior to attaining consultant status from 21,000 surgical hours to 7,640 hours, 1 with shift work obligatory for compliance. We have shown previously that the operative experience of SHOs in general surgery is on the wane in our own hospital, varies with subspecialty interest 2 and has witnessed further erosion by the introduction of the EWTD. 3 The aim of this study was to assess the influence of an all tier shift rota on the emergency and elective operative experience of SHOs in a category 1 general surgical training post working in a large district general hospital serving a population of 600,000.


2006 ◽  
Vol 88 (1) ◽  
pp. 24-26 ◽  
Author(s):  
SR Aspinall ◽  
DM Bradburn ◽  
SJ Mills

The cumulative effect of Calmanisation, the New Deal, the European Working Time Directive (EWTD) and the Jaeger and SiMAP rulings has been to reduce trainees' exposure to emergency surgery. The Hospital at Night project has been designed to create a generic team of doctors to maximise the number of doctors available for any task by removing boundaries between teams. This project is currently being piloted in a number of centres around the country, including Wansbeck General Hospital (WGH) a 323-bed district general hospital (DGH) serving a population of 240,000 in Northumberland.


The Physician ◽  
2019 ◽  
Vol 6 (1) ◽  
pp. c2
Author(s):  
Vivian Praveen Ignatius

Sepsis is a preventable cause of death. According to NICE guidelines, the first hour of diagnosing sepsis is considered the golden hour as the outcomes are better if the treatment is started at this hour. This observational study was conducted at a district general hospital to assess the compliance of the antibiotic administration within the first hour of diagnosis of sepsis. 


2010 ◽  
Vol 92 (2) ◽  
pp. 54-55 ◽  
Author(s):  
C Evans ◽  
H Reece-Smith ◽  
HW Grant

'The provision of GPS [general paediatric surgery] in the DGH [district general hospital] setting is reaching a crisis. The underlying problem is a failure to train and recruit general surgeons with appropriate paediatric skills and experience.


2007 ◽  
Vol 21 (1) ◽  
pp. 54-58 ◽  
Author(s):  
P. Sanjay ◽  
A. Dodds ◽  
E. Miller ◽  
P.J. Arumugam ◽  
A. Woodward

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