General surgical training in the Netherlands

2007 ◽  
Vol 89 (3) ◽  
pp. 92-93
Author(s):  
J Veldkamp
Keyword(s):  
The Netherlands ◽  
Surgical Training ◽  
European Working Time Directive ◽  
Independent Practice ◽  
Orthopaedic Trauma ◽  
Medical Careers ◽  
European Working ◽  
General Surgeons ◽  
The Uk ◽  
Working Time Directive

Miss Veldkamp has the advantage of having trained in both British and Dutch hospitals. Entry into Dutch surgical training is as hard as the Modernising Medical Careers (MMC) hurdles: in the former case it is gained by research degree and publication or as a 'noticeable' SHO. Overall, the level of competence achieved by the Dutch scheme would appear to be a little behind that of our own training, although that may well change following MMC. On completion of training a number of Dutch trainees take up a fellowship post before assuming independent practice…shades of the future in the UK? In such a sophisticated country as the Netherlands it is an anomaly for general surgeons to continue to manage orthopaedic trauma. Yet again, another EU country appears to have cocked a snook at European Working Time Directive.

scholarly journals Surgical anatomy in the age of EWTD and ISCP

2008 ◽  
Vol 90 (7) ◽  
pp. 245-245
Author(s):  
Vishy Mahadevan
Keyword(s):  
Surgical Training ◽  
Surgical Anatomy ◽  
Working Time ◽  
European Working Time Directive ◽  
Medical Careers ◽  
European Working ◽  
The Face ◽  
Considerable Impact ◽  
The Uk ◽  
Working Time Directive

Four major new initiatives being implemented nationally are set to have a considerable impact on the nature of surgical training in the UK. When fully operational, these developments will alter the face of surgical training: the European Working Time Directive (EWTD), Modernising Medical Careers (MMC), the Intercollegiate Surgical Curriculum Programme (ISCP) and the new MRCS examination.

scholarly journals Surgical training and EWTD – can it be done?

2007 ◽  
Vol 89 (6) ◽  
pp. 206-209 ◽  
Author(s):  
WH Allum ◽  
NI Markham
Keyword(s):  
Surgical Training ◽  
Working Time ◽  
European Working Time Directive ◽  
Training And Education ◽  
Out Of Hours ◽  
Medical Careers ◽  
European Working ◽  
Working Time Directive ◽  
Training Opportunities ◽  
Postgraduate Surgical Training

The introduction of the European Working Time Directive (EWTD) has created specific and predictable pressures on surgical training and education. In many hospitals the emphasis has been on ensuring a safe service, particularly out of hours. This has been to the detriment of training opportunities. The changes inherent in Modernising Medical Careers with the introduction of progressive training will further limit the amount of time for postgraduate surgical training to a total of six or seven years.

scholarly journals The eagle project takes off

2006 ◽  
Vol 88 (6) ◽  
pp. 188-191 ◽  
Author(s):  
Bill Thomas
Keyword(s):  
Patient Safety ◽  
Surgical Training ◽  
Surgical Education ◽  
European Working Time Directive ◽  
Medical Innovation ◽  
Training And Education ◽  
Medical Careers ◽  
European Working ◽  
Multiple Challenges ◽  
Working Time Directive

Surgical education is absolutely crucial for the future of surgery as a profession and for the advancement of patient safety and care. There are multiple challenges currently facing surgical training and education, such as the European Working Time Directive, Modernising Medical Careers and service and activity targets, but just as important is the need for training and education to keep pace with the enormous strides in technology and medical innovation.

The European working time directive has a negative impact on surgical training in the UK

The Surgeon ◽  
2011 ◽  
Vol 9 (1) ◽  
pp. 56-57 ◽  
Author(s):  
Claire Simpson ◽  
Howard Cottam ◽  
J. Edward Fitzgerald ◽  
Charles E.B. Giddings
Keyword(s):  
Surgical Training ◽  
Negative Impact ◽  
Working Time ◽  
European Working Time Directive ◽  
European Working ◽  
The Uk ◽  
Working Time Directive

Optimizing training opportunities for otolaryngology senior house officers: an audit

2006 ◽  
Vol 120 (7) ◽  
pp. 583-586 ◽  
Author(s):  
J Wasson ◽  
N Jacobsen ◽  
D Bowdler ◽  
C Hopkins
Keyword(s):  
Working Time ◽  
European Working Time Directive ◽  
Medical Careers ◽  
Surgeon Training ◽  
European Working ◽  
Cent Case ◽  
Audit Cycle ◽  
Working Time Directive ◽  
Training Opportunities ◽  
Made In

Implementation of the European Working Time Directive and the Modernising Medical Careers initiative will mean junior surgeons must be trained in fewer hours over a shorter period. For this reason, junior surgeon training opportunities must be optimized. We undertook a departmental audit to identify where opportunities to train senior house officers (SHOs) in theatre were being lost, so that appropriate timetable changes could be made in order to optimize exposure to suitable surgical cases. During the first audit cycle, the SHOs followed their existing timetable and theatre attendance was monitored prospectively over a two-week period. Only 30 per cent of theatre sessions were attended and case participation was only 27 per cent. Simple timetable changes were made to maximize SHO theatre attendance, and a second prospective two-week audit was undertaken. The new rota yielded 46 per cent theatre attendance and 48 per cent case participation.

scholarly journals The EWTD: friend or foe to quality patient care?

2006 ◽  
Vol 88 (9) ◽  
pp. 318-319
Author(s):  
MBS Brewster ◽  
R Potter ◽  
D Power ◽  
V Rajaratnam ◽  
PB Pynsent
Keyword(s):  
Patient Care ◽  
Medical Staff ◽  
Junior Doctor ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Out Of Hours ◽  
Quality Patient Care ◽  
European Working ◽  
The Uk ◽  
Working Time Directive

For the last few years all the hospitals in the UK have been changing junior doctors' rotas to become compliant with the European Working Time Directive (EWTD). The first stage, requiring a junior doctor to work a maximum of 58 hours per week averaged over a 6-month period, became law in August 2004. In addition to new posts for junior doctors there have been schemes to facilitate the transition, such as the Hospital at Night programme. This was designed to use the minimum safe number of doctors from appropriate specialties with supporting medical staff to cover the hospital out of hours. It was required to make the most efficient use of this team and allow the junior doctor rotas to be compliant with the appointment of as few new posts as possible.

Surgical assistance - who can help?

2014 ◽  
Vol 96 (7) ◽  
pp. 244-246 ◽  
Author(s):  
Susan Hall ◽  
Julie Quick ◽  
Andrew Hall ◽  
Adrian Jones
Keyword(s):  
Patient Care ◽  
Surgical Training ◽  
Perioperative Care ◽  
Working Time ◽  
European Working Time Directive ◽  
Surgical Assistance ◽  
European Working ◽  
High Standards ◽  
Working Time Directive

Changes affecting surgical training, together with the implementation of the European Working Time Directive, have necessitated increased reliance on non-medically qualified assistants. Such assistance must be performed by suitably educated personnel. The RCS, The Perioperative Care Collaborative (PCC) and The Association for Perioperative Practice (AfPP) all play a role in ensuring high standards of patient care. In so doing, they have determined the circumstances and the level at which such assistance may be given by three grades of perioperative personnel. It is essential that surgeons understand and support such non-medically qualified colleagues in adhering to these standards.

Carpe diem

2009 ◽  
Vol 91 (2) ◽  
pp. 42-43 ◽  
Author(s):  
John Black
Keyword(s):  
Surgical Training ◽  
Recent Article ◽  
European Working Time Directive ◽  
Political Class ◽  
European Working ◽  
The World ◽  
Competence Training ◽  
Work Shifts ◽  
Working Time Directive ◽  
Carpe Diem

In a recent article in The Sunday Telegraph, Dr James LeFanu referred to 'the ascendancy of that managerial and political class whose commitment to making the world a better place has come to blight our lives'. There could not be a better example of this than the effect of the European Working Time Directive (EWTD) on those training to be surgeons. The EWTD has devastated the ability to deliver proper standards of surgical training and forced young surgeons to work shifts that are stressful, detested and unprofessional. For trainees to gain the necessary experience and competence, training will have to be extended for so long that becoming a consultant will be a very distant goal. This is all being done under social chapter legislation, supposed to make people's lives better!

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