scholarly journals Constructive chaos and training in the NHS

2007 ◽  
Vol 89 (3) ◽  
pp. 85-85
Author(s):  
Brian Avery
Keyword(s):  
Detrimental Effect ◽  
Working Hours ◽  
Working Time ◽  
Good Thing ◽  
European Working Time Directive ◽  
European Working ◽  
Working Time Directive ◽  
And Training

Constructive chaos is newly coined political jargon used to justify present upheaval for future benefit. Within the NHS we have seen upheaval with a detrimental effect on training in dentistry and surgery. What has been going on? First there was the intrusion of the European Working Time Directive (EWTD) into the NHS. By and large, this directive is a good thing because it will restrict the working hours of doctors in hospitals to 56 hours per week by 2007 and 48 hours by 2009.

Implementation of the European Working Time Directive in neurosurgery reduces continuity of care and training opportunities

2010 ◽  
Vol 152 (7) ◽  
pp. 1207-1210 ◽  
Author(s):  
Alexander J. Maxwell ◽  
Matthew Crocker ◽  
Timothy L. Jones ◽  
Dolin Bhagawati ◽  
Marios C. Papadopoulos ◽  
...  
Keyword(s):  
Continuity Of Care ◽  
Working Time ◽  
European Working Time Directive ◽  
European Working ◽  
Working Time Directive ◽  
Training Opportunities ◽  
And Training

Joint report warns of looming problems in working hours

2009 ◽  
Vol 91 (1) ◽  
pp. 14-15
Author(s):  
Matthew Worrall
Keyword(s):  
Royal College ◽  
Working Hours ◽  
Working Time ◽  
European Working Time Directive ◽  
Clinical Team ◽  
European Working ◽  
Working Time Directive ◽  
Joint Report

Is your hospital ready for the 48-hour week? Do you think your rota as it stands is going to cope? If every member of your clinical team lost eight hours a week from tomorrow, do you think you could continue to offer patients a proper service? At present, for many fellows and members the answer to these questions is probably no. Over half of respondents to a survey undertaken by this College, alongside the Royal College of Anaesthetists, declared they were unprepared for the European Working Time Directive (EWTD) August 2009 deadline of 48 hours per week.

scholarly journals Perceived impact of EWTD on UK doctors

2009 ◽  
Vol 91 (4) ◽  
pp. 132-134 ◽  
Author(s):  
Ryckie G Wade ◽  
James Henderson
Keyword(s):  
Patient Care ◽  
Working Hours ◽  
Working Time ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
European Working ◽  
Perceived Impact ◽  
Working Time Directive ◽  
A Current

Doctors have historically worked long hours to provide patient care but also to gain experience. Over the last decade, working hours have decreased significantly, and the introduction of the European Working Time Directive (EWTD) has formalised this. In August 2009, junior doctors (but not consultants) will be limited to a 48-hour working week (see http://www.dh.gov.uk/en/Managingyourorganisation/Huma nresourcesandtraining/Modernisingworkforceplanninghome/Europeanworkingtimedirective/index.htm). There are concerns at all levels of the profession that doctors will not be adequately trained to function at the standard of a current NHS consultant. Doctors with the least experience make the most errors and familiarity with situations and equipment is directly related to competency.

EWTD 2009 – meeting the challenge in surgery

2008 ◽  
Vol 90 (3) ◽  
pp. 80-81 ◽  
Author(s):  
Michael Horrocks ◽  
Jo Cripps
Keyword(s):  
Patient Safety ◽  
Service Delivery ◽  
Safety Training ◽  
Working Time ◽  
European Working Time Directive ◽  
Surgical Services ◽  
Team Working ◽  
European Working ◽  
Working Time Directive ◽  
And Training

With 17 months to go before the August 2009 European Working Time Directive (EWTD) deadline, work must begin now to give trainers and trainees time to test potential solutions and work out the best method of achieving compliance while protecting patient safety, training and service delivery. Team working is essential, not just among surgeons – all those involved in commissioning, planning, managing and delivering surgical services and training will need to work together.

scholarly journals Weekly working hours for Norwegian hospital doctors since 1994 with special attention to postgraduate training, work–home balance and the European Working Time Directive: a panel study

BMJ Open ◽  
2014 ◽  
Vol 4 (10) ◽  
pp. e005704 ◽  
Author(s):  
Judith Rosta ◽  
Olaf G Aasland
Keyword(s):  
Cultural Values ◽  
Postgraduate Training ◽  
Panel Study ◽  
Working Hours ◽  
Working Time ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
European Working ◽  
Hospital Doctors ◽  
Working Time Directive

ObjectivesTo examine the weekly working hours of Norwegian hospital doctors from 1994 to 2012 with special emphasis on the quality of postgraduate training and work–home balance, and in relation to the requirements of the European Working Time Directive (EWTD).DesignPanel study based on postal questionnaires.SettingNorway.ParticipantsUnbalanced cohort of 1300–1600 doctors in 1994, 1995, 1996, 1997, 2000, 2002, 2004, 2006, 2008, 2010 and 2012.Outcome measuresSelf-reported total weekly working hours and whether 45 weekly working hours are too short, sufficient, or too long to meet the quality requirements of obligatory postgraduate training for junior doctors.ResultsFrom 1994 to 2012, the number of weekly working hours was stable for senior (46–47 h) and junior (45–46 h) hospital doctors. In 2012, significantly more senior (27–35%) than junior (11–20%) doctors reported suboptimal work–home balance, defined as working more than 48 h a week. The majority perceived the present situation with an average of 45 h per week for juniors as sufficient for obligatory postgraduate specialist training, but doctors of higher age (OR 1.04, 95% CI 1.01 to 1.08), senior doctors (1.07, 1.04 to 1.11) and doctors working in surgical specialties (OR 1 vs laboratory medicine 0.03, 0.01 to 0.25, internal medicine 0.31, 0.17 to 0.58, psychiatry 0.12, 0.04 to 0.36, paediatrics 0.36, 0.12 to 1.07, anaesthesiology 0.08, 0.02 to 0.39, gynaecology 0.07, 0.01 to 0.56 and others 0.39, 0.04 to 3.56) were more likely to want the work-week to be longer.ConclusionsThe weekly working hours of Norwegian hospital doctors were always below the EWTD requirements. A significant growth of hospital doctor density over the past two decades, national regulations and cultural values might be important factors. Specialty differences in perception of sufficient training time may call for more flexibility in working time regulations.

Changes in working patterns hit emergency general surgical training

2008 ◽  
Vol 90 (2) ◽  
pp. 60-63 ◽  
Author(s):  
N Kara ◽  
PV Patil ◽  
SM Shimi
Keyword(s):  
Surgical Training ◽  
Working Hours ◽  
Working Time ◽  
European Working Time Directive ◽  
Confidential Enquiry ◽  
Surgical Trainees ◽  
European Working ◽  
Level Of Experience ◽  
Working Time Directive

The last decade has seen major changes in the working pattern of surgical trainees. This commenced with the introduction of the maximum 72-hour working week in 1991. The European Working Time Directive reduced the working hours to a maximum of 56 hours, with the intention to reduce it further to 48 hours by 2009. This is additionally affected by compliance with the SiMAP and Jaeger Rulings. The results of the Calman report coupled with those of the Confidential Enquiry into Perioperative Deaths (CEPOD) report have also had a significant effect on the amount and level of experience obtained during surgical training.

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