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.

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 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 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.

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.

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

Out-of-hours cover in oral and maxillofacial surgery

2008 ◽  
Vol 90 (8) ◽  
pp. 282-283
Author(s):  
G Reddy-Kolanu ◽  
M Ethunandan ◽  
R Anand ◽  
V Ilankovan
Keyword(s):  
Medical Staff ◽  
Maxillofacial Surgery ◽  
Working Time ◽  
European Working Time Directive ◽  
Oral And Maxillofacial Surgery ◽  
Junior Doctors ◽  
Out Of Hours ◽  
Dental Pathology ◽  
European Working ◽  
Working Time Directive

The European Working Time Directive (EWTD) has required all departments to re think staffing arrangements to provide out-of-hours ser vices. Large departments with man y junior doctors can continue to have oral and maxillofacial surgery (OMFS) SHOs covering the out-of-hours ser vice without exceeding the constraints of EWTD. For smaller departments the choice has been either to close the on-call service and centralise it in a larger department or to have a specialty cross-cover arrangement. The problems of cross-cover might be more apparent in OMFS than in other hospital specialties due to other medical staff possessing a negligible knowledge of dental pathology.

A spiral of learning: are you ready?

2008 ◽  
Vol 90 (9) ◽  
pp. 309-309
Author(s):  
S Vig ◽  
H Allan ◽  
L Hadfield-Law ◽  
A Hollowood ◽  
M Deakin
Keyword(s):  
Surgical Training ◽  
House Officer ◽  
Training And Education ◽  
Medical Careers ◽  
Full Circle ◽  
European Working ◽  
Resident Surgeon ◽  
Time Served ◽  
Apprenticeship Model ◽  
Working Time Directive

William Halsted was an innovator of surgical training in the 20th century. Traditionally training was offered to senior professors and Halsted wished to improve this, not to change it and bring it round full circle but to take training and education to a higher level. Halsted changed the focus of training to the house officer. House officers were given graduated responsibilities including supervised surgery within an apprenticeship model. Dependent on time served and numbers of patients treated, the programme ensured that the resident surgeon would be skilled and experienced. This concept of surgical training has continued to be used successfully but has recently had to evolve with the implementation of Modernising Medical Careers and the European Working Time Directive.

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