Making the Most of Surgical Training

2009 ◽  
Vol 91 (5) ◽  
pp. 164-167 ◽  
Author(s):  
Hayley Allan ◽  
Stella Vig
Keyword(s):  
Surgical Training ◽  
Working Time ◽  
European Working Time Directive ◽  
Training Time ◽  
Surgical Disease ◽  
Surgical Trainees ◽  
European Working ◽  
The Hours ◽  
Working Time Directive

It is widely believed that it is impossible to train surgical trainees to Certificate of Completion of Training (CCT)-level in a mere 48-hour week; that trainees cannot gain sufficient exposure to surgical disease or carry out an acceptable number of procedures to gain the confidence and competence for CCT within the time now available. The European Working Time Directive (EWTD) is a reality and hospitals are already implementing strict controls to ensure its trainees do not exceed the hours they are allowed to work, resulting in a consultant-led service that further restricts training time and opportunity.

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.

The Lost Opportunities for Surgical Training in the NHS

2011 ◽  
Vol 93 (6) ◽  
pp. 202-206 ◽  
Author(s):  
JC Marriott ◽  
H Purdie ◽  
A Millen ◽  
JD Beard
Keyword(s):  
Surgical Training ◽  
Health And Safety ◽  
Working Time ◽  
Operating Theatre ◽  
European Working Time Directive ◽  
Progressive Reduction ◽  
European Working ◽  
The Hours ◽  
Full Shift ◽  
Working Time Directive

Surgery is a craft specialty based on gaining sufficient operating theatre experience. The European Working Time Directive was introduced in 1998 to protect the health and safety of employees. However, the progressive reduction in the hours available for surgical training combined with full-shift working patterns have raised fears that we will produce less experienced surgeons in the future.

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.

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.

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