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.

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.

scholarly journals Hospital at Night: Not for ENT?

2006 ◽  
Vol 88 (4) ◽  
pp. 134-136 ◽  
Author(s):  
DD Pothier ◽  
S Ahluwalia ◽  
P Monteiro
Keyword(s):  
Patient Care ◽  
Continuity Of Patient Care ◽  
Working Time ◽  
European Working Time Directive ◽  
Junior Doctors ◽  
Consultant Surgeon ◽  
European Working ◽  
After Hours ◽  
Working Time Directive ◽  
The Impact

The introduction of the European Working Time Directive has meant a reduction in the number of hours that junior doctors may spend at work. The impact that this legislation will have on training and the continuity of patient care may be significant. In an attempt to reduce the number of doctors required to look after patients after hours, the Hospital at Night programme has been introduced. The basis of the project is to have a team of generically skilled surgeons on call to handle emergencies and routine ward work from all surgical specialties. The reasoning behind this move is that most SHOs have sufficient training to deal with most surgical problems; any more advanced problems are to be referred to the SpR or consultant surgeon for that specialty.

Sign in / Sign up

Export Citation Format

Share Document