The European Working Time Directive: A practical review for surgical trainees

被引：50
作者：
Fitzgerald, J. E. F. [1 ]
Caesar, B. C. [2 ]
机构：
[1] Assoc Surg Training, London WC2A 3PE, England
[2] British Orthopaed Assoc Off, British Orthopaed Trainees Assoc, London WC2A 3PE, England
来源：
INTERNATIONAL JOURNAL OF SURGERY | 2012年 / 10卷 / 08期
关键词：
European working time directive; Duty hours; Education; Training; Surgery; SLEEP-DEPRIVATION; LAPAROSCOPIC SKILLS; MEDICAL-EDUCATION; PERFORMANCE; IMPACT; PSYCHOMOTOR; SIMULATOR; SURGEONS; IMPLEMENTATION; RESIDENTS;
D O I：
10.1016/j.ijsu.2012.08.007
中图分类号：
R61 [外科手术学];
学科分类号：
摘要：
The European Working Time Directive (EWTD) 2003/88/EC is a Union Directive laying down minimum health and safety requirements for the organisation of working time. Originally primarily intended as labour law, its progressive introduction up to full implementation for doctors-in-training in August 2009 has substantially reduced duty-hours and caused widespread concern in surgery. Detrimental effects on the continuity of patient care, reduced availability of medical staff with associated rota difficulties, and the reduction in time for training junior doctors have been widely cited. Craft-specialities such as surgery and those providing an acute service have faced particular challenges. This review offers a practical guide for surgical trainees, explaining the European regulations in the context of current terms and conditions of doctor's employment in the UK. Information is provided on protecting training, opting-out, seeking remuneration for this, and ensuring doctors and patients are protected with appropriate medical indemnity cover in place. (C) 2012 Surgical Associates Ltd. Published by Elsevier Ltd. All rights reserved.
引用
收藏
页码：399 / 403
页数：5
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