A pilot project of european working time directive compliant rosters in a university teaching hospital

The effects of the European Working Time Directive on surgical training: the basic surgical trainee’s perspective

“…In the pilot study in GUH, 81% of SHOs felt that patient care had deteriorated for the duration of the study. Our study confirms these observations with 84% of BSTs believing that the standard of care their patients were receiving had dropped significantly and that there were difficulties with the handover of patient information during shift changes [7].…”

“…In another study, 68% of surgical trainees reported a reduction in the quality of their training due to EWTD Rotas and 71% reported that reduced working hours did not improve their quality of life [6]. The early experience of the EWTD in Galway supports a previous pilot study performed in GUH 3 years, where all SHOs reported a negative impact on the quantity and quality of their training [7]. In contradiction to the pilot study, however, we found that the EWTD had a negligible effect on lifestyle, but notably reduced individual and team morale.…”

Improving Education under Work-Hour Restrictions: Comparing Learning and Teaching Preferences of Faculty, Residents, and Students

“…Numerous European studies have demonstrated reduced continuity of care, involvement in patient care directly with faculty, exposure to high-quality operative education, and general discontent among faculty and trainees. [28][29][30][31][32][33][34] The experiential learning model has been used to formulate medical educator professional development curricula 35 and could similarly be used to refine surgical educational curricula. The pre- (Table 5) [36][37][38][39][40] ; generally, our results confirm these findings on a larger scale and for the first time compare surgical faculty with residents and students.…”

Cadaveric Hands-on Training for Surgical Specialties: Is This Back to the Future for Surgical Skills Development?

“…Techniques in surgical practice are expanding and developing rapidly, and emerging evidence indicates that training opportunities are contracting. 1,2 Augmented focused training should be viewed as advantageous to both the trainer and trainee. Simulated training might have its proponents but virtual surgery is of little or no relevance to the field of orthopedic implant, reconstructive, and trauma surgery, in which tissue handling and balancing are paramount and where the permutations available to the surgeon are infinite.…”