The European working time directive has a negative impact on surgical training in the UK

Simpson, Claire; Cottam, Howard; Fitzgerald, J Edward; Giddings, Charles

doi:10.1016/j.surge.2010.08.012

Cited by 33 publications

(16 citation statements)

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“…This is in contrast to the demand stipulated by a recent publication on Improving Outcomes: A Strategy for Cancer by the Department of Health in the United Kingdom, which reinforced the aim of promoting the latest surgical techniques, including the training of the existing workforce and extending the benefits of surgical intervention to the older population (DOH, 2011). The issue of training surgeons to deliver high-quality care using minimally invasive surgery within the constraints of the European Working Time Directive (EWTD, 2009) is the main focus of discussions and workforce planning in the United Kingdom (Canter, 2011;Kelly et al, 2011;Simpson et al, 2011). Patient safety regulations and strict clinical governance would preclude performance of these complex techniques on live patients by novice surgeons.…”

Section: Introductionmentioning

confidence: 99%

A qualitative assessment of human cadavers embalmed by Thiel's method used in laparoscopic training for renal resection

Prasad

Tang

Eisma

et al. 2012

Anatomical Sciences Ed

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Human cadaveric tissue is the fundamental substrate for basic anatomic and surgical skills training. A qualitative assessment of the use of human cadavers preserved by Thiel's method for a British Association of Urological Surgeons-approved, advanced laparoscopic renal resection skills training course is described in the present study. Four trainees and four experienced laparoscopic surgeons participated in the course. All participants completed a five-point Likert scale satisfaction questionnaire after their training sessions. The quality of cadaveric tissue and the training session were assessed with particular emphasis placed on the ease of patient positioning, the ease of trocar placement, the preservation of tissue planes, the ease of renal pedicle dissection, and the quality of tissue preservation. All of the participants highly rated the quality of the cadaveric tissue embalmed by Thiel's method (mean scores for quality on the five-point Likert scale were 4.5 and 4.3 by the trainees and experienced laparoscopic surgeons, respectively). All of the steps of laparoscopic renal resection were rated 4.0 or more on the Likert scale by both trainees and faculty members. The initial response rates for using a human cadaver embalmed by Thiel's method as a training tool for laparoscopic nephrectomy showed encouraging results. The performance of a laparoscopic nephrectomy on a human cadaver embalmed by Thiel's method bears close resemblance to real laparoscopic nephrectomy procedures, and thus demonstrates added advantages to the previously reported models.

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Section: Introductionmentioning

confidence: 99%

A qualitative assessment of human cadavers embalmed by Thiel's method used in laparoscopic training for renal resection

Prasad

Tang

Eisma

et al. 2012

Anatomical Sciences Ed

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“…The EWTD, introduced in 2004, requires the NHS to work in line with its European counterparts with the aim of reducing long working hours with a possible beneficial effect on patient safety. However its introduction has had a negative impact on training (Benes, ; Goddard et al , ; Datta et al , ; Ipsos MORI, ; Simpson et al , ; Hartle et al , ). Compliance with the EWTD may lead to trainees being absent on days when teaching activities are occurring.…”

Section: National Legislative Challengesmentioning

confidence: 99%

Training future haematologists, a privilege or a burden? “A trainer's view”

Shlebak

Bain

2017

Br J Haematol

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“…15 Surgical exposure is limited in the first year, but increases rapidly, without the constraints of a 48-h week imposed by the European Working Time Directive. 16 American residents typically work 60 h per week. 14 The resident must also participate in a minimum number of procedures (Table 1).…”

Section: Wh Chan 1 H Saedon 2 and Mg Falconmentioning

confidence: 99%