The detrimental impact of the implementation of the European working time directive (EWTD) on surgical senior house officer (SHO) operative experience

Irish Journal of Medical Science

Volumn 182, Issue 3, 2013, Pages 383-387

  Breen, K J ^a   Hogan, A M ^a   Mealy, K ^a  

^a WEXFORD GENERAL HOSPITAL   (Ireland)

Author keywords

European working time directive, EWTD; Senior house officer, SHO; Surgical training

Indexed keywords

ARTICLE; EUROPE; HEALTH CARE PLANNING; HUMAN; MEDICAL ASSISTANT; OPERATOR; SURGEON; SURGICAL TRAINING; WORK EXPERIENCE; WORKING TIME;

EID: 84879550477     PISSN: 00211265     EISSN: 18634362     Source Type: Journal    
DOI: 10.1007/s11845-012-0894-6     Document Type: Article

References (30)

1. EUR-Lex (1993) Council Directive 93/104/EC of 23 November 1993 concerning certain aspects of the organisation of working time
2. European Communities (2004) (Organisation of Working Time) (Activities of Doctors in Training) Regulations 2004 (S.I. No. 494 of 2004)
3. Case C-303/98 Sindicato de Medicos de Asistencia Publica (SiMAP) v Conselleria de Sanidad y Consumo de la Generalidad Valenciana (2000) ECR 1-7963
4. Andeshaupstadt Kiel v Norbert Jaeger (2003) "The Jaeger judgement", C-152/02
5. Optimising Working Hours to Provide Quality in Training and Patient Safety; a position statement by the Association of Surgeons in Training 2009. http://www.asit.org/assets/documents/ASiT-EWTD-Position-Statement.pdf
6. CD/09/378 Recommendation No. LCR19559 Parties: health Service Executive and Approx. 4800 doctors (represented by Irish Medical Organisation)
7. Benes V (2006) The European working time directive and the effects on training of surgical specialists (doctors in training) - a position paper of the surgical disciplines of the countries of the EU. Acta Neurochir (Wien) 148:1227-12233
8. Hamdorf JM, Hall JC (2000) Acquiring surgical skills. Br J Surg 87:28-37
9. Grantcharov TP, Kristiansen VB, Bendix J et al (2004) Randomised clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg 91:146-150
10. Seymour NE, Gallagher AG, Satava RM et al (2002) Virtual reality training improves operating room performance: results of a randomized, double-blinded study. Ann Surg 236:458-464
11. Moulton CA, Dubrowski A, Reznick R et al (2006) Teaching surgical skills: what kind of practice makes perfect?: a randomized, controlled trial. Ann Surg 244(3):400-409
12. Kelly BD, Curtin PD, Corcoran M (2010) The effects of the European Working Time Directive on surgical training: the basic surgical trainee's perspective. Ir J Med Sci 180(2):435-437
13. West D, Codispoti M, Graham T (2007) The European Working Time Directive and training in cardiothoracic surgery in the United Kingdom. Surgeon 5(2):81-85
14. Bates T, Cecil E, Greene I (2007) The effect of the EWTD on training in general surgery: an analysis of electronic logbook records. Ann R Coll Surg Engl (Suppl) 89:106-109
15. Marron CD, Byrnes CK, Kirk SJ (2005) An EWTD-compliant shift rota decreases training opportunities. Ann R Coll Surg Engl (Suppl) 87:246-248
16. Maxwell AJ, Crocker M, Jones TL et al (2010) Implementation of the European Working Time Directive in neurosurgery reduces continuity of care and training opportunities. Acta Neurochir (Wien) 152(7):1207-1210
17. Wilson T, Sahu A, Johnson DS et al (2010) The effect of trainee involvement on procedure and list times: a statistical analysis with discussion of current issues affecting orthopaedic training in UK. Surgeon 8(1):15-19
18. Garvin JT, McLaughlin R, Kerin MJ (2008) A pilot project of European working time directive compliant rosters in a university teaching hospital. Surgeon 6:88-93
19. http://www.imt.ie/news/latest-news/2011/06/nchd-shortage-is-worse-than- expected.html
20. Curet MJ (2008) Resident work hour restrictions: where are we now? J Am Coll Surg 207(5):767-776
21. Hutter MM, Kellogg KC, Ferguson CM, Abbott WM, Warshaw AL (2006) The impact of the 80-hour resident workweek on surgical residents and attending surgeons. Ann Surg 243(6):864-875
22. Mendoza KA, Britt LD (2005) Resident operative experience during the transition to work-hour reform. Arch Surg 140(2):137-145
23. Feanny MA, Scott BG, Mattox KL, Hirshberg A (2005) Impact of the 80-hour work week on resident emergency operative experience. Am J Surg 190(6):947-949
24. Jarman BT, Miller MR, Brown RS et al (2004) The 80-hour work week: will we have less-experienced graduating surgeons? Curr Surg 61(6):612-615
25. Carlin AM, Gasevic E, Shepard AD (2007) Effect of the 80-hour work week on resident operative experience in general surgery. Am J Surg 193(3):326-330
26. Awad S, Fagan S, Cameron K et al (2004) The impact of the 80 hour work week policy on surgical resident quality of life. J Am Coll Surg 199(3):74
27. Lonergan PE, Mulsow J, Tanner WA, Traynor O, Tierney S (2011) Analysing the operative experience of basic surgical trainees in Ireland using a web-based logbook. BMC Med Educ 25(11):70
28. http://www.asit.org/assets/documents/ASiT-Future-of-Surgical-Training- 2010.pdf
29. Ahlberg G, Enochsson L, Gallagher AG et al (2007) Proficiency-based virtual reality training significantly reduces the error rate for residents during their first 10 laparoscopic cholecystectomies. Am J Surg 193(6):797-804
30. Grantcharov TP, Kristiansen VB, Bendix J et al (2004) Randomized clinical trial of virtual reality simulation for laparoscopic skills training. Br J Surg 91(2):146-150