The effects of the European Working Time Directive on surgical training: the basic surgical trainee's perspective
B D Kelly1, P D Curtin, M Corcoran
1Department of Urology, Galway University Hospital, Galway, Republic of Ireland. Drbriankelly@hotmail.com
Irish Journal of Medical Science
|January 7, 2011
Summary
Surgical training in Ireland has been negatively impacted by the European Working Time Directive (EWTD) compliant rosters. Most surgical trainees reported reduced training quality and operative skill development, potentially driving graduates abroad.
Area of Science:
- Medical Education
- Surgical Training
- European Working Time Directive (EWTD)
Background:
- European Working Time Directive (EWTD) implemented as law on August 1, 2009.
- Galway University Hospital (GUH) implemented EWTD-compliant rosters for surgical residents.
Purpose of the Study:
- To assess surgical Senior House Officers' (SHOs) opinions on EWTD roster impact.
- To evaluate the effect on surgical training quality.
Main Methods:
- A questionnaire survey was distributed to all 25 surgical SHOs at GUH.
- Data collected on perceived training quality and skill development.
Main Results:
- 88% of SHOs reported a decrease in training quality.
- 72% noted a reduction in operative skill development.
- Concerns raised about EWTD encouraging Irish graduates to train internationally.
Conclusions:
- EWTD implementation poses significant challenges to surgical training in Ireland.
- Structural changes are necessary to maintain high training standards.
- Urgent need to retain Irish-trained surgeons within the national healthcare system.
