A EWTD Compliant Rotation Schedule Which Protects Elective Training Opportunities Is Safe and Provides Sufficient Exposure to Emergency General Surgery: A Prospective Study
Joint Authors
Emmanuel, Andrew
Chohda, Ezzat
Sands, Carolyn
Ellul, Joseph
Khawaja, Hamid
Source
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-11-02
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Introduction.
Training opportunities have decreased dramatically since the introduction of the European Working Time Directive (EWTD).
In order to maximise training we introduced a rotation schedule in which registrars do not work night shifts and elective training opportunities are protected.
We aimed to determine the safety and effectiveness of this EWTD compliant rotation schedule in achieving exposure of trainees to acute general surgical admissions and operations.
Methods.
A prospective study of consecutive emergency surgical admissions over a 6-month period.
Exposure to acute admissions and operative procedures and patient outcomes during day and night shifts was compared.
Results.
There were 1156 emergency admissions covering a broad range of acute conditions.
Significantly more patients were admitted during the day shift and almost all emergency procedures were performed during the day shift (2.1 versus 0.3, p < 0.001).
A registrar was the primary operating surgeon in 49% of cases and was directly involved in over 65%.
There were no significant differences between patients admitted during the day and night shifts in mortality rate, length of stay, admission to ICU, requirement for surgery, or readmission rates.
Conclusion.
A EWTD compliant rotation schedule that protects elective training opportunities is safe for patients and provides adequate exposure to training opportunities in emergency surgery.
American Psychological Association (APA)
Emmanuel, Andrew& Chohda, Ezzat& Sands, Carolyn& Ellul, Joseph& Khawaja, Hamid. 2015. A EWTD Compliant Rotation Schedule Which Protects Elective Training Opportunities Is Safe and Provides Sufficient Exposure to Emergency General Surgery: A Prospective Study. Surgery Research and Practice،Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1076607
Modern Language Association (MLA)
Emmanuel, Andrew…[et al.]. A EWTD Compliant Rotation Schedule Which Protects Elective Training Opportunities Is Safe and Provides Sufficient Exposure to Emergency General Surgery: A Prospective Study. Surgery Research and Practice No. 2015 (2015), pp.1-5.
https://search.emarefa.net/detail/BIM-1076607
American Medical Association (AMA)
Emmanuel, Andrew& Chohda, Ezzat& Sands, Carolyn& Ellul, Joseph& Khawaja, Hamid. A EWTD Compliant Rotation Schedule Which Protects Elective Training Opportunities Is Safe and Provides Sufficient Exposure to Emergency General Surgery: A Prospective Study. Surgery Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-5.
https://search.emarefa.net/detail/BIM-1076607
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1076607