Working time rules hinder key training

The European Working Time Directive, which limits the hours employees are allowed to work, means junior hospital doctors cannot receive the training they need to become a consultant gastroenterologist, according to results of a survey presented at the Annual Scientific Meeting of the British Society of Gastroenterology recently.

Furthermore, researchers have warned that without changes to the training system, the quality of the training of hospital consultants is at risk. Because they were busy carrying out other work in the hospital, junior doctors could only clock up about half the number of training endoscopies needed to qualify as a specialist, and just over three quarters of the number of the required training clinics.

Asurvey of Specialist Registrars (SpRs) in gastroenterology found that limits to working hours meant that they missed out on a quarter of the clinics they were supposed to attend and a third of the ward rounds led by a consultant. Because they were working elsewhere, the junior doctors surveyed also missed out on meetings to discuss management of patients with cancer, and to discuss laboratory test results.

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