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(13) Further concerns were raised by Bates and Slade with regard to the introduction of the EWTD further reducing the operative experience of surgical trainees to a degree in which it was impossible to achieve the level of competency required for the completion of specialist training.
The lost generation: impact of the 56 hour EWTD on surgical training.
In order to look in to each dimension of burnout separately comparisons of each burnout dimension's score for marital status, type of specialty, and EWTD compliance were tested by Student's t-test and one-way analysis of variance.
Ireland and Greece are the only EU countries that have not fully implemented the EWTD.
Small on call rotas involving junior doctors on too many hospital sites resulting in insufficient doctors to provide robust cover and to meet EWTD regulations.
Chalmers CR, Joshi S, Bentley PG, Boyle NH 2010 The lost generation: impact of the 56-hour EWTD on current surgical training Annals of Royal College of Surgeons of England 92 (3) 102-6
Royal Colleges have already shown concerns on this.10 With the final enforcement of EWTD in August 2009, the doctors' working hours were reduced to 48 hours a week, creating a shortage in medical workforce.
The EWTD limits working hours to a maximum 48 hour week.
The report said the EWTD, implemented in the NHS last year, had caused gaps in rotas, often filled by trainees.
The introduction of the European Working Time Directive (EWTD) cut the number of hours doctors can work to 48 per week.
The British Medical Association, which carried out the survey of more than 1,500 junior doctors, said hospitals are still struggling to cope six months after the EWTD came into force.
The European Working Time Directive (EWTD) will cut junior doctors' working weeks from 56 to 48 hours.
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