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Problems in Neurosurgical Education

机译:神经外科教育问题

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Successful completion of training requires that trainees attain a wide variety of skills (Table 1) of which technical competence and judgement are perhaps the most critically important. In many countries the need to achieve satisfactory neurosurgical training competes against social pressures aimed at improving conditions under which junior doctors work. In the UK all neurosurgical units have been forced to comply with the "New Deal" restricting hours of work to 56 per week. In Denmark, current laws permit doctors to work no more than 39 hours per week. By 2009 all European countries will have to comply with the European Working Time Directive (EWTD) limiting hours of work to a maximum of 48 per week including overtime (Council Directive, 1993). Such enforced restrictions will inevitably place considerable strain on the neurosurgical training system. Yet such difficulties arise at a time when public concerns about the quality of surgical care in the UK have increased, aggravated by events in Bristol where an unacceptably high number of paediatric deaths occurred following cardiac surgery. This combined with an ever increasing threat of litigation has reinforced the need to ensure that trainees achieve a satisfactory level of competence on completion of training.
机译:成功完成培训要求学员获得各种技能(表1),其中技术能力和判断可能是最严重的重要性。在许多国家,实现令人满意的神经外科培训的必要性争夺旨在改善初级医生工作的条件的社会压力。在英国,所有神经外科单位都被迫遵守“新交易”限制工作时间为每周56小时。在丹麦,现任法律许可证每周工作不超过39小时。到2009年,所有欧洲国家将不得不遵守欧洲工作时间指令(EWTD)将工作时间限制为每周最多48小时,包括加班(理事会指令,1993)。这种强制限制将不可避免地对神经外科训练系统进行相当大的应变。然而,当公众对英国外科护理质量的担忧增加时,这种困难发生了增加,由布里斯托尔的事件加剧,在心脏手术后发生了不可接受的大量儿科死亡。这与诉讼不断增加的诉讼威胁加强了需要确保学员在完成培训时实现令人满意的竞争力。

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