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An investigation into how the European Working Time Directive has affected anaesthetic training

机译：欧洲工作时间指令如何影响麻醉培训的调查

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Background The European Working Time Directive (EWTD) became law in 1993 but only applied to doctors in training in the United Kingdom in 2004. The trainees have in consequence had a reduction in their working hours but also a change to a shift pattern of working. For craft specialities, such as anaesthesia, there are concerns that a reduction in working hours has also led to a reduction in the time available for learning and that ultimately this may affect patient care. However, there is scant research on the perceptions of trainees concerning the impact of the EWTD on their training and working lives. This study investigated what the anaesthetic Specialist Registrars (SpRs) on the Mersey Deanery SpR rotation perceived to be training and also what effect the EWTD has had on that training and their quality of life, both within and outside work. Methods The project was a cross sectional survey, using a quantitative questionnaire with qualitative free text comments which were aggregated into overarching themes and sub themes. Results 117 SpRs were sent questionnaires in April 2005; 73 completed questionnaires were returned (response rate 62.4%). Hierarchies of training opportunities emerged with training by consultants being most valued. 71.8% (95% CI 60.7 – 81.3) of trainees believed the EWTD has had a deleterious effect on their training and experience and 74.3% (95% CI 63.2 – 83.4) thought that they will be less prepared for a consultant post. 69.9% (95% CI 58.7 – 79.5) considered that their quality of life outside work had deteriorated, with only 15% (95% CI 8.3 – 24.6) finding improvement. 38.6% (95% CI 27.8 – 50.3) felt that they were not functioning as well as doctors, only 14.3% (95% CI 7.6 – 23.9) noting improvement. The trainees were still positive about anaesthesia and 73.2% (95% CI 62.2 – 82.5) would recommend this specialty to a student. Conclusion The majority of anaesthetic SpRs in the Mersey Deanery have not welcomed the changes brought by the EWTD to their training, experience and quality of life outside work.
机译：背景技术欧洲工作时间指令（EWTD）于1993年成为法律，但仅在2004年适用于在英国接受培训的医生。因此，受训人员减少了工作时间，但改变了工作班次。对于麻醉等手工艺品专业，人们担心工作时间的减少还导致学习时间的减少，最终可能会影响患者的护理。但是，关于受训者对EWTD对他们的培训和工作生活的影响的看法的研究很少。这项研究调查了关于默西迪安妮公司SpR轮换的麻醉专家注册服务商（SpRs）被认为是受训的，以及EWTD对该培训及其生活质量的影响，包括工作内部和外部。方法该项目是一项横断面调查，使用带有定性自由文本评论的定量问卷，这些评论被汇总到总体主题和子主题中。结果2005年4月向117个SpR发送了问卷。送回已填妥的问卷73份（答复率为62.4％）。培训机会的层次随着顾问最受重视的培训而出现。 71.8％（95％CI 60.7 – 81.3）的受训者认为EWTD对他们的培训和经验产生了有害影响，而74.3％（95％CI 63.2 – 83.4）则认为他们对顾问职位的准备不足。 69.9％（95％CI 58.7 – 79.5）认为他们在工作以外的生活质量有所下降，只有15％（95％CI 8.3 – 24.6）有所改善。 38.6％（95％CI 27.8 – 50.3）认为自己的表现不及医生，只有14.3％（95％CI 7.6 – 23.9）感到有所改善。受训者仍然对麻醉很满意，有73.2％（95％CI 62.2 – 82.5）会向学生推荐该专业。结论Mersey Deanery医院的大多数麻醉性SpR都不欢迎EWTD给他们的培训，经验和工作以外的生活质量带来的变化。

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