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The needs of surgical training in the era of the European Working Time Directive

机译：欧洲工作时间指令时代对外科手术培训的需求

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In the era post the implementation of the European Working Time Directive (EWTD) has had a significant impact on surgical training. The previous reliance on volume of training to ensure exposure to the breadth and depth of the speciality prior to completion of training is proving to be impractical. There remains significant anxiety pertaining to the final quality of trainees at the end of the program, both within the trainee body and the Royal Colleges of Surgeons, which has not declined over time (Anwar et al 2005; Fitzgerald & Caesar 2012) due to a perception that reduced working hours will lead to a decline in the quality of training and ultimately, a decline in patient care. The implementation of the EWTD also clashed with the National Health Service rota and medical training systems and resulted in a radical redesign in medical staffing.
机译：在后时代，实施欧洲工作时间指令（EWTD）对外科手术培训产生了重大影响。事实证明，以前依靠培训量来确保在完成培训之前接触专业的广度和深度是不切实际的。在计划结束时，无论是在受训者内部还是在皇家外科医学院内，对受训者的最终质量仍然存在极大的焦虑，由于时间的推移，这种焦虑并没有随着时间的推移而下降（Anwar等，2005; Fitzgerald＆Caesar，2012）。认为减少工作时间将导致培训质量下降，并最终导致患者护理下降。 EWTD的实施还与国家卫生局轮岗和医疗培训系统相抵触，并导致了对医疗人员的根本性重新设计。

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