Implementation of the European Working Time Directive in neurosurgery reduces continuity of care and training opportunities.

摘要: Implementation of the European Working Time Directive (EWTD) raises questions about reduced surgical training opportunities and lost continuity patient care. We studied effect that EWTD has had in these areas for residents neurosurgical unit at St. George's Hospital, London, UK. Case notes 50 emergency elective operative admissions were randomly selected before after implementation an compliant resident roster (total, 200 episodes). Each was objectively scored care from operating surgeon. Rosters 3 months compared to assess available. A significant reduction observed following introduction (P < 0.009). The same proportion consented operated on cases; however, a postoperative (P < 0.0001). Resident substantially affected with involvement outpatient (72% vs. 60%) sessions (79% 63%) their nominated consultant. marked adverse impact patients Hospital. Residents' reduced.