Impact of the European Working Time Directive on trainees and trainers 3 years post-implementation

F. Shaddel, Subimal Banerjee
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Abstract

Aims and method To assess the views of trainees and trainers of the impact of the European Working Time Directive (EWTD). The study was conducted in two stages. First, a qualitative survey of trainees and trainers in the Oxford Deanery was carried out on the positive and negative aspects of the EWTD to identify key areas. Second, a self-completed questionnaire was developed separately for trainees and trainers and the results collated. Twenty trainers and nineteen trainees took part in the study. Results About 70% of trainees and trainers were aware of the EWTD objectives. Ninety per cent of trainers and 30% of trainees believed that the introduction of the EWTD was a negative development. Compared with 42% of trainees, 80% of trainers believed that the EWTD had not improved the quality of care and instead had a negative effect on doctor-patient alliance and continuity of care. Although 53% of trainees believed that the quality of training was not compromised by the introduction of the EWTD, 84% of trainers thought otherwise. Less hands-on experience and some doctors’ roles being given to other professionals were the most stated negative impacts of the EWTD on the quality of doctors’ training. Positive effects of the EWTD from both trainees’ and trainers’ points of view were a better work-life balance and less burnout for junior doctors. Clinical implications The EWTD may not have been successful in achieving all of its intended objectives. Further studies on different sample groups would help clarify the wider impact of the EWTD.
《欧洲工作时间指令》实施3年后对受训人员和培训师的影响
目的和方法评估学员和培训师对欧洲工作时间指令(EWTD)影响的看法。这项研究分两个阶段进行。首先,对牛津大学院长学院的学员和培训师进行了定性调查,分析了EWTD的积极和消极方面,以确定关键领域。其次,分别为学员和培训师制作自填问卷,并整理问卷结果。20名培训师和19名学员参加了这项研究。结果约70%的学员和培训师了解EWTD目标。90%的训练员和30%的受训者认为,引进世界环境发展计划是一个消极的发展。与42%的培训生相比,80%的培训师认为EWTD并没有提高护理质量,反而对医患联盟和护理的连续性产生了负面影响。尽管53%的受训者认为引入EWTD不会影响培训质量,但84%的培训师不这么认为。实践经验的减少和一些医生的角色被其他专业人员取代,是EWTD对医生培训质量最明显的负面影响。从实习生和导师的角度来看,EWTD的积极作用是使初级医生更好地平衡了工作与生活,减少了职业倦怠。临床意义EWTD可能没有成功地实现其所有预期目标。对不同样本群体的进一步研究将有助于澄清环境污染排放的更广泛影响。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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