Cornelis J Hopmans1, Pieter T den Hoed2, Lijckle van der Laan3, Erwin van der Harst4, Maarten van der Elst5, Guido H H Mannaerts6, Imro Dawson7, Reinier Timman8, Bas P L Wijnhoven8, Jan N M IJzermans8. 1. Department of Surgery of the hospitals representing general surgical training region IV in the Netherlands, Erasmus MC University Medical Center, Rotterdam. Electronic address: c.hopmans@erasmusmc.nl. 2. Department of Surgery of the hospitals representing general surgical training region IV in the Netherlands, Ikazia Hospital, Rotterdam. 3. Department of Surgery of the hospitals representing general surgical training region IV in the Netherlands, Amphia Hospital, Breda. 4. Department of Surgery of the hospitals representing general surgical training region IV in the Netherlands, Maasstad Hospital, Rotterdam. 5. Department of Surgery of the hospitals representing general surgical training region IV in the Netherlands, Reinier de Graaf Groep, Delft. 6. Department of Surgery of the hospitals representing general surgical training region IV in the Netherlands, Sint Franciscus Gasthuis, Rotterdam. 7. Department of Surgery of the hospitals representing general surgical training region IV in the Netherlands, IJsselland Hospital, Capelle aan den IJssel. 8. Department of Surgery of the hospitals representing general surgical training region IV in the Netherlands, Erasmus MC University Medical Center, Rotterdam.
Abstract
BACKGROUND: In Europe and the United States, work hour restrictions are considered to be particularly burdensome for residents in surgery specialties. The aim of this study was to examine whether reduction of the work week to 48 hours resulting from the implementation of the European Working Time Directive has affected the operative experience of surgery residents. METHODS: This study was conducted in a general surgery training region in the Netherlands, consisting of 1 university hospital and 6 district training hospitals. Operating records summarizing the surgical procedures performed as "primary surgeon" in the operating theater for different grades of surgeons were retrospectively analyzed for the period 2005-2012 by the use of linear regression models. Operative procedures performed by residents were considered the main outcome measure. RESULTS: In total, 235,357 operative procedures were performed, including 47,458 (20.2%) in the university hospital and 187,899 (79.8%) in the district training hospitals (n = 5). For residents in the university hospital, the mean number of operative procedures performed per 1.0 full-time equivalent increased from 128 operations in 2005 to 204 operations in 2012 (P = .001), whereas for residents in district training hospitals, no substantial differences were found over time. The mean (±SD) operative caseload of 64 residents who completed the 6-year training program between 2005 and 2012 was 1,391 ± 226 (range, 768-1856). A comparison of the operative caseload according to year of board-certification showed no difference. CONCLUSION: Implementation of the European Working Time Directive has not affected adversely the number of surgical procedures performed by residents within a general surgical training region in the Netherlands.
BACKGROUND: In Europe and the United States, work hour restrictions are considered to be particularly burdensome for residents in surgery specialties. The aim of this study was to examine whether reduction of the work week to 48 hours resulting from the implementation of the European Working Time Directive has affected the operative experience of surgery residents. METHODS: This study was conducted in a general surgery training region in the Netherlands, consisting of 1 university hospital and 6 district training hospitals. Operating records summarizing the surgical procedures performed as "primary surgeon" in the operating theater for different grades of surgeons were retrospectively analyzed for the period 2005-2012 by the use of linear regression models. Operative procedures performed by residents were considered the main outcome measure. RESULTS: In total, 235,357 operative procedures were performed, including 47,458 (20.2%) in the university hospital and 187,899 (79.8%) in the district training hospitals (n = 5). For residents in the university hospital, the mean number of operative procedures performed per 1.0 full-time equivalent increased from 128 operations in 2005 to 204 operations in 2012 (P = .001), whereas for residents in district training hospitals, no substantial differences were found over time. The mean (±SD) operative caseload of 64 residents who completed the 6-year training program between 2005 and 2012 was 1,391 ± 226 (range, 768-1856). A comparison of the operative caseload according to year of board-certification showed no difference. CONCLUSION: Implementation of the European Working Time Directive has not affected adversely the number of surgical procedures performed by residents within a general surgical training region in the Netherlands.
Authors: Michael Boettcher; Johannes Boettcher; Stefan Mietzsch; Thomas Krebs; Robert Bergholz; Konrad Reinshagen Journal: Surg Endosc Date: 2017-06-22 Impact factor: 4.584
Authors: Parisa Kamali; Maaike W van Paridon; Ahmed M S Ibrahim; Marek A Paul; Henri A Winters; Veronique Martinot-Duquennoy; Ernst Magnus Noah; Norbert Pallua; Samuel J Lin Journal: Plast Reconstr Surg Glob Open Date: 2016-03-17
Authors: Łukasz Warchałowski; Edyta Łuszczki; Anna Bartosiewicz; Katarzyna Dereń; Marta Warchałowska; Łukasz Oleksy; Artur Stolarczyk; Robert Podlasek Journal: Int J Environ Res Public Health Date: 2020-10-18 Impact factor: 3.390