BMJ 1994;309:342-343 (30 July)

Letters

Legislation on juniors' hours,

EDITOR, - In the continuing debate on the regulation of the hours worked by junior doctors1 attention should be given to the fact that junior doctors form a large and disparate group with differing requirements. Most preregistration and senior house officers in the acute specialties work for most of their time on duty. It is therefore right to provide regulated protection from undue loss of sleep and too prolonged an exposure to clinical responsibilities, which for many are new and demanding.

Doctors who have progressed to career training posts as registrars and senior registrars are a different group. The aim of these doctors is to widen their experience, including their experience of managing emergencies, which offer exceptional opportunities for the development of diagnostic and therapeutic skills and sound judgment. By definition, emergencies present at unpredictable times, and it would be wrong for surgical trainees, for instance, to be prevented from . . . [Full text of this article]


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