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Published 10 September 2008, doi:10.1136/bmj.a1588
Cite this as: BMJ 2008;337:a1588
| The first 150 words of the full text of this article appear below. |
The editorial on the European Working Time Directive was one sided, inaccurate, and at odds with a similar article published in BMJ Career Focus two months previously.1 2
Doctors have always been paid a basic salary for a 40 hour week or 10 sessions. In 2002 pay banding in the new contract showed that most junior doctors were working many more hours than their contracts. Only then did it become more costly for a trust to employ doctors for long hours than to employ more doctors for shorter hours.
The consequent drop in the long hours worked in hospitals under the directive did not lead to a worsening in the quality of life. In general surgery partial shifts ensured that quality training could take place because the trainee had at least 24 hours at home every weekend, and did not operate or do outpatient clinics in the late afternoon after having
Stephen M F Saunders, consultant general surgeon1
1 Barnet Hospital, Barnet EN5 3DJ
smfsaunders@nhs.net