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Published 5 November 2009, doi:10.1136/bmj.b4488
Cite this as: BMJ 2009;339:b4488
Creating more flexibility around current working is the solution
| The first 150 words of the full text of this article appear below. |
In the linked analysis article (doi:10.1136/bmj.b4260), Purcell Jackson and Tarpley describe their concern that surgical trainees in the United States might be forced to work within a maximum 80 hour week.1 Meanwhile, the European Working Time Directive (EWTD) demands that all trainee doctors in Europe work an average of only 48 hours a week,2 and the Royal College of Surgeons of England is appealing for all their trainees to be allowed a 65 hour average week.3 Although Purcell Jackson and Tarpleys concern that a maximum of 80 hours a week is insufficient for surgical trainees to gain the necessary experience, their argument that all surgical trainees need to be available all the time—for example, to observe rare procedures such as elective surgery on conjoined twins—overstates the case. How can we strike the right balance between gaining sufficient experience, ensuring safe working practices, and allowing doctors to have a
Roy Pounder, emeritus professor of medicine, chairman1,2
1 University of London, London WC1E 7HU, 2 RotaGeek Ltd, London NW3 6BT
roypounder@gmail.com
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