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Since the implementation of EWTD, the impact upon operative
experience has been felt by all surgical trainees. The introduction of
three shifts will only compound the problem. Under the current system
whereby elective surgery only takes place during normal 'working hours' ie
9am until 5pm, only those trainees on the 'day' shift will be be exposed
to elective surgery.
In addition, the increase in the actual number of shifts worked
during anti-social hours can only be detrimental to the quality of lives
 Eaton, Doctors call for end to unsafe shift system, BMJ
 Benes V, The European Working Time Directive and the Effects on
Training of Surgical Specialists (Doctors in Training) : A Position
Paper., Acta Neurochir 2006;148:1020
 Stephens et al, Influence of EWTD compliant rotas on SHO
operative experience, Bulletin of The Royal College of Surgeons of