Intended for healthcare professionals

Letters Effects of fatigue in doctors

European Working Time Directive may contribute to fatigue

BMJ 2013; 347 doi: (Published 04 September 2013) Cite this as: BMJ 2013;347:f5360
  1. Christopher J A Cowie, chair, British Neurosurgical Trainees’ Association1
  1. 1Royal Victoria Infirmary, Newcastle on Tyne NE1 4LP, UK
  1. christopher.cowie{at}

Sokol highlights the serious problems caused by exhaustion in doctors and indicates that one of the reasons why medical staff are overtired is non-compliance with the European Working Time Directive (EWTD).1 The two issues are inextricably linked, but compliance with the EWTD may also contribute to fatigue.

Redesigning rotas to comply with the EWTD means …

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