title: Basic surgical training in the era of the European Working Time Directive: what are the problems and solutions?
abstract: OBJECTIVE
  Imposed reductions in working hours will impact significantly on the ability of surgical trainees to achieve competency. The objective of this study was to obtain the opinions of Scottish surgical trainees concerning the training they receive, in order to inform and guide the development of future, high-standard training programmes.
  
  
  METHODS
  An anonymous questionnaire was sent to basic surgical trainees on the Edinburgh, Aberdeen and Dundee Basic Surgical Rotations commencing after August 2002.
  
  
  RESULTS
  Thirty six questionnaire responses were analysed. Very few of the returned comments were complimentary to the existing training structure; indeed, most comments demonstrated significant trainee disappointment. Despite "regular" exposure to operative sessions, training tutorials and named consultant trainers, the most common concern was a perceived lack of high-quality, structured, operative exposure and responsibility. Textbooks and journals remain the most frequently utilised learning tools, with high-tech systems such as teleconferencing, videos, CD-ROMS, and DVDs being poorly exploited.
  
  
  CONCLUSIONS
  Current surgical training is not meeting the expectation of the majority of its trainees. To solve this problem will require extensive revision of attitudes and current educational format. A greater emphasis on the integration of 21st century learning tools in the training programme may help bridge this gap.
authors.affiliation: Department of Colorectal, St. John's Hospital at Howden, Livingston, West Lothian.
authors.forename: R J E
authors.initials: RJ
authors.lastname: Skipworth
authors.forename: J D
authors.initials: JD
authors.lastname: Terrace
authors.forename: L A
authors.initials: LA
authors.lastname: Fulton
authors.forename: D N
authors.initials: DN
authors.lastname: Anderson
mesh_terms: D000328:Adult; D001291:Attitude of Health Personnel; D002983:Clinical Competence; D003194:Computer-Assisted Instruction / Q000706:statistics & numerical data; D004503:Education, Medical, Graduate; D005260:Female; D013502:General Surgery / Q000193:education*; D006801:Humans; D020407:Internet; D007396:Internship and Residency; D008297:Male; D010506:Periodicals as Topic; D010561:Personnel Staffing and Scheduling / Q000331:legislation & jurisprudence; D012606:Scotland; D011795:Surveys and Questionnaires; D013782:Textbooks as Topic