title: [The European Working Time Directive and surgical residents' expertise: no effect on the number of operations].
abstract: Residents' working hours in the Netherlands were first capped in the early 1990 s. In 2003, European legislation consolidated restrictions to a 48-hour week. No adverse effects were seen on the number of surgical operations performed either in the first or the second decade following these measures. Either the effect on surgical training is minimal, or the number of operations carried out during a residency is not a meaningful indicator of its quality. Personalized modular rotations in both university and teaching hospitals are needed for residents with sub-specializations. Training activities, in combination with more supervision, have to focus on a broader set of competencies beyond simply mastering surgical procedures.
authors.affiliation: Universitair KankerCentrum Leiden | Den Haag, locatie MCH Antoniushove, Leidschendam.
authors.forename: Onno R
authors.initials: OR
authors.lastname: Guicherit
mesh_terms: D002983:Clinical Competence; D013502:General Surgery / Q000193:education* / Q000592:standards; D006784:Hospitals, Teaching; D006801:Humans; D007396:Internship and Residency / Q000706:statistics & numerical data*; D009426:Netherlands; D010561:Personnel Staffing and Scheduling / Q000592:standards*; D013038:Specialization; D013514:Surgical Procedures, Operative / Q000706:statistics & numerical data*; D016526:Workload / Q000331:legislation & jurisprudence / Q000592:standards