EWTD compliance amongst Anaesthesia trainees in Ireland.

Abstract

The implications of the EWTD include a limit of 48h working week and 11 consecutive hours rest every 24h. This survey was designed to assess EWTD compliance over designated 1-week and 1-month periods amongst College of Anaesthesetists of Ireland (CAI) trainees and non-training Anaesthesia NCHDs. The two key elements of EWTD compliance were assessed; the compliance to a 48h working week, and a minimizing of shift duration to 24h. Existence of protected training time and teaching time were also assessed. This survey was completed by 191 Anaesthesia NCHDs, including 151 responses from CAI trainees; 75% response rate from CAI trainees. 71% of respondents worked in excess of 48h. 37% of respondents reported to have worked a shift >24h duration. The average hours worked was 66h (range 48.5-103h). Our figures are a contrast to the reported figures in the HSE "Performance Assurance Report". 49% of respondents reported a change in their working patterns to facilitate EWTD compliance. There appears to be a negative impact on training however, with 68% respondents missing departmental teaching sessions and 30% not receiving protected training time. 33% of respondents were not in favour of full EWTD compliance. As work patterns change, it is vital to ensure that training is not compromised. Previous reports have recommended an increase in consultant numbers, which has yet to be achieved. This may provide a solution to allow service provision, NCHD training and EWTD compliance amongst NCHDs.