Int J Surg. 2012;10(8):399-403. doi: 10.1016/j.ijsu.2012.08.007. Epub 2012 Aug 24.
The European Working Time Directive (EWTD) 2003/88/EC is a Union Directive laying down minimum health and safety requirements for the organisation of working time. Originally primarily intended as labour law, its progressive introduction up to full implementation for doctors-in-training in August 2009 has substantially reduced duty-hours and caused widespread concern in surgery. Detrimental effects on the continuity of patient care, reduced availability of medical staff with associated rota difficulties, and the reduction in time for training junior doctors have been widely cited. Craft-specialities such as surgery and those providing an acute service have faced particular challenges. This review offers a practical guide for surgical trainees, explaining the European regulations in the context of current terms and conditions of doctor's employment in the UK. Information is provided on protecting training, opting-out, seeking remuneration for this, and ensuring doctors and patients are protected with appropriate medical indemnity cover in place.
《欧洲工作时间指令（2003/88/EC）》是欧盟指令，规定了工作时间组织的最低健康和安全要求。最初主要作为劳动法，其逐步引入并于 2009 年 8 月全面实施，大大减少了医生的工作时间，引起了广泛关注。手术中对患者护理连续性的不利影响、医务人员的可用性减少以及初级医生培训时间的减少都被广泛提及。外科等工艺专业以及提供急性服务的专业都面临着特殊的挑战。本文为外科受训者提供了一份实用指南，根据英国医生就业的现行条款和条件，解释了欧洲法规。文中提供了保护培训、选择退出、为其寻求报酬以及确保医生和患者受到适当的医疗责任保险保护的信息。
