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Subspecialty paediatric training in the UK is organised through a national grid, with trainees centrally appointed for their final 3 years of training. Historically, the Royal College of Paediatrics and Child Health (RCPCH) College Specialty Advisory Committee has recommended that a trainee in paediatric gastroenterology, hepatology and nutrition (PGHAN) should spend at least 70% of working hours in that subspecialty. As a result of changes due to the European Working Time Directive (EWTD), there has been an increasing perception from both trainees and trainers that there is insufficient time spent within their subspecialty.
To attempt to quantify the effects of the EWTD on subspecialty training in PGHAN, we surveyed current UK trainees. For comparison, 14 consultants who completed …