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The implications of the Working Time Directive: how can paediatrics survive?
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  • Published on:
    EWTD: Different solutions for different hospitals

    Dear Editor,

    Campbell and Spencer have enumerated the challenges that the European Working Time Directive (EWTD) presents(1). The basis of the problem appears to be that doctors in training will have to be grouped together in larger cells with a minimum of 10 on each rota. The rationale behind this assertion is that exposure to useful training time in clinics and non- acute work will be eroded with smaller numbers...

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    Conflict of Interest:
    None declared.
  • Published on:
    The Working Time Direct – the next step?

    Dear Editor,

    Colin Campbell and Stephen Spencer (1) have presented elegantly the dilemmas facing most UK paediatric units in their attempt to reduce the average hours to 48 by 2009. Their solutions include employing senior doctors as resident on call, the “hospital at night” solution , the expansion of the advanced nurse practioner grade and rationalisation of the number of units. They left out however the one so...

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    Conflict of Interest:
    None declared.