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EWTD: incompatible with subspecialty training?
  1. Edward Giles*,1,
  2. Richard Hansen*,2,
  3. Andrew R Barclay3,
  4. Anthi Burtt4,
  5. Ronald Bremner5,
  6. Peter B Sullivan6,
  7. R Mark Beattie7
  1. 1Paediatric Gastroenterology, Barts and the London School of Medicine and Dentistry, London, UK
  2. 2Child Health, University of Aberdeen, Aberdeen, UK
  3. 3Paediatric Gastroenterology, Royal Hospital for Sick Children, Glasgow, UK
  4. 4Paediatric Gastroenterology, Chelsea and Westminster Hospital, London, UK
  5. 5Paediatric Gastroenterology, Birmingham Children's Hospital, Birmingham, UK
  6. 6Paediatric Gastroenterology, John Radcliffe Hospital, Oxford, UK
  7. 7Paediatric Gastroenterology, Southampton University Hospitals, Southampton, UK
  1. Correspondence to Dr Edward Giles, Clinical Research Fellow, Centre for Immunology and Infectious Diseases, Blizard Institute of Cell and Molecular Science, 4 Newark Street, London E1 3AT, UK; e.m.giles{at}

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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 …

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  • * EG and RH are joint first authors

  • Competing interests None.

  • Provenance and peer review Not commissioned; externally peer reviewed.