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Gynaecological training in a consultant delivered service: A European perspective

Great Western Hospital, Swindon, Wilts, SN3 6BB, UK. email: kevin.jones{at}smnhst.swest.nhs.uk

In order to produce senior doctors of sufficient experience and competence to be consultants the traditional training took many years of arduous apprenticeship. Junior doctors were principally used for service provision and only a few became senior registrars and subsequently consultants. Consultants played a more remote role. This is no longer the case. The time-sensitive contracts for junior doctors, Calmanisation, the Modernising Medical Careers initiative, the Hospital at Night project and the European Working Time Directive are having a profound influence on the way that hospital doctors work and are trained. Junior doctors are now working shorter hours with an emphasis on academic training rather than practical experience. There is concern that this fundamental change will produce less technically competent of `unsafe' specialists who will become junior consultants. The answer to these problems lies in changing the way consultants have traditionally worked together. European countries could provide a model for the UK.

Keywords Keywords / european working / government reforms / medical training / team working / time directive