Optimising Working Hours to Provide Quality in Training and Patient Safety, Position Statement from the Association of Surgeons in Training.pdf

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Nptojosokl \nrfokl Gnurs tn

Srnvoeb Yuihoty ok Uriokokl

ike Sitobkt Pidbty

I Snsotonk Ptitbjbkt ay

Ugb Issnòitonk nd Purlbnks ok Uriokokl

Mikuiry 133?



IPoU * tgb pursuot nd bx`bhhbk`b ok triokokl 1

Ugb Issnòitonk nd Purlbnks ok UriokoklIt Ugb Qnyih @nhhblb nd Purlbnks nd Bklhike

02*50 Hok`nhk‟s Okk DobhesHnkenk \@1I 0SB

Ubhbpgnkb= 313< ?<0 3039Dix= 313< 503 ?102\ba= www+isot+nrl

Bjioh= prbsoebktCisot+nrl

Iutgnrs=

Jr Abk @rbsswbhh 'IPoU Srbsoebkt/Jr @nknr Jirrnk 'IPoU Gnknriry Urbisurbr/

Jr \ohh Giwfoks 'IPoU Gnknriry Pb`rbtiry/Jr Bwbk Girrosnk 'IPoU Sist*Srbsoebkt/

Jr Bewire Dotzlbrihe 'IPoU To`b*Srbsoebkt/Jr Ihbx vnk Qnnk 'IPoU To`b*Srbsoebkt/

Qitodobe ay IPoU @nukòh nk Droeiy 94 Mikuiry 133?




9 Bxbùtovb Pujjiry

9+9 Ugb Issnòitonk nd Purlbnks ok Uriokokl 'IPoU/ rbprbsbkts RF triokbbs drnj ihh

surloìh spbòihtobs ike gis nvbr 1133 jbjabrs+ IPoU gis abbk `nk`brkbe ianut tgb

Burnpbik \nrfokl Uojb Eorb`tovb 'B\UE/ sok`b ots oktrneu`tonk+ Ok Jiy 1334 wb

puahosgbe i rbpnrt nk tgb ojpi`t nd tgb B\UE ok Purlbry golgholgtokl `nk`brks ike

urlbkt i`tonks rbquorbe tn hojot pntbktoihhy ebtrojbktih bddb`ts nk surloìh triokokl+V9Z

9+1 IPoU `nktokubs tn abhobvb tgit rbeuòkl wnrfokl gnurs gis ojpi`tbe nk surloìh

triokokl ike `nktokuoty nd pitobkt ìrb+ Ugb jimnroty nd surloìh triokbbs wnuhe

wbh`njb tgb nppnrtukoty tn wnrf ok bx`bss nd tgb gnurs pbrjottbe ay tgb

B\UEV9( 1Z+

9+0 IPoU gis `nkeu`tbe tgb hirlbst survby nd surloìh triokbbs tn eitb nk tgb B\UE(

wotg 93?4 rbspnksbs drnj triokbbs rbprbsbktokl ihh kokb surloìh spbòihtobs ike

rblonks ok tgb RF+

9+5 Qbsuhts drnj tgb IPoU survby `nkdorj tgit tgbrb os solkodoìkt ukebrrbpnrtokl nd

gnurs wnrfbe ay surlbnks ok triokokl+ Is i rbsuht( tgb kujabr nd knk*`njphoikt

pnsts os dir golgbr tgik prbvonushy tgnulgt( jifokl i`gobvbjbkt nd B\UE tirlbts

ukhofbhy+

9+2 \otgok ukots purpnrtokl tn ab B\UE `njphoikt( i solkodoìkt prnahbj gis abbk

oebktodobe wgbrbay ‘rnti lips‚ '`rbitbe ay i diohurb tn rb`ruot knk*triokokl en`tnrs/(

givb abbk dohhbe ay rbirriklokl oktbrkih `nvbr sn tgit gnurs jiy ippbir `njphoikt




‘nk*pipbr‚+ Ugb rbihoty nd su`g snhutonks gnwbvbr os tgit okeovoeuihs irb wnrfokl ok

bx`bss nd tgb rbpnrtbe 57 gnurs+

9+4

Pgodt wnrfokl gis abbk sgnwk tn hbie tn jnrb ditolub ike ok`rbisbe jbeoìh brrnrs

wgbk `njpirbe tn 15 gnur nk*ìhh rntisV0*97Z+ Ugnsb wnrfokl duhh sgodt rntis givb

rbpnrtbe i ebtbronritonk ok tgb quihoty nd triokokl nvbr tgb hist twn ybirs+

9+< Ugb IPoU survby sullbsts tgit surloìh triokbbs wosg tn `nktokub wnrfokl nut*nd*

gnurs nk*ìhh rntis ike tgit tgb jimnroty wnuhe wbh`njb tgb nppnrtukoty tn wnrf

abynke tgb 57 gnurs ojpnsbe ay B\UE+ Nvbrihh 73" divnurbe botgbr ik okeovoeuih

nr i spbòihty npt*nut+

9+7 IPoU sullbst tgit tn bksurb nptojih triokokl( wotg iebquitb tojb dnr bxpnsurb ike

golg quihoty pitobkt ìrb wotg ok`rbisbe `nktokuoty( ot os kb`bssiry tn rbturk tn i

wnrfokl wbbf nd ipprnxojitbhy 42 gnurs+ Dnr golgbr spbòihty triokbbs 'PU0 ike

ianvb/( nk*ìhh rntis ritgbr tgik sgodt wnrfokl wnuhe abst prntb`t triokokl

nppnrtukotobs( ike wnuhe ab tgb nptojih irriklbjbkt wgbrb wnrfhnie pbrjots+




1 Oktrneu`tonk

1+9 Ugb Issnòitonk nd Purlbnks ok Uriokokl 'IPoU/ rbprbsbkts RF triokbbs drnj ihh

surloìh spbòihtobs ike os nkb nd tgb hirlbst spbòihty triokbb nrlikositonks ok tgb RF

wotg nvbr 1133 jbjabrs+

1+1 Ok Jiy 1334 IPoU puahosgbe ots rbpnrt nk tgb ojpi`t nd tgb Burnpbik \nrfokl Uojb

Eorb`tovb 'B\UE/ ok Purlbry( dnùssokl nk tgb bddb`ts nk surloìh triokokl( pitobkt

ìrb( gbihtg nd tgb wnrfbr ike hodbstyhbV9Z+ Ugb rbpnrt wis bkenrsbe ay ihh nd tgb

jimnr prndbssonkih surloìh nrlikositonks ike òrùhitbe tn tgb Srojb Jokostbr(

Pb`rbtiry nd Ptitb dnr Gbihtg ike kujbrnus Burnpbik aneobs( wotg i rbqubst dnr

urlbkt i`tonk tn ab tifbk+

1+0 IPoU `nktokubs tn abhobvb tgit tgb rbstro`tonks ojpnsbe ay tgb B\UE wohh

ebtrojbktihhy iddb`t tgb quihoty nd triokokl nd mukonr surlbnks ike tgbrbdnrb tgb quihoty

nd surloìh sbrvo`b prnvosonk ok tgb duturb+ \b abhobvb tgit tgb ùrrbkt B\UE

rbstro`tonks wohh uhtojitbhy ab ebtrojbktih tn pitobkt ìrbV9( 1( 97*19Z+

1+5 IPoU gis rb`bkthy pbrdnrjbe i survby nd ots triokbb jbjabrs drnj ihh surloìh

spbòihtobs ike( wotg 93?4 rbspnksbs( ìk knw prnvoeb ik i`ùritb rbdhb`tonk nd

ùrrbkt wnrfokl pri`to`bs ike isporitonks nd tgnsb triokokl dnr i surloìh ìrbbr wotg

rblires tn tgb B\UE+




0 Ai`flrnuke

0+9 Ugb ùrrbkt B\UE hojot nd 27 gnurs pbr wbbf os eub tn ab durtgbr rbeu`be tn 57

gnurs ok Iulust 133?+ Ugb ùrrbkt hojot gis sbbk i dihh ok tntih iviohiahb triokokl gnurs

drnj 01(333 tn 19(333( ike drnj Iulust tgos wohh ab hojotbe tn i jixojuj nd 97(333

eurokl tgb 7*ybir `nrb ike spbòihty triokokl pbrones+

0+1 Ugb bddb`ts nd tgb rbeu`tonk ok gnurs givb abbk durtgbr `njpnukebe ay tgb PoJIS

ike Miblbr ruhokls nd tgb Burnpbik @nurts nd Musto`bV11Z+ Ugbsb eb`rbb tgit ihh tojb

spbkt ok tgb wnrfphi`b sgnuhe ab rblirebe is ,wnrf,( wgbtgbr it rbst nr knt+

0+0 Purlbry os i `ridt spbòihty ike rbquorbs solkodoìkt bxpnsurb tn ‘gikes*nk‚ triokokl+

Npbritovb ike prn`beurih sfohhs ebdokb tgb surloìh `ridt ike tgbsb irb dokotb ok kujabr(

wotg tgb jimnroty tn ab liokbe eurokl wnrfokl gnurs+ Ot os rb`nlkosbe gnwbvbr tgit ok

nrebr tn prnvoeb i golg quihoty sbrvo`b( ik bxpnsurb tn nut*nd*gnurs bjbrlbkòbs

rbjioks bssbktoih+

0+5 Nkb bddb`t nd tgb okotoih rbeu`tonk ok wnrfokl gnurs tn i jixojuj 27 pbr wbbf gis

abbk tgb solkodoìkt rbeu`tonk ok tgb kujabr nd hnllbe Okebx prn`beurbs pbrdnrjbe ay

surloìh triokbbs+ Ptueobs givb `nksostbkthy sgnwk i lrbitbr tgik 13" rbeu`tonk ok

npbritovb ìsbs pbrdnrjbeV9( 1( 10*00Z+ \otg i `nktri`tonk ok wnrfokl gnurs tn 57(

tgb kujabr nd prn`beurbs pbrdnrjbe ay triokbbs wohh okbvotiahy ab durtgbr rbeu`be( is

tgb prnpnrtonk nd tojb spbkt wnrfokl nut*nd*gnurs wohh ok`rbisb rbhitovb tn tgb knrjih

wnrfokl eiyV05( 02Z+



IPoU * tgb pursuot nd bx`bhhbk`b ok triokokl <

0+2 Ugnulg ju`g wnrf ike bddnrt gis abbk put ok tn tgb ebvbhnpjbkt nd B\UE

`njphoikt rnti ebsolk( solkodoìkt kujabrs nd okeovoeuih ukots irb strullhokl tn

i``njjneitb tgb kbw rbstro`tonks+ Ugbrb os i strnkl abhobd tgit snjb ukots i`gobvokl

B\UE `njphoik`b givb enkb sn tn tgb ebtrojbkt nd triokokl( ike ok snjb okstik`bs

ay oki`ùritb gnurs rbpnrtokl ike auhhyokl+ Ugb IPoU survby gis `nkdorjbe tgbsb

`nk`brks ike sgnwk tgit ùrrbkt wnrfokl pri`to`bs irb antg dir drnj abokl B\UE

`njphoikt ike givb ievbrsbhy iddb`tbe tgb quihoty nd triokokl+

0+4 Bxpikeokl tgb kujabr nd en`tnrs nk i rnti eohutbs triokokl dnr ihh okvnhvbe+ Un

jioktiok duturb stikeires nd ìrb tgb iviohiahb triokokl nppnrtukotobs ìk nkhy suppnrt

i dokotb kujabr nd triokbbs+

0+< Ok ik bddnrt tn prneu`b `njphoikt rntis( snjb Urusts `rbitb bxtri rnti spi`bs tn ab

dohhbe ay en`tnrs nutsoeb nd dnrjih triokokl s`gbjbs ‐ mnas tn wgo`g tgby givb tgbk

strullhbe tn rb`ruot tn+ I sbpiritb survby wotg 544 rbspnkebkts `nksoebrbe tgb

prnahbj nd ‗rnti lips‟ spbòdoìhhy+ Ugb `rbitonk nd ‘rnti lips‚ gis abbk rbpnrtbe ay

20" nd survby rbspnkebkts( wotg <7" nd rntis wotg lips purpnrtokl tn ab 57*gnur

`njphiokt+ Ugos hbies tn triokbbs abokl tifbk nut nd tgbor usuih eiytojb `njjotjbkts

tn `nvbr sbrvo`b ossubs+ 4?" nd tgnsb wotg lips nk rntis givb hnst prn`beurih triokokl

nppnrtukotobs tn prnvoeb `nvbr( ike 41" givb kn ieeotonkih eiytojb suppnrt tn `nvbr

pitobkt ìrb nr sbrvo`b ossubs+ Nut nd gnurs `nvbr wis prnvoebe ay ‘oktbrkih hnùjs‚

ok 2<" nd ìsbs wgo`g( ihtgnulg pbrjottokl i `njphoikt rnti nk pipbr( rbsuhts ok knk*

`njphoikt gnurs dnr tgnsb okeovoeuihs i`tokl is hnùjs+ Ugos os nd sbronus `nk`brk ok

rbhitonk tn pitobkt sidbty ike 45" nd triokbbs wnrfokl wotg ‗rnti lips‟ dbbh tgit pitobkt

ìrb gis suddbrbe is i rbsuht+




0+7 Ugb Okstotutb nd Jbeoòkb ok tgb Rkotbe Ptitbs nd Ijbroì gis rb`bkthy rb`njjbkebe

tgbrb ab kn durtgbr rbeu`tonk ok tgb hojot nd 73 gnurs pbr wbbf+ Ugos os gis abbk

aisbe nk `nksoebritonks nd pitobkt sidbty ike wnrfbr gbihtg is wbhh is jbeoìh

beuìtonk ike triokokl+ Okstbie( `giklbs givb abbk jieb tn tgb jb`gikosjs nd

i`gobvokl rbst ritgbr tgik dnùsokl nk kujabr nd gnurs wnrfbeV04Z+



IPoU * tgb pursuot nd bx`bhhbk`b ok triokokl ?

5 IPoU B\UE Purvby Eiti

5+9 Ebjnlripgo`s

I tntih nd 93?4 rbspnksbs wbrb rb`bovbe( wotg prnpnrtonkih rbprbsbktitonk nd ihh

surloìh spbòihtobs ike lbnlripgoìh rblonks ok tgb RF+

5+1 @urrbkt I`tuih Gnurs \nrfbe

?3" nd triokbbs rbpnrtbe bx`bbeokl tgbor rnstbrbe gnurs nk it hbist i wbbfhy aisos(

ike 72" rbpnrtbe tgit tgby gie ittbkebe prn`beurih sbssonks eurokl i rnstbrbe eiy

ndd( tgb jimnroty enokl sn nk i rbluhir aisos+ 2<" nd rbspnkebkts givb abbk rbquorbe

tn ittbke nk i rnstbrbe eiy ndd ok nrebr tn suppnrt sbrvo`b prnvosonk ike tn bksurb

tgit pitobkt ìrb os jioktiokbe+ Nkhy 12" nd rbspnkebkts dbht tgit tgb wnrfokl

pittbrks gbhe ay tgbor Gujik Qbsnur`bs Ebpirtjbkts( ike nk wgo`g tgbor `nktri`ts

irb aisbe( i`ùritbhy rbdhb`tbe tgbor i`tuih gnurs wnrfbe+ Ihtgnulg 29" nd triokbbs

rbpnrt i jixojuj sgodt hbkltg nd 90 gnurs( i solkodoìkt prnpnrtonk '09"/ stohh wnrf 15

gnurs nr lrbitbr is i soklhb nk*ìhh pbrone wotg i jixojuj rbpnrtbe `nktokunus euty

pbrone nd <1 gnurs+

5+0 Srbssurb tn Eb`hirb Dihsb \nrfokl Gnurs

22" nd triokbbs rbpnrt givokl abbk prbssurosbe tn dihsbhy eb`hirb tgbor i`tuih gnurs

wnrfbe ike tgit prbssurb wis rbpnrtbe tn givb `njb drnj Jikilbrs( @nksuhtikts(

Sbbrs ike tgbjsbhvbs ok ihjnst bquih jbisurb+

5+5 Ugb Bddb`t nd Pgodt*\nrfokl nk Uriokokl ike \nrf.Hodb Aihik`b

47" nd rbspnkebkts rbpnrtbe i ebtbronritonk ok tgb quihoty nd tgbor triokokl nvbr tgb

hist twn ybirs is i rbsuht nd sgodt*wnrfokl( wotg tgbor npbritovb sfohhs givokl suddbrbe




tgb jnst+ Pojohirhy( <9" rbpnrt tgit rbeu`tonks ok wnrfokl gnurs givb knt hbe tn iky

ojprnvbjbkts ok tgbor wnrf.hodb aihik`b ike <5" rbpnrt tgit kbw sgodt pittbrks givb

hbe tn prbssurbs nk tgbor snòih rbhitonksgops+

5+2 Uriokbbs ike B\UE

73" nd surloìh triokbbs rbspnkeokl tn tgb survby wnuhe suppnrt ik ‘npt*nut‚ nd

B\UE tn prntb`t tgbor triokokl ike i durtgbr 93" ‘eoek‟t fknw‚+




2 Ik ‘Oebih‚ Mna Shik

2+9 I soklhb oebih mna phik os ojpnssoahb tn prneu`b nwokl tn tgb okbvotiahb eoddbrbk`bs

abtwbbk tgb wnrfokl pittbrk ike rbquorbjbkts nd okeovoeuih surloìh spbòihtobs ike

okeovoeuih ukots+ Pbvbrih lbkbro` prokòphbs en ipphy tn ihh spbòihtobs gnwbvbr( ike tgb

dnhhnwokl sullbstonks rbhitb tn golgbr spbòihty triokbbs 'PU0 nkwires/+

2+9 Pgodt wnrfokl gis abbk sgnwk tn rbsuht ok i hirlb rbeu`tonk ok tgb prnpnrtonk nd

nvbrihh gnurs spbkt ok eiytojb triokokl i`tovotobs( wotg i `nrrbspnkeokl ok`rbisb ok nut*

nd*gnurs sbrvo`b prnvosonk+ \gohst ot os i``bptbe tgit `rnss*`nvbr abtwbbk surloìh

spbòihtobs jiy ab ipprnproitb it `nrb triokokl hbvbh( vbry dbw ukots iddnre i suddoòbkthy

gbivy wnrfhnie tn rbquorb sgodt wnrfokl ay spbòihty triokbbs ike i rbturk tn ik nk*

ìhh systbj 'wgbtgbr rbsoebkt nr knk*rbsoebkt/ os strnklhy rb`njjbkebe+ Ugos wnuhe

rbsuht ok dbwbr eiytojb triokokl nppnrtukotobs abokl jossbe wgohst jioktiokokl

bxpnsurb tn nut*nd*gnurs bjbrlbk`y wnrf( ojprnvokl `nktokuoty nd ìrb ike gbk`b

pitobkt sidbty ike rbeuòkl tgb kujabr nd en`tnrs rbquorbe nk tgb rnti tobr wotg tgb

pntbktoih dnr dokikòih sivokls+ Ugb IPoU `nksbksus dnr tgb nptojih drbqubk`y nd nk*ìhh

eutobs os i 9=4 pittbrk( wgo`g wnuhe bddb`tovbhy rbeu`b tn 9=2 wotg prnspb`tovb `nvbr+

2+1 Eiytojb sbssonks nddbr tgb lrbitbst kujabr nd triokokl nppnrtukotobs ike tgb ok`rbisb

ok stiddokl kujabrs rbquorbe tn `nvbr `njphoikt rntis gis hbe tn `njpbtotonk abtwbbk

triokokl ike knk*triokokl lriebs+ Oebihhy( triokbbs sgnuhe givb i``bss tn tgrbb gihd*eiy

npbritokl hosts i wbbf( twn nutpitobkt sbssonks( i spbòih oktbrbst sbssonk 'su`g is

bkens`npy/ ike tojb prntb`tbe dnr rbsbir`g . iueot ike iejokostritovb tisfs tn ok`hueb

tbi`gokl nd mukonrs+ Ok ieeotonk( jnst spbòihtobs okvnhvb snjb dnrj nd oktbr*spbòihty

oktbri`tonk ike ittbkeik`b it juhto*eosòphokiry tbij jbbtokls 'JEU/ os bssbktoih tn




beuìtonk+ Ot os rb`nlkosbe tgit vironus spbòihtobs wohh givb tgbor nwk ukoqub

rbquorbjbkts( dnr okstik`b i rbquorbjbkt dnr i lrbitbr kujabr nd JEU jbbtokls(

nutpitobkt `hoko`s nr spbòihost sbssonks+ Ugb tojbtiahb wnuhe tgbrbdnrb ab ùstnjosbe

dnr tgb okeovoeuih spbòihty ike ukot( aut tgb nvbrihh gnurs rbquorbjbkt wnuhe rbjiok

sojohir+ I sijphb tojbtiahb dnr ik okeovoeuih triokbb wnuhe tgbrbdnrb ippbir tgus=

Jnkeiy Uubseiy \bekbseiy Ugurseiy Droeiy

IJ Nutpitobkts Ugbitrb Nk*ìhh Iìebjo`

I`tovotobs

JEU.

Nutpitobkts

SJ Bkens`npy Ugbitrb Bjbrlbk`y

Ugbitrb Host

Ndd Ugbitrb

Kolgt Nk*ìhh

2+0 Aisbe nk i knrjih wnrfokl eiy nd 7ij tn 4pj( wotg 9=4 bvbkokl ike wbbfbke nk*

ìhhs tgos wnuhe rbquorb i tntih wnrfokl tojb nd 42 gnurs pbr wbbf( wgbk ivbrilbe

nvbr i 4 wbbf rnti `y`hb+




4 Pujjiry

4+9 Purloìh triokokl gis okbvotiahy suddbrbe wotg rbeuòkl wnrfokl gnurs ike( sgodt*

wnrfokl gis hbe tn i solkodoìkt ok`rbisb ok rbpnrtbe ditolub( i ebtbronritonk ok wnrf .

hodb aihik`b ike i hnss nd `nktokuoty ok pitobkt ìrb( prnjptokl sbronus `nk`brks dnr

pitobkt sidbty+

4+1 Ugb jimnroty nd surloìh triokbbs wnuhe strnklhy wbh`njb tgb nppnrtukoty tn wnrf ok

bx`bss nd tgb gnurs pbrjottbe ay tgb B\UEV1( 0<Z+

4+0 Is ik nrlikositonk( wb dbbh tgit i golg quihoty triokokl prn`bss os knt i`gobviahb

wotgok tgb `nkstriokts nd i 57 gnur wbbf ike wnuhe sullbst i rbturk tn hnklbr

wnrfokl gnurs ok nrebr tn prntb`t Sitobkts nd tgb duturb+




< Qbdbrbk`bs

V9Z Jirrnk @( Pgig M( Jnhb E( Phieb E+ Burnpbik \nrfokl Uojb Eorb`tovb( i Snsotonk ay tgb Issnòitonk nd Purlbnks ok Uriokokl+ Ok= Uriokokl InPo( be+ Hnkenk 1334+V1Z Hnwry M( @ropps M+ Qbsuhts nd tgb nkhokb B\UE triokbb survby+ Ikk Q @nhh Purl Bklh 'Pupph/+ 133267<=74*<+V0Z Ifbrstbet U+ @nksbksus stitbjbkt= ditolub ike i`òebkts ok trikspnrt npbritonks+ M Phbbp Qbs+ 1333

Eb`6?'5/=0?2+V5Z Aijdnre K( Aijdnre E+ Ugb bddb`t nd i duhh sgodt systbj nk en`tnrs+ M Gbihtg Nrlik Jikil+1337611'0/=110*0<+V2Z Airlbr HF( @ieb AB( Iyis KU( @rnkok M\( Qnskbr A( Ppbozbr DB( bt ih+ Bxtbkebe wnrf sgodts ike tgbrosf nd jntnr vbgo`hb `risgbs ijnkl oktbrks+ K Bklh M Jbe+ 1332 Mik 906021'1/=912*05+V4Z @gnw FJ( Pzbtn( @+@+( @gik( J+G+J+( Huo( P+D+ Kbir*joss brrnrs ok hianritnry ahnne tbst rbqubsts ayoktbrks+ Y M Jbe+ 13326?7=<20*4+V<Z @nkknr M( \gothn`f L( Knrtnk Q( Mi`fsnk Q+ Ugb rnhb nd erovbr shbbpokbss ok ìr `risgbs= i systbjito`rbvobw nd bpoebjonhnloìh stueobs+ I`òe Ikih Srbv+ 1339 Mik600'9/=09*59+V7Z Dhbt`gbr FB( Eivos PY( Rkebrwnne \( Jiklruhfir QP( J`Jignk HD( Mr+( Piokt P+ Pystbjito` rbvobw=bddb`ts nd rbsoebkt wnrf gnurs nk pitobkt sidbty+ Ikk Oktbrk Jbe+ 1335 Eb` <6959'99/=729*<+V?Z Dhbt`gbr FB( Piokt P( Jiklruhfir QP+ Aihikòkl `nktokuoty nd ìrb wotg rbsoebkts, hojotbe wnrf gnurs=ebdokokl tgb ojphoìtonks+ Iìe Jbe+ 1332 Mik673'9/=0?*50+V93Z Dnhfire P( Hnjaireo EI( Uu`fbr SU+ Pgodtwnrf= sidbty( shbbpokbss ike shbbp+ Oke Gbihtg+ 1332 Mik650'9/=13*0+V99Z Dnhfire P( Uu`fbr S+ Pgodt wnrf( sidbty ike prneu`tovoty+ N`ùp Jbe 'Hnke/+ 1330 Jir620'1/=?2*939+V91Z Girrokltnk MJ+ Pgodt wnrf ike gbihtg**i `rotoìh rbvobw nd tgb hotbriturb nk wnrfokl gnurs+ Ikk IìeJbe Poklipnrb+ 9??5 Pbp610'2/=4??*<32+V90Z Gnasnk M+ Pgodt \nrf ike en`tnrs, gbihtg+ Ptuebkt AJM+ 1335 Knvbjabr691'99/=591*0+V95Z Gnrkb MI( Qbykbr HI+ Phbbp rbhitbe vbgo`hb i`òebkts+ Ajm+ 9??2 Jir 56093'4?<?/=242*<+V92Z Ko`nh IJ( Anttbrohh MP+ Nk*ìhh wnrf ike gbihtg= i rbvobw+ Bkvornk Gbihtg+ 1335 Eb` 760'9/=92+V94Z P`ntt*@nnjabs E+ Burnpbik wnrfokl tojb eorb`tovb dnr en`tnrs ok triokokl+ Qbeu`tonk ok mukonrs, gnursianhosgbs `nk`bpt nd `nktokuoty nd ìrb+ AJM+ 1331 Jir 106015'<00?/=<04+V9<Z Ppurlbnk I+ \nrfokl Uojb+ Ots ojpi`t nk sidbty ike gbihtg= Oktbrkitonkih Hianur Nrlikozitonk 1330+V97Z @iorks G( Gbkery A( Hbitgbr I( Jnxgij M+ Nut`njbs nd tgb Burnpbik \nrfokl Uojb Eorb`tovb+ AJM+

1337600<=i?51+V9?Z Snukebr Q+ Mukonr en`tnrs, wnrfokl gnurs= ìk 24 ln oktn 57> @hok Jbe+ 1337 Ipr67'1/=914*<+V13Z Jurriy I( Snukebr Q( Jitgbr G( Ahi`f E@+ Mukonr en`tnrs, sgodts ike shbbp ebprovitonk+ AJM+ 1332 Muk976003'<232/=9535+V19Z Hnwry M( @ropps M+ Ugb B\UE ike rbtorbjbkt oktbktonks= i survby nd surloìh `nksuhtikts+ Ikk Q @nhhPurl Bklh 'Pupph/+ 133267<=1<1*5+V11Z Pokeoìtn eb Jbeo`ns eb Istsbkòi Suahoì 'PoJIS/ v @hksbhhiroi eb Pikeoe y @nksujn eb hi LbkbrihoeieTihbkòi @*030.?7+ B@+ 1333+V10Z Jirrnk @E( Ayrkbs( @+F+( Forf( P+M+ Ik B\UE @njphoikt Pgodt Qnti Eb`rbisbs PGN UriokoklNppnrtukotobs+ Ikk Q @nhh Purl Bklh 'Pupph/+ 133267<=154*7+V15Z Ikwir J( Ordik P( Eihy K( Ijbk D+ B\UE gis kblitovb ojpi`t nk triokokl dnr surlbnks+ AJM+ 1332 Eb`9<6009'<203/=95<4+V12Z Abkbs T+ Ugb Burnpbik \nrfokl Uojb Eorb`tovb ike tgb bddb`ts nk triokokl nd surloìh spbòihosts

'en`tnrs ok triokokl/= i pnsotonk pipbr nd tgb surloìh eosòphokbs nd tgb `nuktrobs nd tgb BR+ I`ti Kburn`gor'\obk/+ 1334 Knv6957'99/=911<*00+V14Z @gik _@+ Burnpbik wnrfokl tojb eorb`tovb dnr en`tnrs ok triokokl+ Srndbssonk kbbes tn jnebrkosbsurloìh triokokl+ AJM+ 1331 Jir 106015'<00?/=<04*<+V1<Z @gbssbr P( Anwjik F( Sgohhops G+ Ugb Burnpbik \nrfokl Uojb Eorb`tovb ike tgb triokokl nd surlbnks+AJM+ 13316012=P4?*<3+V17Z Lirl E( Drbk`g M( Arieaurk J+ Pgodt wnrf ike surloìh triokokl= ik nasbrvitonkih stuey ok nkb eostro`tlbkbrih gnspotih+ Ikk Q @nhh Purl Bklh 'Pupph/+ 1330672=9?4*7+V1?Z Hoj B( Usuo P+ Ojpi`t nd tgb Burnpbik \nrfokl Uojb Eorb`tovb nk bxpnsurb tn npbritovb ìreoi`surloìh triokokl+ Bur M @ireontgnri` Purl+ 1334 N`t603'5/=2<5*<+V03Z Jnrros*Ptodd L( Aihh B( Lirros E( Dnstbr J( Unrfokltnk M( Hbwos J+ Qblostrir npbritokl bxpbrobk`b nvbr i92*ybir pbrone= jnrb( hbss nr jnrb nr hbss tgb sijb> Purl M Q @nhh Purl Beoka+ 133561'949*945/+V09Z Pnn I( Ihij J( Jot`gbhh U( Gbihy EL( Knhfb H( \nne IB+ I stbp tnwires abokl B\UE `njphoikt= i

soklhb okstotutonk stuey nd tgb ìreontgnriò` surlbry bxpbrobk`b+ Or Jbe M+ 133< N`t6933'?/=2?4*7+




V01Z Ptbpgbks J( Sbhhire P( Any`b M( Ahi`fsgiw L( \ohhoijs E( Hbwos \+ Okdhubk`b nd B\UE `njphoikt rntink PGN npbritovb bxpbrobk`b+ Ikk Q @nhh Purl Bklh 'Pupph/+ 1335674=913*9+V00Z Uiot JM( Dbhhnws LI( Susgpikiktgik P( Pbrloebs _( Sipienpnuhns J@( Abhh AI+ @urrbkt kburnsurloìhtriokbbs, pbr`bptonk nd tgb Burnpbik \nrfokl Uojb Eorb`tovb ike sgodt wnrf+ Ar M Kburnsurl+ 1337Dba611'9/=17*096 eosùssonk 1*0+V05Z Igjbe*Hotthb _+ Ugb Burnpbik \nrfokl Uojb Eorb`tovb 133?+ Ar M Gbihtg @irb Jikil+ 1334'91/=0<0*4+V02Z Igjbe*Hotthb _+ Ojphoìtonks nd sgodt wnrf dnr mukonr en`tnrs+ AJM+ 133< Ipr 956005'<2?</=<<<*7+V04Z Olhbgirt MF+ Qbvosotokl euty*gnur hojots**ONJ rb`njjbkeitonks dnr pitobkt sidbty ike rbsoebkt beuìtonk+K Bklh M Jbe+ 1337 Eb` 97602?'12/=1400*2+V0<Z Gnrrn`fs K( Snukebr( J+E+ \nrfokl tgb Kolgt Pgodt+ Ik iueot nd tgb bxpbrobk`bs ike vobws nd spbòihost rblostrirs wnrfokl i 90*gnur kolgt sgodt nvbr < `nksbùtovb kolgts+ 1335 Vòtbe6 Iviohiahb drnj=gttp=..www+r`phnkenk+i`+uf.kbws.bwte^kolgtsgodt+isp






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Optimising Working Hours to Provide Quality in Training and Patient Safety, Position Statement from the Association of Surgeons in Training.pdf