Article Text

Download PDFPDF
Surgical trainees benefit from good consultant working practices: an audit on the effect on training of a new consultant rota
  1. A R I Majed,
  2. A A Riaz,
  3. P Das-Purkayastha,
  4. W Martin,
  5. S J Gregg-Smith
  1. Department of Trauma and Orthopaedic Surgery, Royal United Hospital, Bath, UK
  1. Correspondence to:
 MrA Majed
 88 Willow Vale, London W12 0PB, UK; a.majed{at}


Purpose: To retrospectively assess operative supervision for orthopaedic trainees over an 18 week period when trauma and orthopaedic consultants changed their on call working practice from one week on call to a four day/three day block, during a fortnight period.

Outcome: The rota changes had important implications on workload and consultant availability to supervise juniors during operation with a positive effect upon training such that trauma surgery supervision rates increased significantly (p<0.001) after the introduction of these new working arrangements. Working life for consultants and ultimately patient care were also felt to improve and consultants’ working hours were closer to the European working hours directives.

  • audit
  • orthopaedics
  • supervision
  • training

Statistics from

Request Permissions

If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.


  • Funding: none.

  • Conflicts of interest: none.

  • ARIM and AAR contributed equally to the study.