A qualitative investigation of Foundation Year 2 doctors’ views on the European Working Time Directive

Abstract

Purpose

The purpose of this paper is to examine the personal views and experiences of Foundation Year 2 doctors operating under the European Working Time Directive (EWTD).

Design/methodology/approach

In total, 36 Foundation Year 2 doctors from a single UK-based Deanery participated in this semistructured interview study.

Findings

Findings indicated that Foundation doctors typically welcomed a regulation of working hours, but reported frustration at the manner in which the Directive had been implemented. Participants reported concerns at reducing hours by removing out-of-hours working in order to meet EWTD requirements. Out-of-hours shifts were highly valued owing to their increased opportunities for autonomous clinical decision making. By contrast, day-shifts were regarded as heavily administrative in nature and were perceived as service provision. Foundation doctors discussed the unique nature of the out-of-hours working period which appeared to provide specific learning opportunities as doctors draw on time management and prioritisation skills.

Originality/value

Given the challenges the EWTD presents, careful rota planning is essential. First, the authors would encourage the restructuring of day-shift work to provide a greater emphasis on hands-on skills experience in a supportive, supervised environment. Second, where possible, Foundation doctors might benefit from the opportunity to engage in some out-of-hours working, such as with multi-professional “Hospital at Night” teams. Third, the authors would encourage junior doctor involvement in rota design and planning which may increase their perceived autonomy and therefore buy-in of working practices.

Citation

Duncan, M. and Haslam, C. (2015), "A qualitative investigation of Foundation Year 2 doctors’ views on the European Working Time Directive", Journal of Health Organization and Management, Vol. 29 No. 3, pp. 367-380. https://doi.org/10.1108/JHOM-08-2013-0172