ArticleHuman resources for health2023
Resident physician duty hours, resting times and European Working Time Directive compliance in Spain: a cross-sectional study.
Article in Human resources for health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Injury prevention in fatigue-prone nursing environments: a comprehensive review of strategies centered on work design, human factors engineering, and safety culture.Frontiers in public health · 2026Review
- Article
- How Do Psychiatry Residents View Their Training in Spain? A Mixed-Method Survey.Actas espanolas de psiquiatria · 2025Article
- Comparing Different Pathways in Medical Education and Surgical Training: A Global Survey of Surgeons.Plastic and reconstructive surgery. Global open · 2024Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThere is a growing interest in understanding the impact of duty hours and resting times on training outcomes and the well-being of resident physicians. However, to this date no state-wide analysis exists in any European country.
objectivesOur aim is to describe the shift work scheduling and to detail the degree of compliance with the Spanish legislation and the European Working Time Directive (EWTD) of Spanish resident physicians, focusing on territorial and specialty distribution. MATERIAL AND
methodsA descriptive cross-sectional analytical study was designed through an online survey adapted from the existing literature.
resultsOut of the 2035 surveyed resident physicians undergoing PGT in Spain, 80.49% exceeded the 48 h per week limit set by the EWTD and 13% of them did not rest after a 24-h on-call shift. The mean number of on-call shifts in the last 3 months was 15.03, with the highest mean reported in Asturias, La Rioja, and Extremadura. 51.6% of respondents had a day-off after a Saturday on-call shift. Significant differences are observed by region and type of specialty.
conclusionResident physicians in Spain greatly exceed the established 48 h/week EWTD limit. Likewise, non-compliance with labor regulations regarding mandatory rest after on-call duty and minimum weekly rest periods are observed.
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