• MeSH
• Surgeons statistics & numerical data   MeSH
• Medical Oncology methods   statistics & numerical data   trends   MeSH
• Humans MeSH
• Surveys and Questionnaires statistics & numerical data   MeSH
• Vascular Neoplasms surgery   MeSH
• Vascular Surgical Procedures methods   statistics & numerical data   trends   MeSH
• Check Tag
• Humans MeSH
• Publication type
• Letter MeSH
• Geographicals
• Europe MeSH

INTRODUCTION: The introduction of the European Working Time directive 2003/88/EC has led to a reduction of the working hours with distinct impact on the clinical and surgical activity of neurosurgical residents in training. METHODS: A survey was performed among European neurosurgical residents between 06/2014 and 03/2015. Multiple logistic regression was used to assess the relationship between responder-specific variables (e.g., age, gender, country, postgraduate year (PGY)) and outcome (e.g., working time). RESULTS: A total of 652 responses were collected, of which n = 532 responses were taken into consideration. In total, 17.5, 22.1, 29.5, 19.5, 5.9, and 5.5 % of European residents indicated to work <40, 40-50, 51-60, 61-70, 71-80, or >80 h/week, respectively. Residents from France and Turkey (OR 4.72, 95 % CI 1.29-17.17, p = 0.019) and Germany (OR 2.06, 95 % CI 1.15-3.67, p = 0.014) were more likely to work >60 h/week than residents from other European countries. In total, 29 % of European residents were satisfied with their current working time, 11.3 % indicated to prefer reduced working time. More than half (55 %) would prefer to work more hours/week if this would improve their clinical education. Residents that rated their operative exposure as insufficient were 2.3 times as likely as others to be willing to work more hours (OR 2.32, 95 % CI 1.47-3.70, p < 0.001). Less than every fifth European resident spends >50 % of his/her working time in the operating room. By contrast, 77.4 % indicate to devote >25 % of their daily working time to administrative work. For every advanced PGY, the likelihood to spend >50 % of the working time in the OR increases by 19 % (OR 1.19, 95 % CI 1.02-1.40, p = 0.024) and the likelihood to spend >50 % of the working time with administrative work decreases by 18 % (OR 0.84, 95 % CI 0.76-0.94, p = 0.002). CONCLUSIONS: The results of this survey on >500 European neurosurgical residents clearly prove that less than 40 % conform with the 48-h week as claimed by the WTD2003/88/EC. Still, more than half of them would chose to work even more hours/week if their clinical education were to improve; probably due to subjective impression of insufficient training.

• MeSH
• Faculty MeSH
• Surgeons statistics & numerical data   MeSH
• Adult MeSH
• Internship and Residency statistics & numerical data   MeSH
• Middle Aged MeSH
• Humans MeSH
• Neurosurgery education   statistics & numerical data   MeSH
• Operating Rooms manpower   organization & administration   MeSH
• Certification MeSH
• Job Satisfaction MeSH
• Workload statistics & numerical data   MeSH
• Surveys and Questionnaires MeSH
• Sex Factors MeSH
• Age Factors MeSH
• Check Tag
• Adult MeSH
• Middle Aged MeSH
• Humans MeSH
• Male MeSH
• Female MeSH
• Publication type
• Journal Article MeSH
• Geographicals
• Europe MeSH