{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,27]],"date-time":"2026-08-27T19:54:40Z","timestamp":1787860480308,"version":"build-2784847793"},"reference-count":2,"publisher":"Oxford University Press (OUP)","issue":"884","license":[{"start":{"date-parts":[[1999,6,1]],"date-time":"1999-06-01T00:00:00Z","timestamp":928195200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[1999,6,1]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>With the introduction of the New Deal and the Calman Report, the duration of higher specialist training will be halved. We have examined the effect of reduced on-call rotas on exposure to relatively uncommon out-of-hours emergencies in cardiothoracic surgery. Operations for post-infarction ventricular septal defect, aortic dissection or transection, oesophageal perforation and pulmonary embolus performed out-of-hours between 1990 and 1995 were identified from hospital records. Over 6 years, the period of higher specialist training in cardiothoracic surgery, a trainee would see seven aortic emergencies on a 1:2 rota, four on a 1:4 rota and two on a 1:6 rota. These figures provide a powerful argument in support of the English Clause which allows trainees to be available for 83 hours a week, equivalent to a 1:4 rota, rather than 56 hours a week, equivalent to a 1:6 rota under the New Deal. This may need supplementation by a mechanism whereby trainees are \u2018on call for training\u2019.<\/jats:p>","DOI":"10.1136\/pgmj.75.884.351","type":"journal-article","created":{"date-parts":[[2015,2,18]],"date-time":"2015-02-18T00:04:10Z","timestamp":1424217850000},"page":"351-352","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":15,"title":["Out-of-hours work in cardiothoracic surgery: implications of the New Deal and Calman for training"],"prefix":"10.1093","volume":"75","author":[{"given":"Clive","family":"Kelty","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, Northern General Hospital NHS Trust , Herries Road, Sheffield S5 7AU, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Duffy","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Northern General Hospital NHS Trust , Herries Road, Sheffield S5 7AU, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Graham","family":"Cooper","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, Northern General Hospital NHS Trust , Herries Road, Sheffield S5 7AU, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[1999,6,1]]},"reference":[{"key":"2023042616360772900_B1","first-page":"947","article-title":"New Scottish CMO criticises training reforms","volume":"313","author":"Anon","year":"1996","journal-title":"BMJ"},{"key":"2023042616360772900_B2","doi-asserted-by":"crossref","first-page":"953","DOI":"10.1136\/bmj.311.7010.953","article-title":"New Deal not satisfactory for cardiothoracic surgery","volume":"311","author":"Alkhulaifi","year":"1995","journal-title":"BMJ"}],"container-title":["Postgraduate Medical Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/75\/884\/351\/50046521\/postgradmedj-75-351.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/pmj\/article-pdf\/75\/884\/351\/50046521\/postgradmedj-75-351.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,4,26]],"date-time":"2023-04-26T16:37:05Z","timestamp":1682527025000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/pmj\/article\/75\/884\/351\/7044882"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1999,6,1]]},"references-count":2,"journal-issue":{"issue":"884","published-online":{"date-parts":[[1999,6,1]]},"published-print":{"date-parts":[[1999,6,1]]}},"URL":"https:\/\/doi.org\/10.1136\/pgmj.75.884.351","relation":{},"ISSN":["0032-5473","1469-0756"],"issn-type":[{"value":"0032-5473","type":"print"},{"value":"1469-0756","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[1999,6]]},"published":{"date-parts":[[1999,6,1]]}}}