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SIR – Junior doctors have become seriously de-professionalised (Letters, December 29). In the 1980s, as junior surgeons, we worked very long hours, but also enjoyed the huge satisfaction of making people better. When judged competent, we diagnosed, operated on and managed the post-operative course of “our” patients, working independently but within the support structure of the consultant-led “firm”. The opportunity for that professional satisfaction has gone. The European Working Time Directive

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