LAUSR

DOI: 10.4103/jiaps.JIAPS_46_18 unaware of the facilities available to the hospital. His/her own hospital may have a completely different generation of instruments. The preoperative preparation of the patient had not been done under his/her supervision and has a chance of remaining suboptimal. Surgery is a team event. He/she has to work with hitherto unknown team members including a new anesthesiology team in a workshop, and a lower level of coordination among them is only inevitable. Third, he/she has to operate under the prying eyes of scores of delegates and simultaneously go on talking to entertain the crowd and often forced to answer not so interesting questions. Except a few stalwarts like Prof. Alberto Pena, for most of us, it is ardent task balancing a continuous dialogue with the audience and at the same time maintaining the dexterity at work. Last but not the least, a lot of time is lost preparing the patient for anesthesia, positioning the patient for surgery, in discussing various relevant issues, and of course in the postoperative recovery. Legal issues of taking informed consent from the parents about their child being operated by an unknown person are also relevant. Technical issues such as obtaining permission from the Indian Medical Council for the foreign faculties and state medical council for national faculties need due consideration and may be time consuming.