Indian Journal of Urology
: 2010  |  Volume : 26  |  Issue : 4  |  Page : 471-

Live operative workshop: Education or advertisement

Nitin S Kekre 
 Department of Urology, Christian Medical College, Vellore - 632 004, Tamil Nadu, India

Correspondence Address:
Nitin S Kekre
Department of Urology, Christian Medical College, Vellore - 632 004, Tamil Nadu

How to cite this article:
Kekre NS. Live operative workshop: Education or advertisement.Indian J Urol 2010;26:471-471

How to cite this URL:
Kekre NS. Live operative workshop: Education or advertisement. Indian J Urol [serial online] 2010 [cited 2020 Oct 26 ];26:471-471
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The popular program in a surgical meeting is the live operative workshop. Live workshops allow the audience to observe surgical anatomy and technique. They provide an opportunity for interaction and an excellent platform to learn newer surgical skills. Advancements in video technology have made it possible to transmit good quality images and this is even truer for minimally invasive endourological procedures. It is therefore not surprising that these workshops play an important role in surgical education. It has become easier to demonstrate new procedures, display newer gadgets and popularize recent treatments. Many hospitals and surgeons are increasingly using this medium as an advertisement to build a reputation. Transcontinental video demonstrations are possible and one need not go across seven seas to observe a new surgical procedure. But in this enthusiasm, are we compromising patient safety, privacy and patient rights? Is a true consent available? Is there an element of subtle coercion? Do the patients get honest and unbiased information? And finally, who will be responsible for complications which may arise out of these procedures, especially when they are performed by "master surgeons" who come from foreign countries. It is equally distressing to see patients from the underdeveloped world, being subjected to "experimental procedures". It is not uncommon to see surgeons from the developed countries coming to the underdeveloped world to try out a procedure before performing it in their own institution and on their countrymen. Is it not unethical to allow our population to be used as guinea pigs?

I am not questioning the usefulness of live workshops but I believe we should all be concerned about these issues. It is important to note that the American College of Surgeons and the American College of Obstetricians and Gynecologists have banned live procedures during their meetings. And unless we take adequate steps to counsel patients adequately, ensure their safety and protect their privacy, we risk censure. The patients should have an absolute indication for the procedure and no compromise should be permissible just to accommodate the "impatient surgeon and an industry driven procedure". The faculty should impress upon the enthusiastic audience that the workshop serve a limited purpose, there being no substitute for in-service training. Self-propagation, financial gain and advertisement should not be the motive behind these workshops. As a society, we must provide guidelines and device a mechanism which can audit all workshops. It is imperative that the "concept of see one, do one and teach one" be discarded.

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The issue has symposium on pediatric urolithiasis which is always a challenging problem. Dr. M. S. Ansari, SGPGI, has guest edited this symposium. I am grateful for his help and thank all the contributors.

I would like to welcome the new members to the Editorial and the International Advisory Committee. I look forward for their active contribution, and at the same time, on behalf of the editorial board, I thank the outgoing members for their outstanding contribution.

I wish to express my gratitude to all my associated editors and the dedicated staff of Medknow for their help. The most memorable and inspiring event of 2010 is the 50 th test century by the master blaster Sachin Tendulkar. He remains the heartthrob of the whole nation and continues to inspire. It seems that there are no heights which he cannot scale. I am sure you all will join me in saluting this legend and hope that he continues to excel and help us win the 2011 world cup. On this bright note, I wish you all a happy 2011.

See you at Kolkata.