1. Lack of training & technique.
2. Lack of proper instrumentation.
Young doctors seem to be flocking to short “workshops” usually organized by the instrument manufacturers themselves.
Can there be a bigger conflict of interest?
The instrument designer will make instruments as per his knowledge or as per what he sees in the market. Then embellish it and sell it as the easiest way to extract grafts and place them.
The course/workshop is added for publicity and a means of highlighting.
Results are as usual, minimal.