1. Balancing between requirement of rules and procedures and the ethical responsibility.

2. The requisite hygiene and safety.

3. Infra-facilities and tools provided by the hospital.
. !ompulsion of being a witness to human misery in the form of emotional and physical
sufferings or deaths.
". #ailure to save a patient from death despite having put best efforts to save him$her.
%. &egative image of hospital doctors on account of private practice by them.
'. (rratic wor) hours and schedules.
*. +oor and uncertain scope for leave.
,. -ound the cloc) responsibility of ta)ing care of patients.
1.. /onger wor) hours.
11. 0ut station government duties
12. Threat of physical and$or verbal abuse by patients themselves and$or their attendants.
13. +hysical and$or verbal abuse by patients themselves and$or their attendants
1. 1ndue influence and pressure from seniors$superiors.
1". 1ndue influence and pressure from media.
1%. 1ndue influence and pressure from state$district administration.
1'. Threat of legal action by patients and$or their wards because of their perceived negligence by
the doctors on duty.
1*. 1nrealistic e2pectations of the patients and their wards.
1,. !onflicting requirements of professional and personal life especially in terms of time.
2.. #ailure to spare a reasonable amount of time for oneself.
21. #ailure to maintain a requisite balance between academic activities and hospital duties.
22. &ot up-to-date investigation and research facilities in the hospital.
23. Improper restroom in the hospital.
2. Improper recreational facilities say cafeteria in the hospital.
2". !ompulsion of wor)ing in not fully hygienic environment.
2%. Inadequate supply of medicines etc.3 saline for e2ample3 from the hospital store.
2'. 4ifficulty in mustering the requisite cooperation and the support from supporting staff.
2*. 4ifficulty in mustering requisite cooperation and support from the fraternity.
2,. Inadequate recognition of performance as doctors by the hospital authorities.
3.. Biased$s)ewed mechanism for performance evaluation as doctors.
31. 5ender bias approach for doctors by the hospital administration.
32. Improper counts and parameters of +erformance 6ppraisal system.
33. 7ardship in achieving the standards of performance assessment system.
3. !hallenges arising out of distasteful paper wor) and administrative duties.
3". !hallenges to come up to the e2pectations of the patients and their wards.
3%. !hallenges to perform to the e2pectations of 8.!.I. and$or the state government.
3'. 4ifficulties in being able to console properly the patients and$or their wards.
3*. Inadequate monetary rewards by the government$hospital.