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Yea I can see hospitals or peers of a specialist ignoring it if it happens once or twice so that they don't lose a "good" doctor (not that i agree with this) but it would never happen on this level. Hospitals would never allow everyone to be this negligent or incompetent since it would be really easy to be held liable and sued.
The fact that the director is pushing patients onto our MC so that he fails would never happen. Also hes a freaking intern at that point, no doctor would allow them to do anything themselves, including being the first assistant for every surgery. Even as first year residents you still have to shadow people before you can do everything yourself. This just kinda turned into the things wrong with this but I do think this is a good manhwa story wise.
How negligent most of the attendants are is freaking scary. Just how much medical malpractice is going on in a supposed top tier hospital, like in just the first few chapters of the MC's residency we see a soo much of it. I would literally never want to be treated there.