Grading the ‘Homework’
The Stack of Self-Criticism Reports
Su Yan sat comfortably at her desk, a massive stack of printed reports in front of her.
She flipped through them casually, bubble tea in one hand, a red pen in the other.
These weren't ordinary reports.
They were detailed self-criticisms from every surgeon who had participated in the Halifax operation.
And today?
She was grading them.
The First 'Victim': Dr. Patel
She picked up the first report.
Dr. Raj Patel (Neurosurgery)
Title: "A Reflection on Surgical Decision-Making in Complex Vascular Repair"
Su Yan raised an eyebrow.
"He really thinks this sounds impressive, huh?"
She started reading.
Dr. Patel's Report (Unedited Version)
During the Halifax surgery, my primary role was monitoring spinal cord perfusion and preventing ischemic complications.
Initial perfusion was stable, with real-time neural monitoring confirming adequate oxygenation levels.
However, during the graft repair stage, a perfusion drop occurred due to an unexpected blood pressure fluctuation.
Immediate response was initiated to correct this, but miscalculation in vascular clamping led to a temporary ischemic episode.
While damage was ultimately mitigated, the incident highlights the need for more precise intraoperative monitoring adjustments.
Su Yan paused.
Then grabbed her red pen.
And started tearing it apart.
Su Yan's Edits (With Brutal Honesty)
During the Halifax surgery, my primary role was monitoring spinal cord perfusion and preventing ischemic complications.
✗ Correction: No, your primary role was not just 'monitoring.' Your role was to PREVENT a neurological disaster. You did not.
Initial perfusion was stable, with real-time neural monitoring confirming adequate oxygenation levels.
✗ Correction: Yes, it was stable UNTIL you failed to predict the inevitable pressure shift from the aortic clamp adjustment.
However, during the graft repair stage, a perfusion drop occurred due to an unexpected blood pressure fluctuation.
✗ Correction: 'Unexpected'? Are you serious? You were working with a compromised vascular system. A BP drop was not only expected—it was guaranteed. You should have preemptively adjusted for it.
Immediate response was initiated to correct this, but miscalculation in vascular clamping led to a temporary ischemic episode.
✗ Correction: 'Miscalculation' is a polite way of saying you ignored all the warning signs and made the problem worse.
While damage was ultimately mitigated, the incident highlights the need for more precise intraoperative monitoring adjustments.
✗ Correction: The incident highlights the fact that you got lucky. 'Mitigated' does not erase the fact that you almost paralyzed a VIP patient.
Su Yan leaned back, exhaling slowly.
"…This is embarrassing."
She picked up her pen again and added a final comment at the bottom of the report.
Final Grade & Additional Notes
Grade: D+ (At least you admitted your mistakes.)
Additional Notes:
Preoperative Planning: You should have accounted for the high risk of ischemic events earlier. Pre-adjust your intervention strategy based on expected BP shifts, not just react after they happen.
Intraoperative Awareness: If your 'real-time monitoring' isn't helping you predict the inevitable, it's useless. Learn to read ahead, not just react to numbers.
Vascular Handling: You don't get a second chance when perfusion drops. If you had taken an extra ten seconds to reconsider your clamping strategy, the entire complication could have been avoided.
Stop Lying to Yourself: 'Unexpected fluctuation' means you were caught off guard. You shouldn't have been.
She tapped her pen against the desk.
Then circled the grade aggressively.
"D+ is generous. He's lucky I didn't fail him outright."
With a satisfied sigh, she set the report aside.
And reached for the next one.
Because she wasn't done ruining their confidence just yet.
---
Su Yan didn't stop.
She grabbed the next report with the same unbothered efficiency, twirling her red pen like a blade.
The interns standing nearby?
They were terrified.
Because Dr. Patel's self-criticism had taken him a week to write.
Because Dr. Patel had been a surgeon for over a decade.
Because Dr. Patel thought he had written a solid, professional analysis.
And Su Yan?
Tore it apart in less than ten minutes.
Now, she was onto the next victim.
The Second 'Victim': Dr. Evans
She picked up the next report.
Dr. Simon Evans (General Surgery)
Title: "Technical Challenges and Adaptation in Complex Aortic Reconstruction"
Su Yan sighed.
"Why do they all make their reports sound like research papers?"
She flipped to the first page and began reading.
Dr. Evans' Report (Unedited Version)
The Halifax procedure presented a unique challenge due to the complexity of multi-organ vascular repair.
My role was to assist in abdominal exposure and vascular resection.
One of the difficulties encountered was maintaining stable anastomosis positioning while avoiding excess tension on the suture line.
Despite adjusting multiple times, minor leakage occurred post-suturing, requiring reinforcement.
In hindsight, a different anchoring approach could have minimized this risk.
This experience reinforced the importance of adaptability and intraoperative troubleshooting.
Su Yan stared at the page.
Then, very calmly, picked up her red pen.
Su Yan's Edits (With Ruthless Honesty)
The Halifax procedure presented a unique challenge due to the complexity of multi-organ vascular repair.
✗ Correction: The complexity wasn't the issue. Your inability to handle it was.
My role was to assist in abdominal exposure and vascular resection.
✗ Correction: 'Assist'? You were the lead on that section. Own it.
One of the difficulties encountered was maintaining stable anastomosis positioning while avoiding excess tension on the suture line.
✗ Correction: 'Difficulties encountered'? You mean YOU positioned it wrong three times.
Despite adjusting multiple times, minor leakage occurred post-suturing, requiring reinforcement.
✗ Correction: 'Minor leakage' is a very kind way of saying you nearly made me come down and fix it myself.
In hindsight, a different anchoring approach could have minimized this risk.
✗ Correction: You had over 10 different anchoring options. You picked the worst one.
This experience reinforced the importance of adaptability and intraoperative troubleshooting.
✗ Correction: No. This experience reinforced that you still have a long way to go before I trust you alone with vascular reconstruction.
Su Yan leaned back, staring at the page.
Then she grabbed her pen again and added her final assessment.
Final Grade & Additional Notes
Grade: C- (At least you admitted you were wrong. Barely.)
Additional Notes:
Suture Tension Control: Your anastomosis was misaligned due to poor anchoring technique. Next time, reinforce your distal fixation points first.
Preoperative Planning: You knew this was a multi-organ vascular case. Why didn't you review alternative suturing strategies before we cut open the patient?
Decision-Making Speed: You hesitated twice. In vascular repair, hesitation kills.
You Got Lucky: The only reason Halifax isn't bleeding out today is because we were in the room. Next time, there might not be a safety net.
She circled the grade aggressively.
Then she flipped to the next report.
The interns, still watching in horror, finally broke their silence.
Interns' Reactions (Fear, Pure Fear)
Jason: "She… she just dismantled Dr. Evans like he was a first-year student."
Sarah: "She's going through these reports like she already memorized everything that happened in the surgery."
David (whispering): "What if she actually did?"
Silence.
Then—Jason shuddered.
"That means she remembers EVERY mistake."
Sarah gulped.
"No wonder she doesn't respect anyone here."
David looked absolutely traumatized.
"If I ever have to submit a report to her, just kill me first."
Su Yan Moves On
Su Yan, completely unbothered, reached for the next report.
She tapped her red pen against the desk, smirking.
"Two down. Who's next?"
The interns fled.
---
Su Yan grabbed the next report from the stack, still sipping her bubble tea like she wasn't single-handedly dismantling the hospital's surgical department.
By now, the interns had retreated to a safe distance, whispering in terror.
But she?
She was just getting started.
The Third 'Victim': Dr. Wallace
She picked up the next report.
Dr. Alexander Wallace (Cardiothoracic Surgery)
Title: "Evaluating Surgical Decision-Making Under Pressure: A Case Study in Complex Thoracoabdominal Aortic Repair"
Su Yan rolled her eyes.
"Oh, fantastic. A case study. How academic of him."
She started reading.
Dr. Wallace's Report (Unedited Version)
As the lead surgeon on the thoracic portion of the Halifax case, my role was to control proximal aortic access and maintain circulatory stability during the grafting process.
Initial graft placement proceeded smoothly; however, intraoperative complications arose due to unexpected hemodynamic shifts.
In an effort to preserve perfusion, a strategic decision was made to delay full cross-clamping in favour of partial control.
Retrospectively, this decision introduced challenges in bleeding management and extended ischemic time.
An alternative approach utilizing early-stage full clamping may have mitigated later complications.
This experience highlights the importance of balancing hemodynamic control with perfusion priorities in high-risk cases.
Su Yan stared at the page.
Then scoffed.
She picked up her red pen.
And slashed through the entire first paragraph.
Su Yan's Edits (A Brutal Reality Check)
As the lead surgeon on the thoracic portion of the Halifax case, my role was to control proximal aortic access and maintain circulatory stability during the grafting process.
✗ Correction: Your role was to NOT turn the surgery into a complete disaster. You failed.
Initial graft placement proceeded smoothly; however, intraoperative complications arose due to unexpected hemodynamic shifts.
✗ Correction: 'Unexpected'? What exactly were you expecting? Flowers and applause? You were working on a thoracoabdominal aneurysm—hemodynamic instability was GUARANTEED.
In an effort to preserve perfusion, a strategic decision was made to delay full cross-clamping in favor of partial control.
✗ Correction: 'Strategic'? No, Wallace. That was a gamble, not a strategy. And you lost.
Retrospectively, this decision introduced challenges in bleeding management and extended ischemic time.
✗ Correction: Yes, because you CAUSED those problems.
An alternative approach utilizing early-stage full clamping may have mitigated later complications.
✗ Correction: You realized this too late. I realized it the moment I walked into the OR.
This experience highlights the importance of balancing hemodynamic control with perfusion priorities in high-risk cases.
✗ Correction: No. This experience highlights that you need to actually think before making critical decisions.
She tapped her pen against the paper.
Then she circled an entire section in red ink, adding a note at the bottom.
Final Grade & Additional Notes
Grade: C+ (You at least tried to justify your bad decisions. That's something, I guess.)
Additional Notes:
Cross-Clamping Timing: Partial clamping in a case like this increases bleeding risk and delays perfusion restoration. You should have known that.
Hemodynamic Prediction: Stop pretending like pressure shifts were a surprise. They were inevitable, and you didn't prepare for them.
Decision-Making Under Pressure: You hesitated when you shouldn't have and acted when you shouldn't have. That's a terrible combination.
You Need to Accept Reality: This wasn't just a 'case study.' This was a test. And you barely passed.
She circled the grade aggressively before tossing the report onto the already growing 'Destroyed Lives' pile.
Then?
She grabbed the next report.
The Interns Are Ready to Pass Out
From the corner of the room, the interns (Jason, Sarah, and David) were no longer whispering.
They were just trying to stay conscious.
Jason: "She just corrected a cardiothoracic specialist like he was a medical student."
Sarah: "She remembers every mistake. Every single one."
David: "We should run."
Jason: "She's not even halfway through the stack. Look at her."
They all looked.
And sure enough—Su Yan was already flipping through the next file, completely unfazed.
Jason: "This is inhuman."
Sarah: "This is terrifying."
David: "This is the most attractive thing I've ever seen."
Jason & Sarah: "Shut up, David."
Su Yan's Perspective – Just Another Day
Su Yan?
She was enjoying herself.
After all—she didn't just see these reports as paperwork.
She saw them as evidence.
Evidence that this hospital needed her.
And until they finally learned their lessons?
She was going to keep making them suffer.
Smirking to herself, she tapped her pen against the desk.
Then muttered—"Next."
---
Su Yan grabbed the next report, flipping it open with expert laziness.
By now, she was deep into the stack, her red pen dancing across the pages, tearing through every mistake, every excuse, every weak justification.
The interns had stopped breathing.
Somewhere in the hospital, a cardiothoracic surgeon was reconsidering his career.
And Su Yan?
She was having a great time.
The Fourth 'Victim': Dr. Miller
She picked up the next poor soul's report.
Dr. Arthur Miller (Anaesthesiology)
Title: "Anaesthetic Management Challenges in Prolonged Aortic Surgery"
Su Yan raised an eyebrow.
"Oh, finally. A report that might actually make sense."
She started reading.
Dr. Miller's Report (Unedited Version)
The Halifax case presented several anaesthetic challenges due to its prolonged surgical duration and multi-system involvement.
One key concern was intraoperative hemodynamic stability, given the patient's advanced age and pre-existing vascular compromise.
While fluid management was well-controlled, a significant complication arose when a sudden drop in systemic vascular resistance caused an acute hypotensive event.
The vasopressor intervention was initiated, but response time was delayed due to concurrent surgical manoeuvres affecting perfusion pressure.
Although the situation was stabilized, future cases would benefit from closer coordination between anaesthesia and surgical teams to anticipate vascular shifts more effectively.
Su Yan paused.
Then, for the first time that day, she actually nodded slightly.
"Huh. He almost sounds competent."
Then she picked up her red pen.
Su Yan's Edits (Surprisingly Less Brutal Than Expected)
The Halifax case presented several anaesthetic challenges due to its prolonged surgical duration and multi-system involvement.
✓ No corrections. You actually wrote a factual opening. Congratulations.
One key concern was intraoperative hemodynamic stability, given the patient's advanced age and pre-existing vascular compromise.
✓ Correct. And yet, you still got caught off guard.
While fluid management was well-controlled, a significant complication arose when a sudden drop in systemic vascular resistance caused an acute hypotensive event.
✗ Correction: 'Sudden'? No. This was foreseeable based on pre-op stress tests and perfusion markers. You should have pre-adjusted vasopressor support earlier.
Vasopressor intervention was initiated, but response time was delayed due to concurrent surgical manoeuvres affecting perfusion pressure.
✗ Correction: And whose fault was that? Oh, right. Yours.
Although the situation was stabilized, future cases would benefit from closer coordination between anaesthesia and surgical teams to anticipate vascular shifts more effectively.
✓ Final comment: Yes. Because you were nearly twenty seconds too slow in responding. Those twenty seconds matter.
Su Yan leaned back, tapping her pen against the desk.
Then she wrote her final grade.
Final Grade & Additional Notes
Grade: B (You weren't incompetent, just inefficient.)
Additional Notes:
Predict, Don't React: This wasn't a surprise event. You should have anticipated the systemic vascular resistance drop earlier and pre-loaded with the correct vasopressor.
Coordination with Surgery: Your communication with the surgical team was a full five seconds delayed. That's five seconds too many in a case like this.
Time Matters: Every second you hesitated could have cost the patient permanent organ damage. Speed up your response time.
You're Still the Best in the OR: …which is depressing, because that means everyone else is even worse.
She circled the grade aggressively.
Then tossed the report onto the "Didn't Completely Fail" pile.
Interns: Shaken to Their Core
Jason: "He got a B. A B."
Sarah: "That's the highest grade she's given so far."
David: "I didn't even know she was capable of giving a passing score."
They watched as Su Yan calmly flipped to the next file.
Jason whispered, "She remembers everything. Every delay. Every wrong move. Every hesitation."
Sarah swallowed. "She doesn't just have photographic memory. She has surgical recall."
David looked physically ill. "We are all doomed."
And just like that—Su Yan tapped her pen against the desk.
"Alright. Who's next?"
---
The stack wasn't getting smaller.
If anything, it felt like it was growing.
But Su Yan?
She wasn't stopping.
Her red pen was relentless, slashing through every excuse, every weak justification, every ounce of professional arrogance that dared to disguise itself as medical analysis.
And the interns watching from the sidelines?
They were slowly losing the will to live.
The Fifth 'Victim': Dr. Rhodes (The Junior Surgeon Who Tried Too Hard)
The next report was from a younger surgeon.
Dr. James Rhodes (Junior General Surgeon)
Title: "Lessons in Technical Execution and Team Coordination in Complex Procedures"
Su Yan raised an eyebrow.
"He sounds… eager."
She started reading.
Dr. Rhodes' Report (Unedited Version)
As a junior member of the surgical team, my responsibility was primarily assistance in vascular suturing and haemostasis.
While my initial technique was steady, a critical issue arose when an improper suture knot resulted in a minor anastomotic leak.
Immediate reinforcement was applied, and under senior guidance, the error was corrected before significant complications developed.
This experience reinforced my understanding of intraoperative precision and the importance of anticipating complications before they occur.
In future cases, I aim to refine my knot-tying efficiency and improve my ability to maintain consistent suture tension.
Su Yan blinked.
Then let out a sharp exhale.
"Oh, kid. You really tried to make it sound like you didn't almost kill a VIP."
She picked up her red pen.
Su Yan's Edits (A Harsh Reality Check)
As a junior member of the surgical team, my responsibility was primarily assistance in vascular suturing and haemostasis.
✗ Correction: Your responsibility was to NOT screw up the one thing you were assigned to do. You failed.
While my initial technique was steady, a critical issue arose when an improper suture knot resulted in a minor anastomotic leak.
✗ Correction: 'Minor' leak? Your 'steady' technique nearly turned into a full-thickness rupture. The only reason we caught it was because Patel had nothing better to do.
Immediate reinforcement was applied, and under senior guidance, the error was corrected before significant complications developed.
✗ Correction: No. You panicked. Wallace had to take over. This was not 'immediate reinforcement.' This was barely controlled disaster recovery.
This experience reinforced my understanding of intraoperative precision and the importance of anticipating complications before they occur.
✗ Correction: If you truly understood intraoperative precision, I wouldn't have had to fix your knot myself in the last five minutes.
In future cases, I aim to refine my knot-tying efficiency and improve my ability to maintain consistent suture tension.
✗ Correction: In future cases, you should practice before you touch a living patient again.
She tapped her pen against the paper.
Then, very slowly, wrote down her final assessment.
Final Grade & Additional Notes
Grade: D (At least you admit you need to improve.)
Additional Notes:
Basic Knot Security: This is medical school-level technique. The fact that you got this far and still made that mistake is concerning.
Suture Tension Control: You didn't just mess up the knot—you also failed to maintain consistent suture spacing. If Patel hadn't caught it, you would've caused a total failure at the anastomosis site.
Controlled Panic: Your hands were shaking. I saw it. You're not going to survive long in surgery if you fall apart every time something doesn't go perfectly.
You Need More Practice: Get into the skills lab. Knot-tying, microsutures, tension control—fix it all before you touch another major artery.
She circled the grade twice.
Then set the report aside.
She sighed.
"Rhodes is lucky I didn't give him an F."
The Interns' Breaking Point
At this point, Jason, Sarah, and David were visibly pale.
Jason: "That's… four different specialties she's gone through now."
Sarah: "General surgery, cardiothoracic, neurosurgery, anaesthesiology—"
David: "And vascular. Don't forget vascular."
Jason: "She's correcting ALL of them."
Sarah: "She doesn't just remember every mistake. She remembers WHO made them. She remembers how BADLY they made them."
David (whispering): "She's a monster."
And then—Su Yan reached for the next report.
Jason actually stepped back.
Sarah looked ready to quit medicine altogether.
And David?
David whimpered.
"I don't want to be a doctor anymore."
Su Yan: Completely Unbothered
Su Yan?
She didn't even glance at them.
She just tapped her pen against the desk, smirking.
"Next."
---
The stack was still towering in front of Su Yan.
The interns were actively questioning their career choices.
And somewhere in the hospital, the surgical department was unknowingly holding a collective funeral for their pride.
But Su Yan?
She was just getting warmed up.
The Sixth 'Victim': Dr. Carter (Pediatrics' Unfortunate Representative)
The next report in her hands wasn't from a surgeon.
It was from a paediatrician.
Dr. Matthew Carter (Paediatrics)
Title: "Multi-Disciplinary Cooperation in High-Risk Surgical Cases"
Su Yan stared at the cover page.
Then raised an eyebrow.
"Carter? Why is a paediatrician writing a report on vascular surgery?"
She flipped to the first page.
And then, almost immediately, she rolled her eyes.
Dr. Carter's Report (Unedited Version)
Although my specialty is paediatrics, my presence in the Halifax case was intended to provide supplementary systemic monitoring and interdisciplinary support.
During the operation, I contributed to intraoperative metabolic stabilization and assisted in blood gas analysis interpretation.
While I was not directly involved in the primary vascular repair, I observed real-time complications and provided consultative input on perfusion indicators.
In one instance, a miscalculated fluid resuscitation strategy led to transient acidosis, requiring immediate correction.
This experience reinforced the importance of paediatric expertise in complex adult cases, particularly in fluid balance management and metabolic regulation.
Su Yan exhaled sharply.
Then picked up her red pen.
And slashed through the first paragraph.
Su Yan's Edits (Blunt, Unapologetic, and Brutal)
Although my specialty is paediatrics, my presence in the Halifax case was intended to provide supplementary systemic monitoring and interdisciplinary support.
✗ Correction: Your presence in the OR was completely unnecessary. You weren't needed. You just wanted to feel important.
During the operation, I contributed to intraoperative metabolic stabilization and assisted in blood gas analysis interpretation.
✗ Correction: 'Contributed'? No. You stood there and gave occasional commentary while other people fixed the actual problems.
While I was not directly involved in the primary vascular repair, I observed real-time complications and provided consultative input on perfusion indicators.
✗ Correction: 'Consultative input'? You told Patel to 'watch the lactate levels.' That was the only useful thing you said in eight hours.
In one instance, a miscalculated fluid resuscitation strategy led to transient acidosis, requiring immediate correction.
✗ Correction: And who miscalculated it? Oh, right. YOU.
This experience reinforced the importance of paediatric expertise in complex adult cases, particularly in fluid balance management and metabolic regulation.
✗ Correction: This experience reinforced that you need to stay in Paediatrics. Far, far away from my operating room.
She tapped her pen aggressively against the paper.
Then wrote down her final judgment.
Final Grade & Additional Notes
Grade: D (You at least admitted your mistake. That's the only reason you didn't fail.)
Additional Notes:
Fluid Management: Paediatric principles don't apply the same way in adult high-risk vascular surgery. Stop pretending like they do.
Metabolic Oversight: Your 'input' was about five steps behind what Patel was already adjusting for. You added nothing new.
Know Your Limits: You are not an intensivist. You are not a trauma specialist. You are not a vascular surgeon. Stay in your lane.
If You Want to Be Useful, Learn Something New: Otherwise, next time, just watch from the observation deck like everyone else.
She circled the grade aggressively.
Then sighed.
"Carter should be grateful I didn't rip this apart even more."
She tossed it onto the "At Least They Tried" pile.
Then grabbed the next report.
Interns' Mental Stability? Gone.
At this point, Jason, Sarah, and David had reached maximum existential crisis.
Jason: "Paediatrics. She's grading PEDIATRICS now."
Sarah: "How does she know fluid management better than a paediatrician?"
David: "She remembers everything. Everything."
Jason (whispering): "This isn't human. She isn't human."
Sarah: "She's correcting multiple specialties. Effortlessly. How does she do it?"
David (pale): "What if she just knows everything?"
Silence.
Then—Sarah whimpered.
"I'm quitting medicine."
Su Yan: The Queen of Corrections
Su Yan?
She was completely unfazed.
She twirled her red pen, eyes scanning the next report with a smirk.
"Alright. Who's next?"
---
The stack was shrinking.
Su Yan had mercilessly cut through every report, her red pen spilling more blood than any scalpel ever had.
And now?
There was only one left.
She picked it up, exhaling as she read the name on the cover.
The Final 'Victim': Dr. Hayworth (The Head of Surgery Herself)
Dr. Linda Hayworth (Head of Surgery)
Title: "Leadership and Decision-Making in Multi-Disciplinary Surgical Cases"
Su Yan raised an eyebrow.
"Oh. This should be fun."
She flipped to the first page and started reading.
Dr. Hayworth's Report (Unedited Version)
As the overseeing surgical authority, my role in the Halifax case was ensuring interdepartmental coordination and maintaining operative efficiency.
The complexity of this case demanded adaptive leadership and flexible strategy adjustments to accommodate intraoperative developments.
Key challenges included balancing cross-disciplinary expertise while managing unexpected surgical deviations.
A critical point of tension arose when interdepartmental communication delays affected vascular decision-making.
While surgical performance was ultimately upheld, this case underscores the necessity of pre-emptive structural planning in high-stakes procedures.
Su Yan read through it once.
Then she let out a slow, amused sigh.
"Well, well, well. The boss is trying to sound diplomatic."
She picked up her red pen.
Su Yan's Edits (Blunt, Merciless, and Unfiltered)
As the overseeing surgical authority, my role in the Halifax case was ensuring interdepartmental coordination and maintaining operative efficiency.
✗ Correction: Your role was to keep things under control. You failed.
The complexity of this case demanded adaptive leadership and flexible strategy adjustments to accommodate intraoperative developments.
✗ Correction: 'Adaptive leadership' would have meant stepping in BEFORE everything went wrong. You didn't.
Key challenges included balancing cross-disciplinary expertise while managing unexpected surgical deviations.
✗ Correction: The only 'unexpected' thing here was how long you let them struggle before Lin and I had to step in.
A critical point of tension arose when interdepartmental communication delays affected vascular decision-making.
✗ Correction: Oh, you mean when you let Wallace and Patel argue like children while the patient was actively bleeding out?
While surgical performance was ultimately upheld, this case underscores the necessity of pre-emptive structural planning in high-stakes procedures.
✗ Correction: This case underscores that you're not as fast as you think you are.
She tapped her pen thoughtfully before adding her final assessment.
Final Grade & Additional Notes
Grade: B- (You know how to run a department, but you hesitated too long.)
Additional Notes:
Chain of Command: If you had been more aggressive in decision-making, half of these problems wouldn't have existed.
Crisis Management: You waited until the problem escalated before stepping in. That's not leadership. That's damage control.
Pre-emptive Interference: Next time, don't let an entire surgical team embarrass itself before acting. You knew they were failing before I even said anything.
You're Still the Best Administrator Here: …Which is honestly depressing, because that means everyone else is worse.
She circled the grade, let out a final satisfied sigh, and tossed the report onto the pile.
Then she stood up, stretched, and looked at the devastated interns.
"That's all of them."
Interns: Spiritually Destroyed
Jason, Sarah, and David just stared.
They had watched her tear through multiple specialties like it was light reading.
They had witnessed some of the best doctors in the hospital get their careers verbally dismembered.
And now?
Now it was over.
Jason (dead inside): "I need to rethink my entire future."
Sarah (whispers): "She corrected Hayworth. She corrected HAYWORTH."
David (numbly drinking his now-warm coffee): "I don't even want to exist anymore."
And Su Yan?
She stretched lazily, picked up her bubble tea, and smirked.
"Alright. Time for lunch."
And with that—she walked out.
No more reports. No more corrections.
Just another day of proving she was better than all of them.