“Just wait till she becomes a surgeon and you are at the OR.”
I recently had surgery to remove gall bladder. My doc checked ahead to determine which Dr was doing surgery. He said we absolutely must get you in today because the Dr. doing surgery is much more skilled than the alternate who is on next week. I looked at the roster of surgeons and I think you can guess the reason.
My wife recently broke her femur completely through. Her condition was complicated by bone mets that had weakened the upper part of the bone. A local surgeon attempted to repair it in the usual way, with a femoral nailing procedure. Halfway through he gave up and admitted he didn't dare go any farther; he had already damaged part of her hip. We were referred to one of the major teaching hospitals in Philadelphia and my wife was transferred there on a Thursday. When told she might have to wait until Monday for surgery she started to get very upset, until the intern whom she was speaking with said, "You don't want a weekend surgeon doing this!" Fortunately they were able to get her in on Friday, with a top surgeon who had no trouble doing the procedure the local one had given up on. His comment to us was, "We tend to clean up a lot of garbage from the outlying areas."
So, yes, there are vastly different levels of professionalism, depending on the circumstances.