I didn't want to just guess this - there's enough misinformation driving this particular metaphor - but in fact I was pretty darned sure that, in addition to al

I didn't want to just guess this - there's enough misinformation driving this particular metaphor - but in fact I was pretty darned sure that, in addition to all the stuff I mentioned, every surgeon travels with the equivalent of a formal certification that he or she has passed the surgical equivalent of fizzbuzz. Thanks for the confirmation.