Given enough time. Yes, your surgeon has this attitude. Any system with a grade will be gamified to hit arbitrary targets. Even if those targets do not map back to customer value. Even if the targets are out of their control. Aka red beads.

https://youtu.be/ckBfbvOXDvU

“Tell me how you will measure me, and then I will tell you how I will behave. If you measure me in an illogical way, don’t complain about illogical behavior.” – Eli Goldratt