The saddest part is that it is actually plausible, being that it is in Columbia, the is much less a chance of malpractice suit being filed. If it is an OR in Columbia, the chances of the patient knowing who was in the room doing what is small. In fact, american patients may always know the physician, but do they always know who the PA, surg tech, nurse, orderly, etc. was in the room at throughout the surgery? Not likely, but it is documented if there is a suit filed.
But in Columbia, who knows how that works, and what they can get away with, especially b/c its seems to be in a teaching hospital as they mention med students, and they will probably assume it is a visiting surgeon by the VIP treatment.
I dunno, it could easily be real, and if for someone who isn't going to go to medical school ever, had the interest, and had the money, I could definately see it as being enticing to many people. I mean, ER has been on this long without people interested in medicine.