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I don't claim to be an expert, but I'm almost completely certain that they don't let you cut without going through the "surgical food chain".
Now, I'm not quite sure what you mean by this. If you mean that surgical residencies are harder and more tiring than other residencies, then this is not true. As far as being kicked out of the program, contrary to what was claimed in the opening speech of Grey's Anatomy (the TV show, not the [very good, by the way] book), they do NOT intentionally set up weed-out programs for surgical interns.
I've been told that such programs used to exist and might still show up occasionally, but they seem few and far between.
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