| Dysfunctional Healthcare System | 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | Poor Professional Standards |
| Poor Professional Standards | 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | Unfair Competition for Promotion and Managerial Positions |
| Unfair Competition for Promotion and Managerial Positions | 9 | 8 | 7 | 6 | 5 | 4 | 3 | 2 | 1 | 2 | 3 | 4 | 5 | 6 | 7 | 8 | 9 | Dysfunctional Healthcare System |