Finishing med school in 2014 is like yesterday in terms of longevity. At best, he would have completed a residency in 2017.

...definitely does not add up here. No way he has completed a surgical residency. Also, a surgeon would not be my first pick for a public health position - why not someone from the infectious disease specialty?

Over my 40+ years in nursing, I’ve seen more than a few surgeons who are rather cavalier about hand washing unless they are actually in the OR. I admit to being a hand washing fanatic - I just call myself Lady MacBeth.

Perhaps he didn't do well in the match (low Step scores?)

a fancy state job for him? All the rest of us have to work for years and years to get near a job like he had in Kentucky.

How is hepatitis A spread? -
Hepatitis A for Patients

The hepatitis A virus is usually spread by putting something in your mouth that is contaminated with the virus. The virus is found in the stool of people with hepatitis A and is spread when someone's stool accidentally contaminates food or water. This can happen when an infected person does not adequately wash his or her hands after using the bathroom then touches other things such as food. When other people eat that food, they can get infected with hepatitis A. Usually the transmission is between people in very close personal contact.

Foods themselves can be contaminated with hepatitis A virus, such as raw oysters harvested from sewage-contaminated water. When people eat food contaminated with hepatitis A virus, they can get infected with the virus.

is not the cause.
https://www.cdc.gov/hepatitis/outbreaks/hepatitisaoutbreaks.htm

"Background

In recent years, hepatitis A outbreaks have occurred from several different sources:

Foodborne transmission through ingestion of contaminated food
Person-to-person transmission through close contact with an infected person, most recently, among people who use drugs, people experiencing homelessness, and men who have sex with men.

In 1996, the Advisory Committee on Immunization Practices (ACIP) first made recommendations to prevent hepatitis A through immunization, focusing primarily on vaccinating people in groups shown to be at high risk for infection and children living in communities with high rates of disease. In 2006, ACIP started recommending routine hepatitis A vaccination of children nationwide. Recent outbreaks have mainly affected adults. Increased vaccination efforts targeting adults in at-risk populations can help limit the size, duration, and spread of person-to-person outbreaks.".....

is to completely fuck something up in your current job, then go on TV and tell Dear Leader how wonderful he is.

He is a partisan hack and therefore perfect for this admin.

...indicates?

A general surgery residency lasts 5 years. Maybe he washed out, or dropped out. With a graduation year of 2014, he would have just finished a 5 yr residency June 30th. Residency years run from 1 July-30 June. For whatever reason, it seems like he didn’t finish.

Makes sense