That's hilarious. Can't do it during office hours!

But yeah I tend to latch onto much smaller parts. So I'll probably run with the gender divide in a steam punk society where surgeon's and doctor's knowledge bases overlaps something like 80%. It's that last 20% they guard so fiercely. I think it'll start somewhere slightly funny like the protagonist is a student who realizes that doctor classes and surgeon classes aren't on the same days, so why not attend both?