While the show has entertaining moments here and there, most of it falls flat; the main conflict in the show between Saeki and Tokai could have been sorted out easily with a conversation.
There are characters who barely have any development or backstory despite them being important to the plot, Nekota and Nishizaki are prime examples of this: Nekota clearly has some sort of friendship with Tokai and behaves very similarly to him, but none of that's ever explored, making her feel like a pointless background character, and Nishizaki also plays a huge role as he's competing with Saeki for impact factor, but again, his backstory and deeper motivations are never explored.
And finally as someone who works in the medical field, the way doctors and medicine are portrayed in this show is just ridiculous. They're portrayed to be either godlike such as Saeki and Tokai, or just plain incompetent such as every other doctor in the show. Most of these people would be barred from working as doctors due to their sheer incompetence, and Saeki would be in prison as leaving forceps inside a patient counts as serious malpractice, and the wound that the patient had could have been treated normally by a real world doctor, and is not something that's impossible to treat without malpractice.
It's painfully clear that the writers of this show put in no effort in the story, the character development, and the portrayal of doctors and the medicine system was just straight up awful.
