It is common knowledge among doctors and patients that Do-Teihen(exclusively bottom-leveled medical school) graduates mean morons who bought their way to Gachi'Ura(currently called by themselves)

According to the experience of entrance exam to medical school in the era of Showa, when the sense of discrimination against
privately-founded medical schools were more intense than it is now,
all such schools but for Keio had been so compared to some specialized institution for educable mentally retarded kids that nobody but imbecile successors of physicians in private practice had applied for admission.

There had been NOT a single classmate who chose willingly against his/her common sense to go to the Do-Teihen(exclusively bottom-leveled medical school, currently also known as Gachi'Ura),
which would have cost outrageous money and its graduates are destined to be called Uraguchi morons who bought thier way into the Do-Teihen, by thier colleagues and even by thier own clients.

Although people won't call them names to their face,
certain 80-90% people of about my age have been yet scorning and sneering at Uraguchi graduates, speaking in the back of our mind,
" Uraguchi morons shall not behave like somebody."
We never speak out face to face in real life.