Unlike other hospitals, you get your first bankruptcy warning when your budget reaches -250000$, and hospital will be shut down when budget reaches -500000$ which means game over. If you fail, you will have to redo the wave. This means you will have to cure patients fast to prevent your expenses from overwhelming your income, to win a wave, you need to achieve objective’s cure rate. On Topless Mountain, you will be given a single set of patients at a time, called Wave, which you will have to cure before you get the next one. DNA patients have 100% chance to die if the treatment fails, so avoid those. These having the highest mortality rate regardless of qualification of your staff and the level of machines, especially DNA lab. If you plan to get this in latter hospitals you may want to close off Surgery and DNA lab. Have efficient staff by training everyone, arrange the diagnoses to work only in diagnosis rooms and the ones specialized in treatment to work only in treatment rooms. It took me 2 years to start getting it on yearly basis. Patients choice requires high reputation, high cure rate and overall high happiness of patients leaving the hospital. However you will struggle for “no death” and “patience choice”. First 5 hospitals are preferable if you want this achievement, since there are ridiculously easy awards like, “doctor of the year”, “nurse of the year” etc which you can’t miss. Awards are given each new year on January 1. The hardest award for you to get in either hospital will be “no death award”, but even this can be exploited through quick saving. It will give you hard time, but for the sake of achievement you will make higher flow of patients run through that doctor, thus developing him faster. You can also make that Surgeon work in GP.
It probably does have increased chance to get surgeons, but they most likely will have other courses learnt that will ruin this achievement, besides, running doctor’s campaign has less time to next candidate, meaning higher chance to get what you need. I don’t know whether it’s a bug or intended, but new employees with surgeon campaign won’t give you surgeons every time.
You can try using marketing, however, instead of using surgery campaign, use doctor campaign. Your best bet is to hire a doctor with at least 2-3 surgery courses learnt, preferably with fast learner and high energy traits, or at least with one of these. Now call me lucky, because I was one of very few people who was able to hire a doctor with 3 Surgery courses already learnt, the 4th slot unlocked, and only 600xp to the 5th and with good traits! Surgery patients are the longest to cure, meaning it will take a long time to develop a single doctor with all 5 slots. To earn this, you must train a doctor through all 5 Surgery courses. Hardest of the 3 of this type of achievement.
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