What is the main conflict in Becoming a Doctor: A Journey of Initiation in Medical School by Melvin Konner?

Melvin Konner's autobiographical story Becoming a Doctor: A Journey of Initiation in Medical School was published in 1987 based on his experiences at Galen Memorial Hospital. He had just completed his two-year course of study at Flexner Medical School affiliated with the hospital. Konner was an anthropologist who earned his Ph.D. by the time he was twenty-five. Subsequently he did two years of anthropological research in Africa and taught six years as a Harvard University professor when he decided to become a medical student.