This feels to me like a lovely example of both high-quality systems design and information theory. From my perspective, one of the more abstractly interesting thoughts surfaced by this write-up is the degree to which you've "encoded" a highly complex set of relationships through use of metaphor.

That type of encoding (starting with the statement: you're at a teaching hospital) is profoundly more efficient than having to deeply and reliably articulate what each of the various roles your agents embody are, let alone their interactions.

Perhaps there is more room for any of us to consider what existing systems or identities are described abundantly in training sets and can be leveraged to ritualistically encode these social/civic/cultural dynamics saying: "act as though you're ___." Not exactly a new point, but one this write-up certainly is pulling me towards.

Thank you for sharing and the care you put into writing this!