PJ Tatler, initially cautious as I was, now seems to believe the latter as the story progresses, and is naming names.
Hard as it is to believe the right wing could pull off such an elaborate hoax it's also hard to believe faculty mentors of a residency program would do something like this.
PJ Tatler has contacted the chair of Family Medicine and awaits a response. I'll be watching for that.
Health Care Renewal weighs in here with an interesting take: It's the face of post modern medicine.