As with much fiction, the authors/producers are asking you to suspend your disbelief so they can explore certain topics and that often means going to extremes. So while Jason's character was often a jerk, it was to point out how far some people might go and to explore such situations.
Also, I find myself wondering if Jason's character was written that way for another purpose. Sometimes people just don't know how to deal with intimate situations and those seemed to be the times when Jason was most insensitive: the pelvic exam for example. And so, he was trying to hurry through it to get the experience over as soon as possible and so was brusk and fumbling before long. In the case of the pelvic exam, I think he discovered just how bad the tumor was or had become--remember his exclamation of "Jesus!" and he wouldn't explain it to either Vivian or Susie and he rushed off right away? That sounds like he found out more than he had been expecting and needed to consult with Kelekian or get direction from him--anything to get away from facing the patient with more stark and dreaded news. In that, he was having a very human reaction to a fearful situation.
And further, at a couple different points, he talked about wanting to go into pure research, away from dealing with people: reading between the lines, he was not nor cared to be "a people person." So, he was not investing any more time or energy into people and clinical situations than he was required to--which is, while he was in clinical situation, equivalent to being a jerk, by any definition.
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