Orwells purpose for making winston be so contradictory

Lauses unnecessary to the meanings of the words modified demonstrative 2. clauses necessary to the meanings of the words modified relative 3. words for which pronouns stand intensive 4. a pronoun ending in -self and referring to the previously used noun or pronoun nonrestrictive clauses 5. a pronoun ending in -self and used for emphasis restrictive clauses 6. pronouns that ask questions indefinite pronouns 7. pronouns that point out to whom or to what the speaker is referring reflexive 8. everyone, nobody, and something are examples antecedents 9. pronouns introducing adjective or noun clauses interrogative 10. i, you, him, mine, and their are examples personal pronouns

Stress generally occurs when someone? a. becomes overconfident b. disregards others c. feels overwhelmed

How do i can change this sentence : a modern physician in a small town not only is proficient in general medicine but surgery as well. to parallel structure?