This might have already been said but:

As much I'm loving all of The Pitt fanfiction, I've noticed a lot of people don't seem to understand how the med school and residency system works and it's annoying me. The basic order goes med student->resident->fellow->attending.

If you are a med student, you do not yet have your licence to practice medicine and have not matched to your specialty. If you are working, then you are completing a rotation, which is usually 4-12 weeks, depending on the specialty. Other healthcare disciplines (physiotherapy, occupational therapy, respiratory therapy, etc) refer to these as work placements. You do not get paid for these placements; actually, you pay to complete these placements. Whittaker and Javadi are med students.

At the end of your fourth year, in the States, you would write the United States Medical Licensing Examination(USMLE). In Canada, you write the Medical Council of Canada Qualifying Examination (MCCQE). The USMLE is completed in three steps. Steps one and two are typically written when you are a med student; step three is written at the end of your first year of residency. Provided you pass steps one and two, you are now a resident. Residents are doctors. Residency is a three to seven year training period in a specialty, e.g., emergency medicine, psychiatry, pediatrics, etc. You are matched into your specialty. Matching is, to my understanding, just the most complicated job hiring system in the world. The most important bit to know from a writers perspective is that there is a really good chance that a resident does not have a say in their specialty. A person preparing for residency will go on interviews and rank their preferred specialties and workplaces (meaning the hospital they complete their residency at), and then the hospitals and the departments decide to accept them or not. If you do not get matched, you can go through a process called SOAP, which places you with positions that did not get filled. The only way to change your specialty is to re-start the residency process from scratch. Santos is a first year resident, meaning she would have only passed the steps one and two of the USMLE that spring. This means she is most likely matched into emergency medicine. Although I learned recently that some surgery residencies have their residents complete a year of emergency medicine before starting in the OR. My personal headcanon is that Santos was soaped into emergency medicine, and that is why she was like that in the beginning. Mel and McKay are second year residents, which means they have been working as doctors for at least a year and already have emergency medicine as their specialty. They most likely would have completed all three steps to the USMLE It is mentioned in the first episode that Mel did her first year at a VA hospital which is apparently a common thing to do in the states. Mohan is a third year resident. I think this makes Robbie's comments to Mohan about switching to psychiatry really mean cause he's basically telling her to consider re-starting her residency when she's more than halfway finished. Collins, Langdon, and Garcia are fourth year or senior residents. Emergency medicine has a four year residency, so this means that they are almost done with their residencies. Surgery can have a five year or longer residency, so Garcia might still be a resident in the next season. Due to Langdon having to take most of the year away from work, he will have to re-start his fourth year.

After your residency is completed, you have the option to complete a fellowship. Not all specialties require a fellowship. These are take anywhere from 1 to 3 years. Emergency medicine does not require the completion of a fellowship, although there are a lot of options available. These are basically highly specialized training on topics in your specialty. For example, John Hopkins offers a fellowship in combat medicine for those specializing in emergency medicine.

After all of that: congratulations, you are now a doctor in attending aka an attending doctor. This means no more exams, just a re-licencing test every 5 years. You can take on residents and med students of your own to supervise, or not. No one is going to make you. You can also easily move now as you do not have to stay with the hospital you matched to for your residency. Getting a job goes back to the much more normal and not as stressful process of a job instead of the hellscape that is the residency matching program. Robbie, Abbot, Shen, Parker, and Walsh are attendings.

(Edit: Parker is a senior resident. I think I saw Parker's energy and assumed she was already an attending)

Star Trek: Deep Space Nine // S06E11: Waltz

Taliesin: *crits twice in the first 15 minutes*

Matt: "The GM will remember this"

at the fishing tournament yesterday btw there were age categories bc it was all-inclusive and we didn't want like 60 year old anglers competing against 4 years olds obviously.

so anyway this 14 year old boy entered in the 11-15 age bracket and he saw a huge fish in the water he became absolutely determined to catch. i don't think he even wanted to win anymore. he just wanted that fish specifically. but his line wasn't strong enough for such a big fish and didn't have the ideal bait.

enter: two 15 year old boys who didn't know him. they saw what he was trying to do, and they were clearly experienced anglers, and they got involved in the chase. they got the right bait and the three of them spent hours with their lines in the water, until the first boy finally hooked the fish. they talked him through the slow challenge of endurance. he couldn't reel in all at once because the fish was too heavy for his line and it'd break.

he finally reeled it in, but they didn't have a net. it took all three of them, lying on their bellies, six hands on the fish, to pull it out of the water. they put it in a big bucket of water for the weigh-in (we just subtracted the bucket+water weight after), gave their new friend careful instruction on how to handle the fish so he could pose for a hasty photo without injuring its spine, and then carefully placed the fish back in the water.

in the end, he won first place in his age bracket. one of the other boys who helped him tied for second with a 12-year-old competitor, and he gave her the trophy.

then during the drawing, where participants won prizes randomly if I pulled their name from a box, I happened to pull his name and he got a great prize so it all came around.

Idk. the teamwork. the serendipity of friendship. the graciousness. the consideration for the fish. Just some things that made me happy.

There's literally no excuse to be shitting on the devs after this. There's no excuse to be making self-aggrandizing posts about how the devs “could have made something out of” some dumbass detail or other that edgy posters like to pick on. There's no excuse to be complaining about how DATV wasn't what you wanted, and how some writer or other hated a character, or point fingers because you personally feel like your cheerios were pissed in.

There never was, but the continued confessions of the conditions they were under, EA's general behavior, and the fact that in the end we got a game that is as mechanically smooth, visually beautiful, and emotionally affecting as it is, is nothing short of a miracle, and a testament to how much they did actually deeply care. They all put an incredible amount of work into this. And then got wrung out by their workplace and “fans” alike.

Leverage: Redemption 3x10- "The Side Job"

Hear me out: Untitled Goose Game in Ankh-Morpork…

Think of all the mayhem you could create.

(I really really want so bad this game/DLC to exist. So much potential. @house_house_ call me (or, better, call the Pratchetts))

Next drawing: the Post!

it's true and you should say it.

Every summer I forget how much I fucking love spiders I’ve drunk one every day this week

I can be trusted with photo mode

most relatable character ➣ Julian Bashir
STAR TREK: DEEP SPACE NINE (1993-1999)

Sometimes a family is you, your husband, your daughter, your unborn child and your husband’s boyfriend