The Pitt, Season 2

[Anonymous]

I'm a bit confused about the hierarchy in the Pitt, maybe someone can clarify?

I get the bottom of the pyramid: Joy, Javadi, and Ogilvie are student doctors, so they have to run everything by a resident or attending. And Whitaker is an intern and Santos an R2, so they have a bit more independence than the students but are still getting most things signed off on by a more senior doctor.

And the top of the pyramid is easy, as well: attendings like Robby, Al-Hashimi, and Abbott. Robby is department chief so he has a bit more power, but he's handing it off to Al-Hashimi so that's a bit in flux.

But the middle confuses me. Last season, Langdon was chief resident, and he and Collins were both R4s and considered the most senior people in the department below Robby. But Langdon can't be chief resident anymore since he's been on sabbatical, and Collins moved away.

Mohan is an R4 (so same level as Langdon and Collins last season) but she doesn't seem nearly as senior as they did. She also doesn't seem to handle many if any major trauma cases? Which is weird because that seemed like a big part of Langdon's and Collin's responsibility last season -- to take point on traumas as they came in, with Robby kind of looking over their shoulders.

Instead, it seems like McKay is basically serving as chief resident? She's been handling a lot of the traumas as they come in and is also doing a lot of the teaching with the student doctors. But she's just an R3, and should be below Mohan.

And Mel is also an R3 but doesn't seem nearly as high up as McKay, though I'm willing to accept Mel's just having a weird day because of her deposition and maybe is normally doing more stuff.

But I can't figure out the McKay/Langdon/Mohan situation. Even if you accept that Langdon's status is a bit in flux, Mohan should be chief resident, right? But she doesn't act like it at all, McKay does, but McKay is junior to Mohan.

Maybe this issue is part of why the department seems so dysfunctional and disorganized this season. There are two attendings and they are fighting, there's no chief resident, and the most senior residents on staff are not really leaders.

[Anonymous]

23:38, thanks for asking. I love the show but am never quite sure of the hierarchy.

[Anonymous]

Anonymous wrote:23:38, thanks for asking. I love the show but am never quite sure of the hierarchy.

Isn’t Mohan the one Robby suggested go into geriatric medicine?
Just because doctors have more experience doesn’t make them better doctors, particularly in ED trauma.

[Anonymous]

If the series is staying true to info we learned in season 1, then langdon and mohan would be R4s now, so the most senior after the attendings (robby, al-hashimi and abbott). Langdon was an R4 in season 1 but I believe it was said that he’s repeating due to his sabatical (or maybe I inferred that). I agree that Mohan is not treated like an R4 but nor does she act like one, maybe that is part of Robby’s frustration with her beyond her one panic attack.

then king and mckay are R3s, santos is an R2, whitacre is an intern/R1, and javadi/ogelvie/joy are M4s (med students).

[Anonymous]

Anonymous wrote:If the series is staying true to info we learned in season 1, then langdon and mohan would be R4s now, so the most senior after the attendings (robby, al-hashimi and abbott). Langdon was an R4 in season 1 but I believe it was said that he’s repeating due to his sabatical (or maybe I inferred that). I agree that Mohan is not treated like an R4 but nor does she act like one, maybe that is part of Robby’s frustration with her beyond her one panic attack.

then king and mckay are R3s, santos is an R2, whitacre is an intern/R1, and javadi/ogelvie/joy are M4s (med students).

PP who asked this question. Yes, this is all my understanding as well, including with Langdon repeating his R4 year.

But this doesn't explain who is chief resident. Last season it was Langdon but that can't be the case this season because he hasn't even been working there for 10 months.

You would assume Mohan due to seniority, but McKay based on observable dynamics. It's definitely not King.

It really seems like there might not be one, which may be another reason Robby is so burned out, because he doesn't have a "right hand man/woman" to help with the workload since Langdon and Collins left. This seems pretty dumb especially given the number of med students and Whitaker only just becoming a doctor and Mohan clearly overwhelmed.

[Anonymous]

Anonymous wrote:

Anonymous wrote:If the series is staying true to info we learned in season 1, then langdon and mohan would be R4s now, so the most senior after the attendings (robby, al-hashimi and abbott). Langdon was an R4 in season 1 but I believe it was said that he’s repeating due to his sabatical (or maybe I inferred that). I agree that Mohan is not treated like an R4 but nor does she act like one, maybe that is part of Robby’s frustration with her beyond her one panic attack.

then king and mckay are R3s, santos is an R2, whitacre is an intern/R1, and javadi/ogelvie/joy are M4s (med students).

PP who asked this question. Yes, this is all my understanding as well, including with Langdon repeating his R4 year.

But this doesn't explain who is chief resident. Last season it was Langdon but that can't be the case this season because he hasn't even been working there for 10 months.

You would assume Mohan due to seniority, but McKay based on observable dynamics. It's definitely not King.

It really seems like there might not be one, which may be another reason Robby is so burned out, because he doesn't have a "right hand man/woman" to help with the workload since Langdon and Collins left. This seems pretty dumb especially given the number of med students and Whitaker only just becoming a doctor and Mohan clearly overwhelmed.

Maybe it is someone who isn’t on in the shift we are seeing. Dr Ellis?

[Anonymous]

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Anonymous wrote:That was a scalpel Santos put in her pocket, right? I assume for general self-defense purposes?

She’s a cutter. In a previous episode her scars on her thighs were shown. I think Whittaker, her roommate, saw her take the scalpel and perhaps knows about her habit which is why he paused and talked to her after she did it.

Langdon has to catch her.

1) This would be an awful thing to do to this character. Cutting is not like a drug addiction -- it doesn't impair her ability as a doctor and she's not committing a felony in taking that scalpel (it's not great, but it's not like stealing controlled substances). There's nothing for Langdon to catch, do it would just be a massive invasion of her privacy.

2) The only place she'd do this at work would be a stall in the women's bathroom. Why would Langdon be walking in on Santos in there?

Self destructive behavior in an environment that is extremely high risk for infection. She needs help. Only fitting that he's the one to save her from herself.

This is a stretch. She's literally stealing a sterile scalpel. If she gets caught trying to use that same scalpel on a patient, sure, that would be patient endangerment.

She does in fact need help but Langdon, who has zero trust with her and harmed her with no real accountability, would be the last person in a position to do so.

We basically already saw Whitaker noticing her pocketing the scalpel and coming over to check on her (with kindness) which is the actual help she needs.

Right, but this is fiction, Langdon catching her is the better story.

It's not a good story because it doesn't make sense. How would he catch her, unless he walks into her stall in the women's restroom? Why would Langdon doing that make a good story?

I get people think it's "good story" because it feels parallel to Santos "catching" Langdon stealing drugs (though she didn't actually catch him -- she reported her suspicions to Robby and Robby is the one who "caught" Langdon when he searched his locker, something Santos correctly did not do), but because cutting is very, very different behavior from a benzos addiction or stealing hospital meds, it doesn't actually work. Even if Langdon suspected Santos of cutting and reported it to Robby, what Robby would do (correctly) is tell him to mind is own goddamn business because cutting isn't illegal, isn't a violation of hospital policy, and doesn't directly concern Santos' job or patients.

I really cannot think of a scenario where Langdon "catches" Santos that wouldn't be either totally unbelievable or cruel, or both.

You’ve reading the idea all wrong. It wouldn’t be something that Langdon would be reporting to a supervisor. It would probably be a way for Langdon to help her and for them to bond. That’s how I see how it could play out.

When has Langdon helped someone outside the scope of his employment as a doctor?

We really haven’t seen any of the characters outside of the hosptial so not sure we can say.

When Santos learned that Whitaker was homeless, she invited him to move into her apartment. That was a compassionate act outside the scope of her work. Langdon presents as “nice,” but he is not doing anything for anyone.

I'm pro-Santos in the conflict with Langdon, but I think Langdon's kindness towards Mel last season was as good of an example of a character displaying kindness as Santos' efforts towards Whitaker. Langdon took the time to check on Mel and also to let her know that she has what it takes to be a doctor and that she had valuable qualities for the Pitt specifically. That was kind.

That's why the storyline is compelling to me. Neither of these people are terrible people. They both have struggles. We've seen them both go the extra mile for their patients and colleagues. We've also seen them both at their worst.

That was his job, to mentor and educate. And he had that responsibility to Santos as well. I see Langdon as a possible narcissist. He performs empathy because he gets admiration, not because he actually feels it. Santos has a more prickly personality but she’s also more genuinely empathetic. Nobody is watching her soothe the baby. I also think it’s a stretch to give equal weight to being nice at work with opening your home to an unhoused student.

Langdon’s sad apology to Santos sealed it for me. She responded by really opening up and being vulnerable in telling him how damaging his behavior was. His response was “I almost got divorced!”

[Anonymous]

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Anonymous wrote:That was a scalpel Santos put in her pocket, right? I assume for general self-defense purposes?

She’s a cutter. In a previous episode her scars on her thighs were shown. I think Whittaker, her roommate, saw her take the scalpel and perhaps knows about her habit which is why he paused and talked to her after she did it.

Langdon has to catch her.

1) This would be an awful thing to do to this character. Cutting is not like a drug addiction -- it doesn't impair her ability as a doctor and she's not committing a felony in taking that scalpel (it's not great, but it's not like stealing controlled substances). There's nothing for Langdon to catch, do it would just be a massive invasion of her privacy.

2) The only place she'd do this at work would be a stall in the women's bathroom. Why would Langdon be walking in on Santos in there?

Self destructive behavior in an environment that is extremely high risk for infection. She needs help. Only fitting that he's the one to save her from herself.

This is a stretch. She's literally stealing a sterile scalpel. If she gets caught trying to use that same scalpel on a patient, sure, that would be patient endangerment.

She does in fact need help but Langdon, who has zero trust with her and harmed her with no real accountability, would be the last person in a position to do so.

We basically already saw Whitaker noticing her pocketing the scalpel and coming over to check on her (with kindness) which is the actual help she needs.

Right, but this is fiction, Langdon catching her is the better story.

It's not a good story because it doesn't make sense. How would he catch her, unless he walks into her stall in the women's restroom? Why would Langdon doing that make a good story?

I get people think it's "good story" because it feels parallel to Santos "catching" Langdon stealing drugs (though she didn't actually catch him -- she reported her suspicions to Robby and Robby is the one who "caught" Langdon when he searched his locker, something Santos correctly did not do), but because cutting is very, very different behavior from a benzos addiction or stealing hospital meds, it doesn't actually work. Even if Langdon suspected Santos of cutting and reported it to Robby, what Robby would do (correctly) is tell him to mind is own goddamn business because cutting isn't illegal, isn't a violation of hospital policy, and doesn't directly concern Santos' job or patients.

I really cannot think of a scenario where Langdon "catches" Santos that wouldn't be either totally unbelievable or cruel, or both.

You’ve reading the idea all wrong. It wouldn’t be something that Langdon would be reporting to a supervisor. It would probably be a way for Langdon to help her and for them to bond. That’s how I see how it could play out.

When has Langdon helped someone outside the scope of his employment as a doctor?

We really haven’t seen any of the characters outside of the hosptial so not sure we can say.

When Santos learned that Whitaker was homeless, she invited him to move into her apartment. That was a compassionate act outside the scope of her work. Langdon presents as “nice,” but he is not doing anything for anyone.

I'm pro-Santos in the conflict with Langdon, but I think Langdon's kindness towards Mel last season was as good of an example of a character displaying kindness as Santos' efforts towards Whitaker. Langdon took the time to check on Mel and also to let her know that she has what it takes to be a doctor and that she had valuable qualities for the Pitt specifically. That was kind.

That's why the storyline is compelling to me. Neither of these people are terrible people. They both have struggles. We've seen them both go the extra mile for their patients and colleagues. We've also seen them both at their worst.

That was his job, to mentor and educate. And he had that responsibility to Santos as well. I see Langdon as a possible narcissist. He performs empathy because he gets admiration, not because he actually feels it. Santos has a more prickly personality but she’s also more genuinely empathetic. Nobody is watching her soothe the baby. I also think it’s a stretch to give equal weight to being nice at work with opening your home to an unhoused student.

Langdon’s sad apology to Santos sealed it for me. She responded by really opening up and being vulnerable in telling him how damaging his behavior was. His response was “I almost got divorced!”

Clearly there are a few posters that just dislike everything about Langdon, which is their prerogative. But conversely, there are also quite a few of us who don’t like the character of Santos. The actor does a great job portraying her, I just don’t care for the character and how she’s written.

But that’s the great thing about an ensemble show. People can have their favorites and the ones they greatly dislike.

[Anonymous]

Santos is such a huffy jerk!!

[Anonymous]

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Anonymous wrote:That was a scalpel Santos put in her pocket, right? I assume for general self-defense purposes?

She’s a cutter. In a previous episode her scars on her thighs were shown. I think Whittaker, her roommate, saw her take the scalpel and perhaps knows about her habit which is why he paused and talked to her after she did it.

Langdon has to catch her.

1) This would be an awful thing to do to this character. Cutting is not like a drug addiction -- it doesn't impair her ability as a doctor and she's not committing a felony in taking that scalpel (it's not great, but it's not like stealing controlled substances). There's nothing for Langdon to catch, do it would just be a massive invasion of her privacy.

2) The only place she'd do this at work would be a stall in the women's bathroom. Why would Langdon be walking in on Santos in there?

Self destructive behavior in an environment that is extremely high risk for infection. She needs help. Only fitting that he's the one to save her from herself.

This is a stretch. She's literally stealing a sterile scalpel. If she gets caught trying to use that same scalpel on a patient, sure, that would be patient endangerment.

She does in fact need help but Langdon, who has zero trust with her and harmed her with no real accountability, would be the last person in a position to do so.

We basically already saw Whitaker noticing her pocketing the scalpel and coming over to check on her (with kindness) which is the actual help she needs.

Right, but this is fiction, Langdon catching her is the better story.

It's not a good story because it doesn't make sense. How would he catch her, unless he walks into her stall in the women's restroom? Why would Langdon doing that make a good story?

I get people think it's "good story" because it feels parallel to Santos "catching" Langdon stealing drugs (though she didn't actually catch him -- she reported her suspicions to Robby and Robby is the one who "caught" Langdon when he searched his locker, something Santos correctly did not do), but because cutting is very, very different behavior from a benzos addiction or stealing hospital meds, it doesn't actually work. Even if Langdon suspected Santos of cutting and reported it to Robby, what Robby would do (correctly) is tell him to mind is own goddamn business because cutting isn't illegal, isn't a violation of hospital policy, and doesn't directly concern Santos' job or patients.

I really cannot think of a scenario where Langdon "catches" Santos that wouldn't be either totally unbelievable or cruel, or both.

You’ve reading the idea all wrong. It wouldn’t be something that Langdon would be reporting to a supervisor. It would probably be a way for Langdon to help her and for them to bond. That’s how I see how it could play out.

When has Langdon helped someone outside the scope of his employment as a doctor?

We really haven’t seen any of the characters outside of the hosptial so not sure we can say.

When Santos learned that Whitaker was homeless, she invited him to move into her apartment. That was a compassionate act outside the scope of her work. Langdon presents as “nice,” but he is not doing anything for anyone.

I'm pro-Santos in the conflict with Langdon, but I think Langdon's kindness towards Mel last season was as good of an example of a character displaying kindness as Santos' efforts towards Whitaker. Langdon took the time to check on Mel and also to let her know that she has what it takes to be a doctor and that she had valuable qualities for the Pitt specifically. That was kind.

That's why the storyline is compelling to me. Neither of these people are terrible people. They both have struggles. We've seen them both go the extra mile for their patients and colleagues. We've also seen them both at their worst.

That was his job, to mentor and educate. And he had that responsibility to Santos as well. I see Langdon as a possible narcissist. He performs empathy because he gets admiration, not because he actually feels it. Santos has a more prickly personality but she’s also more genuinely empathetic. Nobody is watching her soothe the baby. I also think it’s a stretch to give equal weight to being nice at work with opening your home to an unhoused student.

Langdon’s sad apology to Santos sealed it for me. She responded by really opening up and being vulnerable in telling him how damaging his behavior was. His response was “I almost got divorced!”

lol. That’s a stretch.

[Anonymous]

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Anonymous wrote:That was a scalpel Santos put in her pocket, right? I assume for general self-defense purposes?

She’s a cutter. In a previous episode her scars on her thighs were shown. I think Whittaker, her roommate, saw her take the scalpel and perhaps knows about her habit which is why he paused and talked to her after she did it.

Langdon has to catch her.

1) This would be an awful thing to do to this character. Cutting is not like a drug addiction -- it doesn't impair her ability as a doctor and she's not committing a felony in taking that scalpel (it's not great, but it's not like stealing controlled substances). There's nothing for Langdon to catch, do it would just be a massive invasion of her privacy.

2) The only place she'd do this at work would be a stall in the women's bathroom. Why would Langdon be walking in on Santos in there?

Self destructive behavior in an environment that is extremely high risk for infection. She needs help. Only fitting that he's the one to save her from herself.

This is a stretch. She's literally stealing a sterile scalpel. If she gets caught trying to use that same scalpel on a patient, sure, that would be patient endangerment.

She does in fact need help but Langdon, who has zero trust with her and harmed her with no real accountability, would be the last person in a position to do so.

We basically already saw Whitaker noticing her pocketing the scalpel and coming over to check on her (with kindness) which is the actual help she needs.

Right, but this is fiction, Langdon catching her is the better story.

It's not a good story because it doesn't make sense. How would he catch her, unless he walks into her stall in the women's restroom? Why would Langdon doing that make a good story?

I get people think it's "good story" because it feels parallel to Santos "catching" Langdon stealing drugs (though she didn't actually catch him -- she reported her suspicions to Robby and Robby is the one who "caught" Langdon when he searched his locker, something Santos correctly did not do), but because cutting is very, very different behavior from a benzos addiction or stealing hospital meds, it doesn't actually work. Even if Langdon suspected Santos of cutting and reported it to Robby, what Robby would do (correctly) is tell him to mind is own goddamn business because cutting isn't illegal, isn't a violation of hospital policy, and doesn't directly concern Santos' job or patients.

I really cannot think of a scenario where Langdon "catches" Santos that wouldn't be either totally unbelievable or cruel, or both.

You’ve reading the idea all wrong. It wouldn’t be something that Langdon would be reporting to a supervisor. It would probably be a way for Langdon to help her and for them to bond. That’s how I see how it could play out.

When has Langdon helped someone outside the scope of his employment as a doctor?

We really haven’t seen any of the characters outside of the hosptial so not sure we can say.

When Santos learned that Whitaker was homeless, she invited him to move into her apartment. That was a compassionate act outside the scope of her work. Langdon presents as “nice,” but he is not doing anything for anyone.

I'm pro-Santos in the conflict with Langdon, but I think Langdon's kindness towards Mel last season was as good of an example of a character displaying kindness as Santos' efforts towards Whitaker. Langdon took the time to check on Mel and also to let her know that she has what it takes to be a doctor and that she had valuable qualities for the Pitt specifically. That was kind.

That's why the storyline is compelling to me. Neither of these people are terrible people. They both have struggles. We've seen them both go the extra mile for their patients and colleagues. We've also seen them both at their worst.

That was his job, to mentor and educate. And he had that responsibility to Santos as well. I see Langdon as a possible narcissist. He performs empathy because he gets admiration, not because he actually feels it. Santos has a more prickly personality but she’s also more genuinely empathetic. Nobody is watching her soothe the baby. I also think it’s a stretch to give equal weight to being nice at work with opening your home to an unhoused student.

Langdon’s sad apology to Santos sealed it for me. She responded by really opening up and being vulnerable in telling him how damaging his behavior was. His response was “I almost got divorced!”

Clearly there are a few posters that just dislike everything about Langdon, which is their prerogative. But conversely, there are also quite a few of us who don’t like the character of Santos. The actor does a great job portraying her, I just don’t care for the character and how she’s written.

But that’s the great thing about an ensemble show. People can have their favorites and the ones they greatly dislike.

I don’t like either of them. Langdon because he really isn’t taking accountability and got off way too easy. Santos because her character is written as very u likeable (or she’s playing it that way).

I’m not the Langdon hater poster but I do think he’s entitled, self centered, and taking advantage of the situation.

[Anonymous]

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Anonymous wrote:That was a scalpel Santos put in her pocket, right? I assume for general self-defense purposes?

She’s a cutter. In a previous episode her scars on her thighs were shown. I think Whittaker, her roommate, saw her take the scalpel and perhaps knows about her habit which is why he paused and talked to her after she did it.

Langdon has to catch her.

1) This would be an awful thing to do to this character. Cutting is not like a drug addiction -- it doesn't impair her ability as a doctor and she's not committing a felony in taking that scalpel (it's not great, but it's not like stealing controlled substances). There's nothing for Langdon to catch, do it would just be a massive invasion of her privacy.

2) The only place she'd do this at work would be a stall in the women's bathroom. Why would Langdon be walking in on Santos in there?

Self destructive behavior in an environment that is extremely high risk for infection. She needs help. Only fitting that he's the one to save her from herself.

This is a stretch. She's literally stealing a sterile scalpel. If she gets caught trying to use that same scalpel on a patient, sure, that would be patient endangerment.

She does in fact need help but Langdon, who has zero trust with her and harmed her with no real accountability, would be the last person in a position to do so.

We basically already saw Whitaker noticing her pocketing the scalpel and coming over to check on her (with kindness) which is the actual help she needs.

Right, but this is fiction, Langdon catching her is the better story.

It's not a good story because it doesn't make sense. How would he catch her, unless he walks into her stall in the women's restroom? Why would Langdon doing that make a good story?

I get people think it's "good story" because it feels parallel to Santos "catching" Langdon stealing drugs (though she didn't actually catch him -- she reported her suspicions to Robby and Robby is the one who "caught" Langdon when he searched his locker, something Santos correctly did not do), but because cutting is very, very different behavior from a benzos addiction or stealing hospital meds, it doesn't actually work. Even if Langdon suspected Santos of cutting and reported it to Robby, what Robby would do (correctly) is tell him to mind is own goddamn business because cutting isn't illegal, isn't a violation of hospital policy, and doesn't directly concern Santos' job or patients.

I really cannot think of a scenario where Langdon "catches" Santos that wouldn't be either totally unbelievable or cruel, or both.

You’ve reading the idea all wrong. It wouldn’t be something that Langdon would be reporting to a supervisor. It would probably be a way for Langdon to help her and for them to bond. That’s how I see how it could play out.

When has Langdon helped someone outside the scope of his employment as a doctor?

We really haven’t seen any of the characters outside of the hosptial so not sure we can say.

When Santos learned that Whitaker was homeless, she invited him to move into her apartment. That was a compassionate act outside the scope of her work. Langdon presents as “nice,” but he is not doing anything for anyone.

I'm pro-Santos in the conflict with Langdon, but I think Langdon's kindness towards Mel last season was as good of an example of a character displaying kindness as Santos' efforts towards Whitaker. Langdon took the time to check on Mel and also to let her know that she has what it takes to be a doctor and that she had valuable qualities for the Pitt specifically. That was kind.

That's why the storyline is compelling to me. Neither of these people are terrible people. They both have struggles. We've seen them both go the extra mile for their patients and colleagues. We've also seen them both at their worst.

That was his job, to mentor and educate. And he had that responsibility to Santos as well. I see Langdon as a possible narcissist. He performs empathy because he gets admiration, not because he actually feels it. Santos has a more prickly personality but she’s also more genuinely empathetic. Nobody is watching her soothe the baby. I also think it’s a stretch to give equal weight to being nice at work with opening your home to an unhoused student.

Langdon’s sad apology to Santos sealed it for me. She responded by really opening up and being vulnerable in telling him how damaging his behavior was. His response was “I almost got divorced!”

Clearly there are a few posters that just dislike everything about Langdon, which is their prerogative. But conversely, there are also quite a few of us who don’t like the character of Santos. The actor does a great job portraying her, I just don’t care for the character and how she’s written.

But that’s the great thing about an ensemble show. People can have their favorites and the ones they greatly dislike.

I don’t like either of them. Langdon because he really isn’t taking accountability and got off way too easy. Santos because her character is written as very u likeable (or she’s playing it that way).

I’m not the Langdon hater poster but I do think he’s entitled, self centered, and taking advantage of the situation.

Meanwhile I like both of them! I identify more with Santos and share things in common with her, so I feel like I understand her situation well. But I don't think Langdon is a terrible person. I do think they are both flawed. I think their situation is somewhat tragic because I believe under different, ideal circumstances, they could be a good support system for each other. But they met each other at the wrong moment in time.

What's funny is that even though I like both characters, I often agree with the criticism of them. Santos can be really abrasive. I also think Langdon exhibits some pretty classic traits of an addict and that can be hard and frustrating to watch. But I also think both actors (and the writers) have done a good job of showing the vulnerable human underneath these qualities, which makes me root for them. I never understand the totally harsh assessments of either character. If I hated any of the main characters on the show as much as some people hate one of these two, I probably just wouldn't watch the show.

[Anonymous]

Anonymous wrote:I'm a bit confused about the hierarchy in the Pitt, maybe someone can clarify?

I get the bottom of the pyramid: Joy, Javadi, and Ogilvie are student doctors, so they have to run everything by a resident or attending. And Whitaker is an intern and Santos an R2, so they have a bit more independence than the students but are still getting most things signed off on by a more senior doctor.

And the top of the pyramid is easy, as well: attendings like Robby, Al-Hashimi, and Abbott. Robby is department chief so he has a bit more power, but he's handing it off to Al-Hashimi so that's a bit in flux.

But the middle confuses me. Last season, Langdon was chief resident, and he and Collins were both R4s and considered the most senior people in the department below Robby. But Langdon can't be chief resident anymore since he's been on sabbatical, and Collins moved away.

Mohan is an R4 (so same level as Langdon and Collins last season) but she doesn't seem nearly as senior as they did. She also doesn't seem to handle many if any major trauma cases? Which is weird because that seemed like a big part of Langdon's and Collin's responsibility last season -- to take point on traumas as they came in, with Robby kind of looking over their shoulders.

Instead, it seems like McKay is basically serving as chief resident? She's been handling a lot of the traumas as they come in and is also doing a lot of the teaching with the student doctors. But she's just an R3, and should be below Mohan.

And Mel is also an R3 but doesn't seem nearly as high up as McKay, though I'm willing to accept Mel's just having a weird day because of her deposition and maybe is normally doing more stuff.

But I can't figure out the McKay/Langdon/Mohan situation. Even if you accept that Langdon's status is a bit in flux, Mohan should be chief resident, right? But she doesn't act like it at all, McKay does, but McKay is junior to Mohan.

Maybe this issue is part of why the department seems so dysfunctional and disorganized this season. There are two attendings and they are fighting, there's no chief resident, and the most senior residents on staff are not really leaders.

Someone explained this to me in the first season thread....this obviously isn't updated but hopefully it helps. It's confusing to me too.

They addressed levels in the first episode. Whitaker and Javadi are both still med students. They are doing their clinical clerkship rotations -- you rotate through several specialties to get practical experience and develop soft skills that cannot be learned in school. Javadi is a 3rd year and Whitaker is a 4th year. Santos is an intern, which means she's graduated med school (and thus a doctor) but she still has medical boards to take before she becomes a resident.

King and McKay are both 2nd year residents, but McKay started her residency at the Pitt whereas King transferred there from another hospital (a VA hospital). So King is more experienced than Whitaker/Javadi/Santos, but is new to the hospital so she is learning the ropes with them to some degree.

Mohan is a 3rd year resident, and you can really see how she's sort of a bridge between the newer doctors/med students and the more senior staff.

Collins and Langdon are senior residents, according to the show. This would generally make them 4th year residents in an emergency medicine program. This seems a bit odd to me because Collins reads as older and more experienced to me. Perhaps she did another residency prior to the ER?

And then Robby is an attending, and appears to be a very well established one. I feel like normally there would be at least one other attending in an ER this busy, but maybe I'm wrong. There's also Garcia, the surgeon, but she's clearly a resident, not an attending, or she wouldn't be stuck down in the ER all the time screening cases for surgical. Whereas Javadi's mom is clearly a surgical attending.

[Anonymous]

I can’t wait for this week’s episode! Fireworks between Dana and Robbie!

[Anonymous]

Here’s the hierarchy:

Here’s the full hierarchy updated for Season 2:

Attending Physician
Dr. Michael “Robby” Robinavitch (Noah Wyle) — on his way out for a sabbatical
Dr. Baran Al-Hashimi (Sepideh Moafi) — incoming attending, Robby’s replacement

Senior Residents
Dr. Frank Langdon (Patrick Ball) — returning from rehab, first day back
Dr. Samira Mohan (Supriya Ganesh) — promoted to 4th-year resident

Third-Year Residents
Dr. Cassie McKay (Fiona Dourif) — promoted from 2nd year
Dr. Melissa “Mel” King (Taylor Dearden) — promoted from 2nd year

Intern (First-Year Resident)
Dr. Trinity Santos (Isa Briones) — now a full intern
Dr. Dennis Whitaker (Gerran Howell) — finally getting paid

Sub-Intern
Victoria Javadi (Shabana Azeez) — doing a sub-internship, stalling on committing to a specialty

Medical Students
Joy Kwon (Irene Choi) — 3rd-year med student, detached but quietly brilliant, wants pathology
James Ogilvie (Lucas Iverson) — 4th-year med student, arrogant “gunner” who gets humbled hard over the course of the season

Charge Nurse
Dana Evans (Katherine LaNasa) — runs day-to-day ER operations, parallel power structure to the doctors​​​​​​​​​​​​​​​​