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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)

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Frank Langdon | I'm Your Man

you're an angel, i'm a dog or you're a dog and i'm your man

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Frank Langdon and the Terrible, Horrible, No Good, Very Bad Day

Groundhog Day, Mel + Langdon

All right, he thinks, let’s assess: -Today is exactly like yesterday. It’s not a prank, not payback—the patients are the same, it’s really happening. -Obviously that’s not possible. So he’s probably just dreaming. His brain is still processing the absolute fucking shitshow that was yesterday, and rather than translate it into an out of control vehicle or his teeth falling out or falling off a building like it usually does, it’s making him relive the whole goddamn thing. -So he’ll just get through it. He finishes his cigarette and goes back inside. He does everything he did before, down to stealing Louie’s benzos, putting up with Santos’ shit, doing the blind intubation on the tonsils kid, watching Mel kick ass with Terrance. He pointlessly treats Teddy the burn victim, gets thrown out by Robby, sees the look on his face, that fucking look.

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It turned out that, in Fischer’s subconscious, the world was a place where he meted out justice like a madman. It was a place where Mal, the sociopathic projection who had shot him in the chest, was a ruthless mass murderer. And where Eames, who of course Fischer only knew as someone who could blow up buildings while winning a biathlon, was a hulking brute, masked and terrible. Gotham’s reckoning. Their reckoning, for their sins.

Bane/John Blake + Arthur/Eames, available on Ao3.

(I don't know who did the stunning art in those middle two, I found them on Pinterest and I love them a lot, if anyone spots who they are, I would love even more to give credit where it's due).

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For @screwby, 13k of the unavoidable noticing of erections when snuggling for warmth. Here on Ao3.

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u guys have a speirton icon w no speirton fics on ur blog! pls can we get some love for those guys

Dear anon, this is absolutely a very ironic situation that we found ourselves in. Worry not! Because we are reviewing a speirton fic. Right. Now.

Also double as the first WIP fic we have on our blog.

Till the magpie sings again

fandom: Bands of Brother

pairing: Speirton

Explicit, 71,592+ words, Ongoing

First thing first: this fic is so underrated. With 71k+ word count, this is a long fic in the making and I'm seated, I'm subscribed, I'm reading the newest chapter the moment it drops, and I'm telling everyone to read this fic.

A post-war fic that follow Lipton home as he navigated life in his hometown. And the fic took a very serious route to his characterization, examining how the horrors of war have affected him, his personality, and his view about the world. And his regret. Regret about Ronald Spiers.

The story unfold their relationship slowly, bits and pieces, all of which tore my heart apart. The emotion is so raw. The writing is detailed, the prose delivers one painful hit at a time until you are wrecked on your bed at 2am reading Lipton going through it.

Secondly, a great cast of OCs.

I don't want to spoiler it because it's a big plot point in the fic but the arc for one of the side characters is dark and harrowing. The fic delivers plenty of the tags it has. Which meant, if you love to be hurt, this is the fic for you.

So please read this fic!!!!

Now, it is where he writes to Ron. A slew of letters that will never see the inside of an envelope, nor feel the touch of Ron’s fingers. Carwood’s hope is that it’ll do the same trick, that slowly he’ll stop thinking of him so much, so often, because he does, everyday, every night, even in his dreams, Ron is there, a shadow, a feeling, a sound. Maybe, this will help Carwood let him go. If not that, then these unsent letters will just be the proof, that once, he loved.

Long after he is gone, someone will rifle through his things, a historian, a curious relative, and they’ll find, fossilised between the war-scraped sediments of moleskin and paper, his tragedy, his confessions, his evidence that yes, yes, I loved, I loved wrong but I loved, here, the bones of my regret, my calcified heart, here, see the imprint of my love for him, a testament against time, everlasting.

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"You tell them what you always tell them. That their sons died as heroes." "You really still believe that?"

LEWIS NIXON III EP 9 Why We Fight, EP 10 Points | Band of Brothers

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Floating In A Most Peculiar Way is on Ao3! It's explicit and 27k and it features Eames in Space and Arthur as the hyper-competent Flight Director working to bring him home.

“Mr. Eames,” he said at last. “The relationship between a Flight Director and Astronaut needs to be one of mutual trust as well as mutual responsibility, but make no mistake—I am not your friend.”

Or: Ground Control To Major Tom (Hardy)

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‘Foxes Meeting at Oji’ by Utagawa Hiroshige, 1857

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nixon falls in love with dick because he's the one thing he can't just buy, and he'll come to hate that about him later because it means dick is there because he understands something about him that he refuses to understand about himself.

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That’s what we were taught in drama school.

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Centaur Watching Fish by Arnold Böcklin (1878).

I love love love Böcklin’s mythical pieces, they have this sense of realism, and often even sensitivity.

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Pedro Novoa aka Pedro Requejo Novoa (Spanish, b. 1964, Madrid, Spain) - Minotaur, 1990, Sculpture: Bronze

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Well said, Alfie. Well said.