In Grey's Anatomy, interns can be counted on to assist the established doctors in performing day-to-day routines. Despite being medical-school graduates, they don't have the license to practice medicine unsupervised, so they have to report to a resident. Nevertheless, being lower in the hierarchy doesn't stops them from making a mark.
Most things about the interns appear obvious to the viewer at first glance, but plenty of minuscule details about them are sprinkled all over the ABC medical drama. There's almost always a lot more focus on the show's various dramatic stories, some of this information might get lost.
The interns normally work for 48 hours then rest for the same amount of time. This easy-to-miss detail is dropped by Bailey during the "five rules" speech in her very first address to the interns.
It qualifies to be one of the forgotten details about Grey's Anatomy's pilot and it's hard to catch because Bailey's funnier remarks at that moment stand out more. Among the hilarious parts in her "five rules" speech is the reminder not to wake her up unless a patient is dying and the advice for interns not to try hard to please her because she already hates all of them. Bailey's intimidating nature is the reason the interns don't complain when they find out how long they'll be working.
The criteria used to assign a resident to a group of interns is never explained. However, a pattern that can be observed is that interns normally get assigned to a fourth-year resident. Bailey, Lexie, Alex, and Stephanie are all assigned interns during their fourth years as residents. The only exception is Jo, who gets interns while in her fifth year.
By their fourth year, a resident is considered experienced enough to guide new faces at the hospital. They are also at a level that's advanced enough to make interns not only respect them but also emulate them. That Bailey is closer to her interns (and more valued) than the rest of the characters shows she is more suited for this kind of role than all others who it's bestowed upon.
Richard always gives the same speech to surgical interns every year. Even when he steps down as chief and becomes the director of the residency program, his word choice remains the same.
Richard is justified in recycling his remarks since his speech covers all the basic things that the interns need to know. He normally gives them a reality check, letting them know that some will crack under pressure and quit, some will be fired for silly mistakes while others will go on to join the league of the world's best doctors. It's as clear and specific as it gets. The standard speech also perfectly highlights Richard's personality as tough love is what he's all about.
Only Alex and George have failed the United States Medical Licensing Exam, also known as the "Intern Exam." Both were allowed to retake the exam and passed on their second try.
Alex and George are both among the smartest characters in Grey's Anatomy, which makes their inability to pass exams baffling. Nevertheless, making them fail is a great angle to underscore their resilience. Both are no quitters and it was always obvious that they were going to try again. Falling and rising is also a common pattern for characters in the medical drama.
All 18 seasons of the ABC medical drama have a new batch of interns except Season 7. It's confirmed through the dialogue in the season premiere that the Season 6 interns have progressed to full-time residency but no replacements are shown.
The lack of focus on interns is understandable since, in Season 7, everyone at Seattle Grace is still shaken up after one of the saddest episodes in Grey's Anatomy in which angry widower Gary Clark goes on a shooting spree at the hospital. The focal point is on recovery and with Chief Derek still recovering from gunshot wounds, there is no one to welcome the interns. As Interim Chief, Richard is busy dealing with an increased workload too.
In the real world, an intern is also a first-year internal resident. However, the show refrains from referring to interns as residents. Instead, it settles for the terms "surgical intern" and surgical resident."
The medical drama sticks to real-life rules and procedures most of the time but like every other TV offering, creative liberties are taken from time to time. Referring to interns as residents would be confusing, especially for viewers who aren't in the medical field. As things are, viewers get to easily distinguish between the novices and the experts.
In what is a major exception to the norm, the interns in Season 9 serve attendings rather than residents. Once again, there is no explanation given as to why this is the case.
As is the case during the Covid-19 outbreak and the aftermath of the hospital shooting, it should be presumed that there is a departure from the norm because of previous proceedings. Season 8 had ended with one of the best Grey's Anatomy season finales in which a plane crashed, causing the deaths of major characters.
In Season 17, the new batch of interns starts much earlier than those of previous seasons. This is due to the staff tie-up brought about by the COVID-19 pandemic.
During the pandemic, most activities in the hospital get disrupted. The fact that even residents are seen doing scut work shows how dire the situation is. It becomes necessary for interns to step up as quickly as possible. The interns can also boast over the fact that they don't get assigned any resident, simply because the hierarchy has gotten destabilized. Consequently, they focus on their job and don't channel their efforts into pleasing a master.
While discussing a new group of stubborn surgical interns, Callie mentions to Richard that she prefers psych interns because they are the smartest. Richard agrees.
Interestingly, psychiatry is the most disparaged field on the show. Since they don't perform surgeries or treat common illnesses, most doctors are shown to discriminate against psychiatrists. Richard, on the other hand, holds psychiatrists in high regard because he has relied on a few while trying to remedy his alcohol addiction.
There is a Grey's Anatomy spinoff known as Grey's Anatomy: B-Team that many fans aren't aware of. The spinoff is structured as a web series and focuses on the first day of interns introduced in Season 14's "Who Lives, Who Dies, Who Tells Your Story."
Even though Grey's Anatomy: B-Team hasn't reached many eyeballs, the warm reception by critics shows that a proper spinoff about interns could work. In 2018, the web series was nominated for an Emmy for outstanding short form comedy or drama. It was also directed by Sarah Drew, who portrays Dr. April Kepner on the original show.
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