Episode 2 Attentive and Dedicated

George: Dr. Shepherd!

(Derek stops and turns to meet him)

Derek (chewing): Dr. O'Malley.

George: I was just in the ICU with harvest donor and ah Dr. Bailey, she has us do exams and procedures
on patients even if they're

Derek (interrupts): Whatch you find?

George: Ah, she's decerebrate. The donor, her brainstem is still alive.

(Cut to Derek and George walking quickly down the O.R hallway. They come up to the transplant team
with the donor)

Derek: Excuse me, Derek Shepherd. Head of Neurosurgery. Do you mind if I take a look?

(He starts checking the patient)

Dr. Orsen (looks like he can't believe this is happening): Ah, okay, yeah she's ah still fostering. We have
every intention of waiting until she's d*ad. She's in an irreversible coma.

(Derek pushes on the patient's sternum who reflex's up again)

Dr. Orsen: Hines, the neuro at Wilkeson ran the protocol.

Derek: They missed decerebration. What else did they miss? (He grabs the donor's chart and flips
through it) She has a tumor, ah on her brain stem right? I don't see the M.R.I. Did you do an EEG to
confirm brain d*ad?

(Dr. Orsen shrugs his shoulder annoyed that this is even happening)

Dr. Orsen: Yeah, according to Hines.

Derek: I don't know a Dr. Hines.

Dr. Orsen: We have 6 patients in 3 states waiting for this woman's organs.

Derek: Yeah and I'm sure they'll all be happy to know that the organs that they'll be receiving are from
somebody that's actually brain d*ad.

(Burke walks out of the Seibert's O.R and notices the heated battle between the 2 doctors and makes his
way over)

Dr. Orsen: No one's going to touch her while she's alive. For you to imply otherwise
Burke (interrupts): Is there a problem here? Dr. Orsen? Dr. Shepherd?

Derek: Yeah we have a donor who's still decerebrate.

Derek: I want to do an EEG and a M.R.I.

Dr. Orsen: An expensive waste of time.

(Burke flips through the donor's chart)

Derek: I insist on it.

Episode 2 features a scene from 30:26-31:29 that shows George's attention to details regarding the
condition of an organ donor patient. He went out of his way to look for Dr. Shepard the head of the
Neurosurgery department to inform him of his findings that the patient was not clinically brain dead.
Both George and Dr. Derek showed their dedication to their work by ensuring that the criteria for
organ donation were strictly observed. Attention and Dedication are codes relevant to Clinical
Competence and Professional Skills.
The practice of Medicine is detail-oriented. Observation and attentiveness are skills needed to be a
competent physician. Doctors when presented with a complicated case must pay attention to details
and adhere to accepted guidelines to avoid mistakes in the assessment and treatment of patients.
Effective health professionals are meticulous and focused in their work to ensure the safety of their
patients.

Episode 6 = 1.1 Struggles with Genuineness

Izzie: Hey.

Alex: Thought you weren't talking to me.

Izzie: Thought you could use a friend, so I'm rising above.

Alex: Why would you think that?

Izzie: Um, because you freaked out in the elevator.

Alex: I didn't freak out.

Izzie: And missed your chance to perform open-heart surgery.

Alex: O'Malley plugged the hole with his finger.

Izzie (sighs): I thought you could use someone to talk to.

Alex: Well, I don't.

Izzie: To someone who actually cares ...

Alex (interrupts): Yes, I get that, but don't ...

Episode 6 showed a scene from (03:19 to 03:33) wherein Alex tries to hide his feelings and reactions
about an open-heart surgery to Izzie. This scene features Alex’s struggle with genuineness when
presented with a complex case which is a code relevant to the theme of Personality and Emotional
Traits.

Medical training is challenging for medical students and interns which may cause emotional stress,
especially when presented with complicated cases or situations. To deal with intense emotions such as
embarrassment, anger, tension, and anxiety, doctors become emotionally detached. Showing genuine
emotions can be construed as a weakness, especially in a highly competitive profession.

Episode 9 = 1.2 Attentiveness and Dedication

(Holden is lying unconscious in a patient room. Derek is standing on one side of the bed checking his
eyes with a small flashlight. Meredith is standing on the other side of the bed watching)

Derek: There's no sustained visual pursuit. You might have just seen him respond to some sort of
external stimuli. He wasn't looking at you. I'm sorry.

Meredith (leans in close over Holden): And I was sure he was. (Suddenly Holden's eyes dart towards
Meredith) Look he just did it again.

Derek: Mr. McKee can you follow the light?

(He holds the flashlight above Holden's eyes moving it back and forth. Holden's eyes don't move)

Derek: Can you hold up two fingers?

(No movement again. Derek gives a look as to say see?)

Meredith (looking at Derek): Well okay I know you're late for something ...

(Derek notices Holden's eyes move towards Meredith)

Derek (looking at Holden): Keep talking.

Meredith: What?

Derek (he gestures to his side): Walk over here.

Meredith: What?

Derek: Just keep walking. Talk.

Meredith (walks over to the other side): Holden. Holden. Holden, can you hear me? Holden.

(Holden's eyes move to where Meredith is standing)

Derek (amazed): It's you. He's tracking you. He's following your voice.

A scene in Episode 9 from 10:40 to 11:28 features a code of Attentive and Dedication relevant to
Clinical Competence and Professional skills. In this scene, Meredith is shown to observe carefully a
patient who Dr. Derek thinks is unresponsive. Meredith did not give in to the pressure of his superior
and stood by her findings until she was proven correct in her assessment of the patient.

Medicine is a highly detailed profession and attentiveness is a skill a doctor must acquire to become
competent. Doctors must pay attention to patient details from taking the history of patients' illnesses
and prescribing medicines to ensure the safety of patients. Attention to small details can make a huge
difference in saving lives.

Episode 10= 1.2 Rapid Assessment

(Mr. Martin's room, Alex is still trying to jam the door open. Olivia comes running back in)

Olivia: The water's off. We'll just have to wait until he sobers up.

Alex: His sodium levels will drop too low.

(Alex starts slamming his body against the door to open it. He slams it open. Alex and Olivia move to go
in and stop when they see Mr. Martin drinking water from the toilet bowl. He looks up and sees them.
Alex and Olivia give each other glances. Mr. Martin starts to shove more water into his mouth. Alex and
Olivia both move to Mr. Martin and drag him back to his bed)
Robert: No! No! Leave me alone! Let me go back. I need the water! I need it!

Alex: Martin, we're trying to help.

Robert: I don't want your help. (Alex pins him down onto the bed as Olivia races around and places
restraints on him) I don't want people to look at me. I'm pathetic. Stop looking at me! Stop looking at
me!

Alex: Give him a 3% hypertonic solution. (Olivia nods) 500ccs per hour over the next 4 hours. We need to
stabilize him.

A scene in Episode 10 from 30:04 to 30:51 demonstrated how rapid assessment can help save a life.
Sodium levels are critical for the well-being of a person and has to be maintained in the normal level
to prevent complications. Alex exhibited rapid assessment skills when he broke down the door to see
what Marin was doing. Upon seeing Martin drinking water from the toilet bowl, he knew that the
excess water intake would dilute the sodium levels in the blood so he ordered right away for Olivia to
give the 3% hypertonic saline solution in order to correct of sodium levels of the patient. The theme
exhibited in this scene is Clinical Competence and Professional skills while the code relevant to this
theme is rapid assessment

Rapid Assessment is a skill that needs to be developed for all doctors. In critical situations like a fall in
sodium levels below normal, rapid assessment leads to rapid decision-making to counteract the
consequences of an abnormally low sodium level. Life-saving decisions are made as quickly as
possible, especially in emergency cases. Rapid assessment results in rapid treatment and
consequently, rapid life-saving measures.

Episode 11 Sacrifice and Selflessness

Meredith’s Voice over: As surgeons, we ignore our own needs so we can meet our patients' needs.
(Izzie watches as they all leave the room)
(Meredith is lying in bed by herself awake)

Meredith’s Voice over: We ignore our friends and families so we can save other people's friends and
families.

(George is lying awake in bed by himself)

Meredith’s Voice over: Which means that at the end of the day all we really have is ourselves.

(Izzie is resting her head in the babies room looking sad)

Meredith’s Voice over: And nothing in this world can make you feel more alone than that.

Episode 11 from 2:26 to 2:47 features the voice of Meredith Grey airing her sentiments on the
sacrifices made by doctors. She stated that being a doctor can be lonely. This illustrates the theme of
Clinical Competence and Professional Skills and the code relevant is Meredith’s Sacrifices and
Selflessness.

Being a doctor entails multiple sacrifices not only in studying the different subjects in medschool. The
greater challenge is in the sacrificing of personal time in the service of the patients. Meals are eaten
at irregular hours because attending to patients will always be a priority. Sleep is deprived when you
go on night duty, more so if there is a patient who needs constant monitoring. Being a Health
Professional not only means observing the right conduct and decorum when facing patients and
working with colleagues. It also includes sacrifices of personal time, like attending family gatherings or
time out with friends, so as to be able to give more time in the assessment and treatment of patients.

Episode 13 Attentiveness and Dedication

Richard: Karev? (He walks up to Alex) What are you doing?

Alex: Research on the bezoar patient.

Richard: I told you I needed you on the floor.

Alex: He has a fever, sweats, tingling in his lips, fingers, and toes, mood swings, and a lack of
coordination. And did I mention the crazy talk?

Richard: Your point?

Alex: My point is, that he ate his novel.

Richard: I know.

Alex: Mercury's in the paper. He's got mercury poisoning.

(Richard looks a little surprised)

In episode 13 from 32:25 to 32:44, Alex displayed his attentiveness and dedication to the welfare of a
patient by researching in the components of paper. He did not dismiss the bizarre behavior of the
patient in his eating the novel. He checked on the patient’s condition and looked into the possible
adverse effects of eating paper. With his research, he was able to find a correlation between the
patient’s symptoms and the life-threatening effects of mercury poisoning. The theme exhibited from
this scene is Clinical Competence and Professional skills while the code relevant to this theme is
Attentiveness and Dedication.

In the training of doctors, one crucial trait to be developed is attentiveness to the circumstances
surrounding the signs and symptoms seen in a patient. This trait must be developed further into a
sense of dedication towards the profession wherein the welfare of a patient is of the utmost priority.

Episode 16 Attentiveness and Dedicatio

(A middle aged man looking fairly stressed out and kinda dressed like a w*r veteran walks up to the
group)

Paul: How's James doing?

Mindy: Oh he's bleeding all over the place. That's how he's doing! (She yells) The girl of the ambulance
put her hand inside of him! That's how he's doing!

Paul: What are you yelling at me for?

Mindy: Because! Because you and James are like idiots! Playing like 8-year olds!

(Alex tries to interrupt)

Paul: Ok we don't play. We re-enact.

Mindy: You play! You put on your costumes and build your stupid toys and you play!

Paul: We re-enact.

Mindy: Nobody re-enacts World w*r II. You moron!

(Alex walks up to Paul)

Alex: Exactly what happened?

Mindy: You wanna know what happened? What happened is my husband and his moron best-friend...

Paul (interrupts): Can you stop calling me a moron?

Mindy: Moron best-friend! Decided to build some kind of big g*n.

Paul: Yeah an exact replica of the finest allied anti-t*nk w*apon of World w*r II. The M9A1 bazooka.

Mindy: So they put on their stupid costumes and they go out into the backyard and they try to sh**t the
thing!

(Alex looks a little confused)

Paul: I'm the g*n. James is the loader. Ok we follow the specifications exactly. (Alex nods) You should see
it. It's a 60 millimeter. One and a half pound rocket. It's a beauty.

Mindy (angry): It didn't work. So like an idiot my husband has to go and stand in front of his big g*n to
see what went wrong! That's when the stupid toy starts working!

(Alex starts looking concerned)

Paul: Stop calling it a toy.

Mindy: It's taken up half my garage. I'll call it whatever I want!

Alex: Whoa, whoa, whoa, whoa. Whoa, he sh*t himself with a bazooka?

Mindy: Yeah!

Alex (turns horrified to Paul): He sh*t himself with a bazooka?

(Paul nods)

Mindy: Like I said, morons! The pair of them!

Alex: Was there an expl*si*n?

Paul: Huh?
Alex (insistent): Was there an expl*si*n?

Paul: No. Why?

(Alex looks beyond horrified)

Paul (horror-struck): Oh crap.

(Alex runs out of the ward sprinting

In episode 16 from 17:02 to 18:45 showed a scene, what seems like a quarrel between a wife and her
husband plus her husband’s friend is actually a life-and-death situation. The homemade bazooka shot
a rocket into the husband but did not explode. Quick thinking and attentive, Alex grasped right away
the urgency wherein the rocket can still explode anytime and kill James and possibly injure more
people too. He ran out quickly to inform the surgeon who would operate. This showed his dedication
towards saving a life even if meant endangering himself in the process. The theme showcased in this
scene is Clinical Competence and Professional Skills.

Even in unguarded or seemingly funny situations, doctors must be attentive to details of the
circumstances surrounding a patient’s condition. This often leads to the detection of things
disregarded or dismissed by others but are actually very important in the treatment of the patient.
Dedication must be inherent in a doctor especially in crucial situations since the doctor is considered
the captain of the ship and he must be willing to sacrifice himself for the welfare of the medical team
and most especially for the patient.