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It probably means that Callie is his youngest daughter and Aria is older and already married. With Callie being still single at the time, he still considers her his only little girl.
Hiearchy in a hospital is determined by the residency year, or PGY (post-graduate year).
During seasons 1-3, Bailey was a 4th-year general surgery resident (PGY-4) and her interns, Grey, Yang, O'Malley, Stevens, and Karev were first-year general surgery residents/interns (PGY-1). When the interns became 2nd-year residents, Bailey because a 5th-year resident. In general surgery, the 5th to 7th years are considered senior resident status, enabling those residents eligibility to a general surgery sub-specializiation/fellowship.
Even though by 4th and 5th seasons, Bailey's original interns were residents, they were not of the same "position"; Bailey is still an upper-level that outranks the other lower-level residents. Her position as Chief Resident allows her to outrank even 5th-year residents.
Hopefully, this answers your question!
Mcdreamteam, you'll figure out what type of surgical residency you want when you being clinical rounds in your third and fourth year of med school. The important thing is to score as high as you can in your second year of med school for your Steps-1 exam. That determines your residency, and if you score low, it lowers your options of what surg residencies you want. Currently, the RRC has approved these surg residencies:- general surgery- neurosurgery- OB/GYN- ophthalmology- ortho - ENT- plastics (2 methods)- urology
Most of the subspecialties like peds surg, CT, trauma, and surg onc are fellowship-programs after GS, even plastics is a fellowship post-GS if you don't elect the PS-residency method.
There are a lot of options, but when that second year of med school comes, aim high so you can get your pick of the bunch.
I think it would be an interesting approach if Sydney is made the Chief Resident. The gang would be in their third-year of residency and wouldn't need that much interaction with Heron accept for surgical-assignments, which can be done off-screen.
Sydney is an interesting character. She's a very competent and capable general surgeon, but she's also sort of Bailey's polar opposite.
It'd be cool to see Torres and Bailey in the navy blue scrubs. They deserve it. But if Bailey is promoted to an attending, she can no longer be Chief Resident. A General Surgery residency lasts between five to seven years, so there is no automatic promotion to attending after the fifth year, so to get a new Chief Resident, maybe Syndey will be in her 6th year of GS-residency and succeed Bailey as the new Chief Resident. Otherwise, they would have to introduce a new 5th year resident and make them Chief Resident.
Well time works differently in GA. In the season 5 premiere, the Chief stated that the 2nd-year residents were already halfway through their 2nd year. So perhaps season 5 finale was on the cusp of July which would satisfy the completion of the residents' 2nd year and Bailey and Torres' 5th year and thus elevating them to attending-level.
I was just stating that the show does its best to stay true to the medicine as possible, but realistically speaking, Addison's profession is impossible to have at her age.
But it is a show, so they do take creative licenses: Addison is a prime example of that.
The thing is, realistically speaking, the gang can only go into the following specialities from general surgery:- plastic surgery- cardiothoracic surgery- pediatric surgery- surgical oncology- trauma surgery
From a real-world standpoint, those specialties above are sub-specialties of general surgery that are offered as fellowships post-residency.
Neurosurgery and Othropedic Surgery are not fellowship-programs, they are their own residencies so Mer can't really go into neuro unless she wants to start residency all over again as a neuro surg resident.
According to the new abc.com beta, the character bios for Bailey and Torres have their positions as attendings, so I'm thinking the season 6 premiere is fast-tracked to around or after July since the Chief said that July was when Bailey's GS-residency ends and when she would be promoted to a GS-attending.
Also, since an Ortho-residency is also 5 years long, Callie may have been promoted to attending as well since it would seem that there were in the same class-year but different residencies (GS for Bailey and Ortho Surg for Torres).