The book is a satirical novel that follows a group of medical interns at a prestigious hospital as they navigate the grueling and often dehumanizing realities of their first year of residency. The protagonist, Roy Basch, and his fellow interns confront the emotional and ethical challenges of patient care, often resorting to dark humor and cynicism as coping mechanisms. Through their experiences, the novel critiques the medical establishment, highlighting the intense pressures, bureaucratic inefficiencies, and moral dilemmas faced by healthcare professionals. Ultimately, it explores themes of compassion, burnout, and the struggle to maintain humanity within a demanding and impersonal system.