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The title is a play on surgical scrubs and a term for a low-ranking person because at the beginning of the series, most of the main characters are medical interns. The main cast for all but its last season consisted of Braff, Sarah Chalke, Donald Faison, Neil Flynn, Ken Jenkins, John C. The series featured multiple guest appearances by film actors, such as Brendan Fraser, Heather Graham, and Colin Farrell. Taylor Maddox (Courteney Cox), arrive; she quickly makes a lot of changes, affecting the way doctors treat patients. Doctors Cox, Dorian, and Turk are now Winston University medical school professors whose students occasionally rotate through the new Sacred Heart. The error became somewhat infamous and was even parodied in "My Cabbage".

The series is fast-paced, with slapstick and surreal vignettes presented mostly as the daydreams of the central character, Dr. Although season eight's "My Finale" was conceived and filmed as a series finale, the show was eventually rebooted for a ninth season, with the setting moved to a medical school, and new cast members introduced. Between the end of season eight and the beginning of season nine, the Janitor has left the hospital after being told that J. An attempt was made to fix the error in the extended title sequence used at the beginning of season two that included Neil Flynn, but the extended sequence (including corrected X-ray) was soon scrapped due to fan and network request. Kim Briggs steps into the credits and switches the X-ray around, saying, "That's backwards; it's been bugging me for years". D., he is absent from the title sequence and Lucy is the one placing the X-ray.

Starting with the ninth season, many of the original cast left as regular characters, while four new additions were made to the main cast. D." Dorian and his best friend Christopher Turk in their first year out of medical school as interns at Sacred Heart Hospital. As the season develops, money issues affect the three of them, especially Elliot, whose dad cut her off and J. Season two focuses on the romantic relationships of the main characters: Turk proposes to an indecisive Carla, who has doubts about if Turk is mature enough, Elliot dates nurse Paul Flowers (Rick Schroder), Dr. Michael Spiller directed the most episodes, 20 during the entire series run.

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