Ace

The pilot wasn't at the settlement hearing because, as an employee of the airline, he's handled differently that the passengers; most likely he's under investigation too as he was the pilot.

Ace

@uklass

And my theory is that Kepner won't be a GS-attending; it's far more likely that she'll be a trauma surgical fellow working in Hunt's department.

Ace

@uklass

In the real world, board certs, although voluntary, are essential to be hired at top-tier hospitals and medical centers. There is a certain suspension of disbelief when it comes with GA. It's the same thing when the Chief allowed George to re-take the intern exam.

Kepner was planning on re-taking the boards because her contract wasn't renewing. It was only after she got back to Iowa, three months later, that Hunt offered her a job. She'll most likely take the boards again off-screen come next year so she can be board-certified.

Plus, ABS is public record. You can look up if your doctor is board-certified, and generally, you'd have to question why an attending surgeon/physician isn't and you'll most likely not choose them to treat you.

Ace

@sookie00

Originally neurosurgery was Kepner's focus, but ever since her trauma certification (when Hunt was awarded the $1 mil surplus), Hunt took her under his wing and was training her to be a trauma surgeon.

It's most likely that she's a trauma surg fellow since Hunt is the Chief, and trauma surg is still his department, so he probably created a fellowship position for April.

Ace

@sookie00

Technically they're all general surgery attendings, in terms of authority, because they finished their general surgery residencies. They don't hold the title of attending in their respective specialities, with the exception of Meredith and Bailey, because they all declared specialities outside of GS. Karev with peds, Avery with plastics, Yang with cardio, and now Kepner with trauma: they're surgical fellows.

Ace

@uklass

Just like Hopkins created a fellowship position for Alex, Hunt, as Chief, could create a trauma surg fellowship as well, especially since trauma is still his department.

Regarding Alex, the job was created for him specifically. If he didn't take it, the peds fellowship program at Hopkins would have been just the fellows they initially hired.

Ace

@uklass

Certification by the ABS is voluntary. Most surgeons who want to work at reputable hospitals as attendings or fellows get board certification in their residencies because reputable hospitals tend to use that as a prerequisite.

It's up to the hospital's discretion whether or not they hire an attending or fellow without a board-cert. Doesn't mean they're 'unqualified' per se; you can still practice medicine and/or surgery without one, but it's difficult to get a position without it.

Ace

Navy scrubs doesn't mean attending status per se; yes all the former residents do hold general surgery attending status in terms of hierarchy, but due to them being fellows, they don't have the title of attendings in their respective specialties, with the exception of Mer as she's chosen general surgery. Yang, Karev, Avery, are all surgical fellows in cardio, peds, and plastics, respectively.

April on the other hand, is a toss-up. Yes, she's wearing navy scrubs, but she either became a general surgery attending, which is unlikely, or Hunt created a trauma surgical fellowship for her.

Ace

So far hers' the count: Nancy, OB; Amy, Neurosurgeon; Kathleen, psychiatrist.

Will the show reveal the 4th sister-doctor?

Ace

@Frida

I think it's because magic works a bit differently. The portal might have just been opened to allow Jefferson entry at another point in Storybrooke or back at the house. According to Jefferson, Emma had to "believe" for the magic to work, and perhaps in that second, she did allowing the at to create the portal and allow Jefferson to pass through, even if it was for an instant.

The other possibility is that the portal to the Enchanted Forest was opened and Jefferson passed through, but because of the curse still being activity, Jefferson was ripped away again to continue his cursed life in Storybrooke.