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[[File:Totem Pole.jpg|300px|thumb|left|''A totem pole dedicated to a surgical team at University of Washington'']]
A '''totem pole''' is a sculpture carved onto a large tree typically found in the Pacific Northwest and depicts the ranking of medical personnel in a hierarchy. Though many providers refer to themselves as "low" or "lower" on the totem pole, medical students<ref>[http://gomerblog.com/2015/08/medical-students-residents/ The Difference Between Medical Students & Residents]</ref><ref>[http://gomerblog.com/2016/06/know-your-medical-student/ Know Your Medical Student: A Guide to Tell Them Apart]</ref> are still the lowest with July 1st interns<ref>[http://gomerblog.com/2016/07/charmin-expects-summer-profits/ Charmin Profits As July Interns Sh*t Themselves]</ref><ref>[http://gomerblog.com/2015/07/july-intern/ July Interns Play Crucial Role During Cardiac Arrest by Whimpering, Sucking Own Thumb]</ref><ref>[http://gomerblog.com/2015/07/july-vacation/ July Interns Forcing Nurses to Take July Vacation in Record Numbers]</ref><ref>[http://gomerblog.com/2016/07/crying-july-1st-interns-spotted/ Breaking: First Batch of Crying July 1st Interns Spotted]</ref><ref>[http://gomerblog.com/2016/07/june-vs-july-interns/ July vs. June Interns]</ref> just above them.