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Although it is unknown when Tom became a doctor or how much experience he had accrued, Tom was following Dr. Turk around, learning from him. Tom is even older than Turk, but has very little self-respect. During a surgery, Tom failed to place a patient under anesthetic because he couldn't figure out the complicated machines. Turk realizes that Tom was always sucking up to him, so he suckered him for free pizza. ("Our Role Models")