Basch survives the rotation with Jo by claiming to perform numerous tests and treatments on the "gomers" while doing nothing to treat them. Roy is then supervised by a more conventional resident named Jo who-unlike the Fat Man-follows the rules, but unknowingly hurts the "gomers" by doing so. Later, the Fat Man must leave for a rotation with another team. Therefore, his team is recognized as one of the best in the hospital and he is recognized as an excellent intern by everyone even though he is breaking the rules. Because he follows the Fat Man's advice and does nothing to the "gomers", they remain in good health. Basch becomes convinced of the accuracy of the Fat Man's advice and begins to follow it. One of his teachings is that in the House of God, most of the diagnostic procedures, treatments, and medications received by the patients known as "gomers" (see Glossary, below) actually harm these patients instead of helping them. The Fat Man provides his interns with wisdom such as his own "Laws of the House of God". The Fat Man teaches him that the only way to keep patients in good health and to survive psychologically is to break the rules. He begins the year on a rotation supervised by an enigmatic and iconoclastic senior resident who goes by the name The Fat Man. Basch is poorly prepared for the grueling hours and the sudden responsibilities without good guidance from senior attending physicians. Roy Basch is an intelligent but naive former Rhodes Scholar and BMS ("Best Medical School")-educated intern ('tern') working in a hospital called the House of God after having completed his medical studies at BMS. The book, described by the New York Times as "raunchy, troubling and hilarious", was viewed as scandalous at the time of its publication, but acquired a cult following and ultimately etched its place into the evolving discussion of humanism, ethics, and training in medicine. The novel follows a group of medical interns at a fictionalized version of Beth Israel Hospital over the course of a year in the early 1970s, focusing on the psychological harm and dehumanization caused by their residency training. The House of God is a satirical novel by Samuel Shem (a pseudonym used by psychiatrist Stephen Bergman), published in 1978.
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