Alexander " Alex " Michael Karev ,  M. Karev eventually obtained the position of resident , later becoming a pediatric surgical fellow. Knight formed a focal point of the series. The character is initially disliked by his fellow interns, and is often accused of being brusque  and dismissive with his patients and co-workers. As a resident, Karev's negative attitude, temper and rudeness has occasionally earned the ire of the attendings, with former neonatal surgeon Addison Montgomery requesting him on her service as punishment for his rudeness to her and neurosurgeon Derek Shepherd , amongst others, throwing him out of their service for his inappropriate comments about patients.
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