Each season, Noah Wyle – the lead star, co-writer and co-producer of The Pitt – starts with a guiding idea.

β€œI had a personal thesis for the first season, which was, β€˜the patient is the doctor,’” he says. β€œAnd in the second season, it’s β€˜doctors don’t make good patients.’”

As the first episode begins, it has been 10 months since season one’s harrowing climax, and the effects are still present – even if they are largely hidden beneath the surface for much of the staff at the Pittsburgh Trauma Medical Centre’s emergency department.

β€œI really wanted to take these characters 10 months later, after having gone through a mass casualty event, and say: 'Who’s getting help, who’s not getting help, and who needs help?'” Wyle says. β€œWho would benefit from help? Who’s running from help? What would help look like for them – and for us?”

It is the Fourth of July, and Wyle’s Dr Michael β€œRobby” Robinavitch, the attending physician, is working his final shift before taking a three-month sabbatical. The decision, Wyle explains, comes during a crisis of faith – uncertainty over how long he can continue in the role.

β€œFor me, the journey for Robby is about showing the difficulty of being in a leadership position while grappling with a newfound impostor syndrome,” he says. β€œYou don’t feel like you can practise what you’re preaching.

β€œAnd moreover, that you may be training people to go into a life’s work that is ultimately unsustainable and, in many cases,

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