The novel is written in the first person by Roy, one of the new interns at the House of God. There are areas of description and of Roy's thoughts as he goes through this internship year. Oddly, he talks very little about his feelings, and much of the exposition is just his observations. Everything the reader knows about comes directly through Roy's experiences of them. Roy is cynical, and this is reflected in his point of view about how things happen in the House of God. All the dialogue comes directly through that which Roy himself experiences. The book is fairly straightforward with regard to point of view.
Ninety-five percent of the book is set on the ward, in the MICU or in the EW of the House of God, a hospital.....
