This episode takes place 6 months after the Season 4 finale.
Kellie Martin, here playing a third-year medical student, previously starred in the family drama Life Goes On (1989) with Chad Lowe, who played a third-year medical student in E.R. Season 4.
Barbara Whinnery (Mrs Draper) spent several years as Dr. Cathy Martin in St Elsewhere.
Guest star Ken Kercheval starred on the nighttime soap opera Dallas from 1978-1991 as Cliff Barnes.