rectal exam. It's every surgery intern's job to do the rectal exam when a patient comes into the emergency room. This is especially the case on fat, drunk, soiled, homeless patients. The intern usually has to be reminded to do this by a senior resident or staff doctor.
Hey, go give that drunk piece of shit the intern handshake.
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The rare act of shaking hands with another man, within another mans anus. Requires at least 3 friends.
Adam had been gaping his arse hole for months so that James and Steve could perform
the elusive 'internal handshake'.