After a tragic accident, one of Joan's oldest friends is rushed to Minneapolis to be treated by her, forcing Amy to confront her about her illness. Richard and TJ find themselves at odds when they treat a tech bro who thrives on pushing boundaries. Michael tries to pick up the pieces in the wake of his fractured marriage.

On her last day at Westside, Joan chooses an unlikely successor, crowns a Chief Resident and imparts some final wisdom to the next generation. Gina steps in to help TJ's patient, a foster child suffering from rheumatoid arthritis. Amy and Jake's tension intensifies while treating a pregnant teen caught between her divorced parents.