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With their residency over, there are big changes at Sacred Heart. J.D. moves out to live on his own while Turk and Carla consider a family change. Meanwhile, one of the residents receives a job offer from another hospital.
When Turk saves a man's life at the local taco stand, he tries to keep his ego in check as Dr. Cox takes all of the credit. To avoid ruining her new relationship with Jake, Elliot enlists J.D.'s help to prevent her dates from becoming too intimate. Meanwhile, Dr. Kelso terrorizes the hospital from the seat of his new Rascal motorized wheelchair until Janitor takes matters into his own hands.