Susan institutes extra precautions in case Chloe tries to reclaim Little Susie. Mark changes his look, growing a goatee and wearing contact lenses. Carol and Jeanie square off over the care of a transient. Carter celebrates when he receives his residency match, putting his patient and his job at risk. Shep, still suffering from Raul's death, is surly with new partner Reilly. Benton and Doug have differences when Peter discloses a critical mistake made by Doug, raising animosity between the two.

Carter engages in competition with new surgical resident-in-training Dale Edson upon learning that residents will be evaluated and graded, with only the top ones advancing to second year. It doesn't help that Dale once had a relationship with Harper. Mark flirts with infomercial director Iris, and a hidden camera captures some private conversations. Benton faces the fallout from his altercation with Doug when surgeons begin dropping him from procedures. Shep begins exhibiting uncontrolled hostility, first to a patient being abusive with Carol, then a pedestrian. Susan and Chloe try to reach an agreement regarding Little Susie.