With his marriage in turmoil, the Chief turns to his fellow male surgeons for a "gentleman's evening," Cristina and Izzie heatedly compete for the same surgeries and the favor of the doctor performing them, Meredith treats the survivor of a skydiving accident, and the doctors treat two injured finalists who are competing in a promotional competition.

The ER is filled with teenagers after a schoolbus crash, Bailey treats a patient who was her high school crush, Derek goes out on a date with a fellow doctor, and Thatcher enters the ER looking for Meredith.