With their residency over, there are big changes at Sacred Heart. JD moves out to live on his own while Turk and Carla consider a family change.
Meanwhile, one of the residents, Elliot, receives a job offer from another hospital, even though she always gets nosebleeds in job interviews. This new job, even though its in a near-by hospital, upsets Carla, and blames Elliot's new boyfriend Jake for pushing her into taking the interview. Dr Cox attempts to prevent Jordan from taking a job at the hospital by exposing her to a number of tragic, if occasionally bogus, cases at the hospital. With Elliot at a new job, JD in a new apartment and Turk and Carla about to embark on a big decision in their relationship - it seems that things at Sacred Heart are changing forever.
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