JD has become chief resident and is flaunting his new title and pay check all over the hospital. His new sense of pride seems to be especially hurtful to Turk, who is still a resident and currently being denied more difficult surgeries by his new attending physician. Turk's ego is further hurt when JD doubts his abilities as a surgeon.
JD and Elliot's relationship has taken a turn for the worse when JD is accidentally called the co-Chief Resident and Elliot the Chief Resident in a rumour started by The Janitor. This mix-up lifts Elliot's post break-up spirits. Dr. Cox and Jordan are having relationship problems as well when they find out that their divorce was not final. Dr. Cox's other annoying woman in his life, Dr. Molly Clark, faces off with him over a plastic surgery patient.
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