: To improve the hospital's rank, Webber implements strict new teaching policies, including shuffling residents off their preferred specialties to make them more "well-rounded," much to their frustration.
: George O'Malley spends the episode trying to retake his residency exam. After several interruptions due to the flooding, he eventually sits for the test with the Chief's help. Key Medical and Professional Clashes
: During surgery, the ceiling collapses onto Alex Karev's patient. Ironically, while clearing debris from the open wound, Alex discovers a stage 1 malignant tumor on the man's pancreas—a diagnosis that likely saved his life because it was caught so early.