While Meredith faces the repercussions of messing with the medical trial, April tries to step up as chief resident; Cristina and Owen disagree.
Meredith's dishonesty is revealed, leading to unexpected consequences for her and others; Cristina is forced to choose between her relationship and her career; the new chief resident is chosen.
Meredith and Derek's relationship concerns Zola's adoption counselor; Alex notices he has become an outcast; Cristina makes a difficult decision.
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