J.D. thinks about taking a new job; Turk starts his new role as chief of surgery; Gooch and Ted take their relationship to another level.
As J.D. makes plans to move closer to Sam, he discovers that Kim (Elizabeth Banks) has a new man in her life; Turk tries to get a promotion.
J.D. wonders if his final day at Sacred Heart will live up to his fantasy; Elliot seems to want to take her relationship with J.D. to the next level.