J.D. thinks about leaving Sacred Heart so he can be closer to Kim and his son. Meanwhile, Turk settles in his new role as chief of surgery, and Ted’s relationship with Gooch moves to a new level.

J.D. plans to move closer to Sam and reaches out to Kim to make peace but learns she’s dating Elliot’s ex-boyfriend. Meanwhile, Turk is campaigning to be chief of surgery and rallies the troops at Sacred Heart.

Janitor and Lady affirm their romance in a quirky seaside ceremony for the strongest and oddest of Sacred Heart couples.

As a means of receiving a bunch of gifts, the Janitor and Lady plan on creating a fake wedding in the Bahamas, but their plan fails when each of the guests say they can attend.M

A combination of a full moon and some bad luck causes Sacred Heart’s new crop of interns to receive their toughest case load yet while Elliot makes an important decision regarding her future as a doctor.

J.D.’s ego becomes inflated after Dr. Fox finally gives him the recognition he’s been waiting for. Elsewhere, the senior staff receives insight from the interns.

While Turk views an inspiring story on SportsCenter, he comes up with a new procedure which may help a paralyzed teen. Meanwhile, Dr. Cox and the janitor are suffering from romantic problems.

J.D. and Turk gather up a new crop of interns as they organize their annual (and historically unfunny) sketch show.

J.D. manages to still bother Dr. Cox despite being away on a vacation from the hospital. Meanwhile, Turk and Carla have some big news to announce.

Ted uses the village for help as he takes the first steps in romance after he falls in love with a ukulele player. Meanwhile, Perry finds out the hard way that he can’t handle all he has on his plate.