Dr. Maddox, Kelso's replacement, makes a few changes around the hospital. Meanwhile, the new incompetent interns have J.D. frustrated, and Elliot tries to get a handle of her ego.

J.D. and Turk's evening of comforting a dying patient causes them to miss their steak-night tradition. Elsewhere, Dr. Maddox's true character is revealed.

Kelso and Cox become a team as they try to get rid of Dr. Maddox. Elsewhere, Carla believes a self-centered intern needs to get a shot of humility.

J.D. and Elliot create sparks together as they team up to coax Kelso out of the coffee shop.

J.D. gets help from Elmo, Grover and Oscar the Grouch of Sesame Street in helping teach compassion. Meanwhile, intern Katie scams Elliot in hopes of getting on Turk's research team.

J.D. and Elliot hope to add some spice back into their rekindled romance. Elsewhere, Cox mulls over taking a new job as the chief of medicine.

Dr. Cox becomes overwhelmed by the new job as Chief of Medicine, and reaches out to Dr. Kelso as a friend in an unthinkable move.

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.

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.

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

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

Elliot questions what her future holds. Elsewhere, the interns face a load of bad luck with an extremely large case load.

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.

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

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.

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. is saying so-long to Sacred Heart after 8 years, but will his last day be as good as his fantasy of copping a hug from Dr. Cox or discovering the real name of the Janitor? Meanwhile, furnishings for the apartment begin showing up at J.D.'s which must mean that Elliot is ready to move on to the next level of their relationship.