In the unreal world of Sacred Heart Hospital, intern John “J.D” Dorian learns the ways of medicine, friendship and life.

Cole and Dr. Kelso learn a lesson in supporting friends.

Lucy is assigned “Hell Week” leader.

When a student is caught cheating, Dr. Cox punishes the whole class for it.

The reality of having a baby begins to settle in for both J.D. and Elliot while Lucy struggles with the reality of operating on people.

Wandering through the hospital, Lucy sees couples everywhere.

Lucy needs to find a good answer to why she wants to become a doctor, in order to pass her white coat interview with Dr. Cox. Meanwhile, Denise needs some relationship advice for her issues with Drew.

While Turk struggles to find a replacement best friend, Elliott offers some sound advice and guidance to an over-worked and exhausted Lucy.

JD spends his final day as a teacher trying to find out who gave him a negative review, Lucy looks for a “blood buddy,” and Dr. Cox tries to convince Denise that Drew has taken charge of their relationship.

J.D. and Turk show up in costume at a med student’s party. Meanwhile, Kelso bids a fond farewell to Ted and Gooch.