Grey's Anatomy s18e15 Episode Script

Put It to the Test

Surgeons are put through rigorous tests just to get in the game.
We endure decades of anxiety-provoking acronyms SAT, MCAT, USMLE, ABSITE.
And if we pass that gauntlet we are rewarded with the need to log 850 surgeries and take an 8-hour multiple-choice and oral exam.
There's almost no time to take in the victory or even a nap.
Oh.
I didn't really peg you for the private jet and limo type.
Don't worry.
I will never send you a private jet or a limousine.
- Okay.
- Catherine Fox sent both, but thank you for doing this here.
Well, you found me the perfect recipient, so I should be thanking you.
And I've never been in a stretch limo, so it's a win/win.
Is that it? - Hey, Dr.
Miranda Bailey.
- Mm-hmm.
- Meet Dr.
Nick Marsh.
- Hi.
I'm not a hugger, but I'm gonna hug you.
- May I hug you? - Yeah, of course.
Oh.
Thank you.
- We need this.
- Yes.
Grey-Sloan needs this.
Thank you! They're ready to do the ICU conversion.
Oh, and are the residents prepped and ready? They are ready but not prepped.
Good.
I like an element of surprise.
Why are we standing out here? That's a live organ.
- Let's move! - Right.
Ow! Mom, what What are you doing here? What is this? Your mail.
It's been piling up.
You need to come in for the residency review today.
Yeah, I got the e-mail.
I'm busy.
So you're just good that our program is being slaughtered on social media? What are you talking about? #GSM sucks its residents dry.
#GSM should be #ashamed.
#GSM is abusive and will murder you.
Ow.
But you may not have seen them, but I'm pretty sure the Medical Accreditation Council did.
Oh, my God.
Levi I know you've been hurting, but I've worked too hard.
I have worked too hard to let them come in and just shut down our program.
So please, if you have any fight in you, any at all, get up.
And come to work just for one day! If not for yourself, then for me, please.
No.
Mom! Now, I can't tell you what to say to the accreditation council, but they will be assessing the attendings as well as the residents, so if they do question you, keep your answers short and sweet, focused on the success of the program.
Do we know what questions they're going to ask? It's a complaint-driven site visit, so they'll want to check our case logs, observe our residents, review our curriculum and verify we are all staying on top of our certifications.
Do we know who complained? No, and we're not allowed to ask.
Well, how are we supposed to show our teaching skills with the residents on grand rounds today with Grey and Marsh? Grand rounds today is a miracle.
Groundbreaking medicine, visiting surgeons, extraordinary teaching opportunities See, that's what makes Grey-Sloan Grey-Sloan.
And what happens if they're not as impressed with us as you are? Well, the program goes onto probation and potentially could be shut down.
And that record would be visible to the public.
So we could lose our residents and our patients.
- Yes.
- No.
Because we are going to show them who we really are One of the top five teaching hospitals in the country with a world-renowned surgical program.
So, go fill in your departments and your fellow attendings.
Now go impress somebody! Ay-ay-ay-ay.
Oh, no.
You are scheduled to be first interviewed.
Uh, well, it's not gonna work.
And why not? My physician assessment is in half an hour.
You're doing that today? Inconvenient timing but I'm not in control of the schedule.
W I think you're all gonna see something you haven't seen before.
- Hi.
- Hi.
So, this is Mason Taylor.
He was declared brain dead after being struck by a drunk driver.
We're just procuring organs? How is this a grand rounds? Do you two have questions? Um Um Uh, oh, yeah, uh, if he's the donor, then what's in the cooler? Oh, I'm sorry.
Did I not mention that Mr.
Taylor will also be the recipient? We're giving him a kidney.
We're donating a kidney to a brain-dead recipient? Did the kidney donor family consent to this? The kidney donor is a pig Farm-raised, genetically modified.
We're doing a xenotransplant.
You're putting a pig kidney into a human man? - That's right.
- A brain-dead human man? That's right.
- I - Perez? I'm just so confused.
Um, how do I explain to the team reviewing our residency that you are unavailable? Just tell them the truth.
Look, I am the director of the residency program.
I requested this assessment myself.
That speaks highly of the standards to which we hold ourselves, and the residency council will appreciate that.
Will they? I hope so.
You can hope, or you can postpone the assessment! Look, I see your worry Okay? And I understand it.
But we have flown a world-class surgeon and a neuroscientist here according to their scheduling.
I went out of my way to find someone who doesn't like me and won't be biased, which wasn't easy to do because I'm pretty popular.
Okay, let's just take a deep breath, Bailey, okay? - You are my residency director.
- Ah.
Our program is being assessed as to whether or not it should be allowed to continue.
Now, what if you don't pass? Richard Webber.
Uh, uh, David, yeah.
Thank you for coming.
Wait, he's your evaluator? I wanted someone as unbiased as they come.
Plus, I'm an expert at judging people.
I can spot a tremor from a mile away.
He doesn't have any tremors.
Well, we're also looking for any intellectual tremors, if you will.
Less obvious than the physical but equally significant.
He doesn't have any of those either.
Dr.
Bartley is as good a neuroscientist as you will find in these contiguous United States.
And together, we will be the judge of that.
Chief Bailey.
Jamarah Blake, Medical Accreditation Council.
- Yes.
- Yikes.
Busy day.
Shall we? - Shall we? - Yeah.
Mnh.
Hey! Richard.
I just wanted to wish you luck.
- And how'd you know? - I said nothing.
I grew up with an extremely withholding mother.
I can squeeze information out of "good morning.
" Thank you, but I don't I don't need any luck.
Just a time machine.
Cool.
Way to poke holes in his trust in me.
Well, he doesn't have to trust you, he has to trust himself.
And I have been helping him do that in his weakest moments for years.
- Mm-hmm.
- He has to pass this test.
I-I am not saying don't be truthful.
I'm just saying he's important to this hospital and to me.
How long have you I'll show you the skills labs, simulators, residents' lounge, as well as our lecture hall where we hold our didactics and grand rounds.
But when do you have us scheduled to speak with the residents directly? I was hoping to start with Dr.
Schmitt.
They are, uh, actually observing a groundbreaking medical innovation today.
Okay, everyone say, "Thank you, Mason.
" Mason here wanted to donate his organs, but UNOS ruled it out due to his history of cancer.
So instead, his wife consented to donating his whole body to research.
Listen, 17 people die each and every day waiting for a kidney transplant.
If this works, we could say goodbye to long transplant lists in just a few years.
So - Thank you, Mason.
- Good.
Alright.
Now, what does this one do? Oh, whoa, okay.
Wha Oh, I got it.
Okay.
Is this the first time anyone's done this? Yep.
Who can tell me why we're working on a dead man? First, do no harm.
Exactly.
We can't experiment with a xenotransplant on anyone who has anything to lose.
And why are we attaching the kidney to the groin? So that you can see the kidney while you're assessing its performance.
We'll actually see the kidney darken if rejection happens.
Also, the groin is close to the bladder, which provides a good blood supply through the iliac artery.
- Wow.
Correct.
- Mm.
I don't care what Dr.
Grey says about you You guys are a pretty sharp group.
You have one minute to make that side look like that side.
Well, I'm not a toddler.
Again, we'll be the judge of that.
And go.
It's impressive that you're still bringing in innovative cases when you've lost Let me see um seven physicians recently? Well, we've had a lot of retirees this year.
- Ah.
- Mm-hmm.
So did Dr.
Hayes, chief of peds, retire? Actually, he moved back to Ireland.
I was told it was a family matter.
- Yeah.
- Huh.
We have urine.
He peed! We got urine! Oh, my God! Okay, I'm gonna give them this.
Dr.
Bailey, we have urine.
Yeah! So we heard! Uh, D-Dr.
Grey, this is the team from the accreditation council.
It's nice to meet you.
Uh, it's a big deal.
So, obviously the residents are very excited.
Th-The residents are always enthusiastic when they work with Dr.
Grey.
Well, I would imagine so.
And it seems like a rare opportunity these days.
You're a busy woman, Dr.
Grey.
I am.
I actually have a liver biopsy to get to.
It's a pleasure to meet both of you.
- I'll see you soon.
- Nice to meet you.
- Mm.
So, Dr.
Bailey? - Yeah.
Who's next? Yes.
What about this one? "When #GSM residents #suffer, patients suffer.
" When was the last time you knew me to do anything right on a computer? Mom, you can't just criticize my workplace And with so many unnecessary hashtags! So now it's your workplace again? Oh, Mom! I do not need you to fight my battles.
Sweetheart, you walked out of your job, you broke up with your boyfriend, you sit down here all day and all night playing video games.
You don't go outside.
You need help, Levi.
And how does it help me for you to trash-talk my training program? You never should have been in that operating room by yourself.
They never should have put you in a situation where you could single-handedly kill a man.
Every surgeon eventually loses someone on the table.
Keyword being "eventually.
" Not before you're prepared.
You're never prepared! Not before you're trained! They experimented on you! That is how medicine evolves, Mom.
That is how teaching techniques evolve.
They experiment.
I am the one who failed the Webber method, not the other way around! - You are still a student.
- Oh, Mom.
- You were holding a scalpel - I without a teacher in the room! And you don't have to think that that's wrong, but I do! I do, and I have the right to warn others! Oh, God.
Mom! Oh, my God.
Mom.
Oh, my God, Mom.
Mom.
Hey.
Oh, my God.
Oh, my God.
Oh, my God.
Oh, my God.
Okay.
911.
What's your emergency? Hi, yes.
My mom she f-fell down a-a flight of stairs, and she's unconscious, unresponsive, and her respiratory rate's around 24.
- What's the address? - 357 North side Drive.
She, uh, also has shortening and internal rotation of the left leg, which means a possible femoral neck fracture.
Just hurry up, please! Mom? I'm so sorry, Mom.
It's gonna be okay, okay? I'm sorry.
Just stay with me.
Purple.
Green.
Uh, yellow.
Orange.
Uh, bl red I mean, blue! Uh, uh, I missed one.
Uh, may I try it again? On a good day, I miss three.
Our brains don't like incongruent information.
That's why this test is a good indicator of attention capacity and processing speed.
And you actually did quite well.
We have decades of muscle memory in our brains, and this damn Stroop test is asking us to ignore it.
Of course, as surgeons, we have to process a lot of information in a short amount of time as we operate.
I know this.
And I know that there's a difference between slowing down a bit and being a danger in the OR.
I appreciate that.
Aging as a surgeon is a special kind of humiliation.
We watch doctors with half our experience whipping through procedures with their agile hands and their nimble brains.
Then part of our job is to find and recruit the next you, which can be a fun challenge, but can also be a real ego-buster while you're waiting for them to determine your footsteps are worth following.
Sounds as if you're speaking from experience.
Well, uh, I I I I imagine it would be hard.
I knew it.
I knew it! I said it from the first time you brought her to Minnesota! You're trying to poach Meredith Grey! A+ on the reasoning skills section.
Yes, I did my residency at Tufts, where I became an attending.
Well, Tufts is one of the nation's most renowned institutions.
What brought you back to Grey-Sloan? Also a renowned institution.
Well, yes, that, and my former teacher - is one of the chiefs of cardio here.
- Mm.
And I've always wanted to work with her again.
There's no one like her.
- Dr.
Pierce? - Yes.
Also your wife.
Do you make a habit of dating your students, or was your husband the first? Excuse me? Was your relationship on record at Tufts? No, we didn't ha Wait.
I'm sorry.
I don't see how this is relevant to our residency program.
There have been some reports that there is a history of inappropriate sexual conduct here at Grey-Sloan, so we have to be thorough.
Well, I can assure you that our relationship is in no way inappropriate.
Are we done here? Did you know Dr.
Pierce was a child prodigy? Dr.
Hunt, your mobility looks good.
I heard about your accident.
Now, we have an excellent PT department.
Oh, so, when do you think you'll be able to operate again? - Soon.
- Soon.
Uh.
- A few more sessions of PT.
- Okay, great.
Uh, Dr.
Hunt's experience as a military surgeon has been a huge asset to our level 1 trauma center.
And, uh, he's been overseeing a study In burn pit illnesses in military veterans.
Yes, I've read about that.
Now, a few of the patients involved with the study died recently.
You're still able to move forward? There were There were There were There There There were some deaths.
There There were several deaths, but that's because burn pits kill people.
I-I-I-I thought we were here to talk about the residency program.
It's a great program.
I left a job with the Seattle Mariners to work at Grey-Sloan.
That was a big change.
Turned my life upside down, you know? I used to live life on the road, free and easy.
Now I have a baby and, uh, a completely shattered heart, and an apartment with no furniture.
I'm sorry.
What was the question? Okay, get the biopsy, call me when the results come in.
I want to see those cells myself.
Satellite pharmacy 2622.
Satellite pharmacy 2622.
Excuse me, are A-are you Dr.
Marsh? - Yes.
- Yeah, we spoke on the phone.
I'm Jan Taylor.
I-I-I came straight from the airport.
- My husband, Mason - Yes.
I'm very sorry for your loss.
I need to see him.
Is he still - Can I see him? - Unfortunately, no.
I'm sorry.
We can't risk exposure.
No.
I-I don't accept that.
- He's my husband.
- Whoa.
- No, no, no.
I need to see my husband! - It's okay, it's okay.
It's okay, it's okay.
Jan, listen.
You can see him.
You can absolutely see him.
Um, you can say goodbye.
Just not right now.
No, no, please.
Please let let me see him.
Let L-Let me see him.
- Jan - He's my husband.
Listen to me.
Listen, l-listen, listen.
Listen to me, okay? Remember what we're doing here, okay, what you consented to.
If this works, it could save thousands of lives Thousands.
And I know you've lost everything.
And I can't imagine what you're feeling right now, but if you go barging into the room, it is done.
- It is over.
- He beat cancer! He beat cancer.
And he gets himself killed crossing the street! - I understand.
- Oh, my God.
Oh, my God.
Oh, my God.
- Oh, my God! - Mm.
I know.
And I'm sorry.
Oh, my God.
Oh, no.
Oh, no, no, no.
Okay, okay.
ABCs.
"A" airway Not obstructed, but definitely having trouble with "B" breathing.
Increased resonance on the right side.
Jugular venous distention.
Oh, my God.
Her trachea's deviated.
Mommy, you have a tension pneumothorax.
I need help! Where's the ambulance? Where are they? Oh, God.
Okay.
Okay.
Hey, Mom, it's okay.
They're on their way.
I'm right here, okay? Okay.
Exactly what is the point of this one? This tests your ability to ignore distraction while maintaining neuromuscular control.
Just remember you're controlling the cursor with your movement.
Look, I'm trying! But you just told me you were stealing my top surgeon.
No stealing about it.
The offer nearly broke the clinic's budget.
And you had the nerve to mention it while I'm in the middle of my assessment.
I didn't mention it, you inferred.
Our residency program is being evaluated on its teaching ability.
If they find out that our top teacher's considering leaving Oh, you know what? Uh Uh, you know what? Respectfully, you're gonna have to start this over again, all right? A-Are you mad that I told you, or are you mad that she may accept? It's an incredible opportunity for her, Richard, and she's a Grey! She is bigger than just one hospital.
Schmitt, I'm in the middle Dr.
Webber, it's my mom.
Oh, God.
Mom, stay with me.
She fell down the stairs.
The ambulance is taking forever to get here.
Schmitt, talk to me.
- Did you find - I found a knife! Can you sterilize it with something? Um yes.
I have alcohol wipes.
Okay.
Schmitt? Uh, Dr.
Webber, I don't I don't think I That I can s-stab my mom with a knife.
It is not a knife.
It is a makeshift scalpel.
And you are not stabbing her.
She is a patient who needs a thoracostomy.
I've seen you do dozens of them.
Okay.
Okay.
Um.
Okay.
Okay.
I'm sorry, Mom.
Um.
All right.
Um, all I have are Are some little scissors to get into the chest wall.
Okay.
That'll do.
All right, I'm in I'm in.
Okay.
She's breathing better now.
Nice job, Schmitt.
Oh, my God.
Oh, no.
Oh, my God.
What is it? Uh, it's a hemopneumothorax, not just a tension pneumo! - Schmitt, I need you to stay calm.
- Okay.
- Seattle Fire Department! - Oh, thank God.
I'm down here! - Ah, Dr.
Wilson.
- Yeah.
Hey, these are members of the Medical Accreditation Council.
- See here.
- Oh.
Uh, well There is, um, no better residency program and no better chief than Dr.
Bailey.
Then why did you leave? My husband left me, and then I had a nervous breakdown Not in that order And then there was a pandemic.
So I just needed a change.
Okay.
Did Dr.
Bailey try to dissuade you from this decision? Um - she absolutely did.
- Oh.
You did five years of surgical residency, a fellowship with Dr.
Bailey, uh, two years as a general surgery attending? That's right.
And just threw it all away to start over again? I use my surgical training in my current residency all the time.
It's where I learned to think on my feet, make tough choices under pressure, pivot when circumstances change.
And respectfully, there is an arrogance and superiority that surgeons have when discussing obstetrics.
I feel it reflected in this line of questioning, and I resent it.
But in summation, there is no better residency program, and there is no better chief than Dr.
Bailey.
Excuse me.
I have a mom at 7 centimeters.
Okay.
Uh, next on my list is Dr.
Richard Webber.
Yes, um Why don't, uh, uh, you two take your break? - And I will go get him.
- Mm.
Did they start a line? Oh, my God.
Oh, my God.
Mom? They put her on O2? Yeah.
Did they bandage the wound? Yes, sir.
ETA's about 10 minutes.
Could you call cardio and ortho? Have a chest-tube tray set up and portable X-ray.
Yeah, I got it, Schmitt.
Thank you, sir.
Hey, ugh, it is not going well.
Please tell me you passed because Levi Schmitt's mom took a bad fall down the stairs.
Hemopneumothorax, possible hip fracture.
He's on his way with her here now.
Why do I get the sense you're not telling me the whole story? Has Meredith spoken to you yet? Hey.
Blood pressure fwwt! Plummeting.
Oh.
The blood flow's not strong enough to perfuse the kidney, so he's not making urine anymore.
I sent the residents out for labs and coffee, but, really, I sent them away so I wouldn't scream at anyone.
Did you try a bolus? Multiple.
Plus atropine.
I maxed out on dopamine.
Epi? Maybe.
I don't know.
I don't know.
I just I need this to work.
His wife's waiting to see him, and among other things, it'd be really nice to give her some good news.
The worst part about this job is telling families that their person didn't make it.
And you have that, on some level, in every single case.
Yeah.
Unless this works.
If this works, maybe in a few years I don't know.
I don't know, I don't know, I don't know.
I think it's why you shake in your sleep.
I do? Just a little bit.
I put my hand on you, and it stops.
No one's ever told me that before.
Hey.
You let me hug you.
You're taking that job in Minnesota.
Couldn't even tell me yourself? Couldn't give me that much respect? No, I haven't even made a decision yet.
This program raised you! I raised you, taught you all that you know.
T-Then made all the concessions that you needed so you could split your time between here and And and David Hamilton.
And And then, even with all of that, you'd be so selfish as to leave in the middle of a historic physician shortage with the residency program hanging on by a thread?! Bailey.
Y-You're j Yeah, no, you're that girl, huh? That same little girl that's following her handsome attending all around the hospital, right? Breaking all the rules.
Having sex in cars.
No one and nobody else matters.
It doesn't matter that he's your boss, not that he's already married! - No, enough! Enough now! - And d Yeah, okay, okay.
Let's just take a minute here, okay? Stop! I already know where you stand.
No, you stop! Don't you speak to him that way! Why are you speaking to me this way?! He's here doing us a favor! Bailey! Whoa.
I got her, I got her.
- Okay.
Sit down.
Uh-huh.
- Yep.
- Let's page cardio.
- Okay.
- Bailey? - Huh? I need Bailey to be okay.
She got in your head.
She's been in my head since I was an intern.
Never seen her go off on me like this before.
- Not on anyone.
- Mm-hmm.
Now she's got you re-thinking Minnesota.
Yeah, well, she had a heart attack when she heard about it.
That looked more like panic to me.
I hope you're right, because I need her to be okay.
Because I I I do love her.
I do not like her very much right now, but I do love her.
I know.
So, your your Your husband was married when you first met him? Don't really remember that part of the story.
It was a lot more complicated than that.
But she just told the truth about how she sees me.
She put a finger on what I couldn't.
You can't stay at the place you did your residency forever because that's how people see you They see you for who you were, not as the person you've become.
- Dr.
Marsh.
- Yeah.
Mason's catheter It's full.
EKG looks good.
No ST or T-wave changes.
Your rapid troponin is negative, so this was not a cardiac event, but, Bailey, you are obviously very stressed out.
You need to slow down.
I'll slow down tomorrow.
Today, I have a residency program to save.
Why is this all falling on you? Where is Richard? Having an unnecessary assessment! - What? - Oh.
This is how today's gonna go? People accidentally telling people things that they should have already known? Whoa, whoa, whoa! But, Bailey, Bailey! - What? - Calm down! Come on.
Deep breaths.
Ah.
You are marching steadily toward another M.
I.
You need to do - Do less.
I know.
- Mm-hmm.
But that's not an option.
This program is falling apart on my watch.
I know.
I'm I'm stretched too thin, and then we took thin even thinner with the addition of a toddler to our family.
And then I heard Meredith might be leaving, and I lost it on her, which may or may not have been fair to Wait, wait, wait.
Meredith what? Oh, you've got to be kidding.
Hey.
How's it going? I can't tell you how he's doing on the test.
Mm.
But do you think he maybe has dementia? Or a drinking problem? No.
Very much no.
Why? Because he walked out of his assessment.
He took a phone call, and he left without a word of explanation, which was disrespectful, at best.
It also showed a lack of judgment, which is not a great sign.
Yeah, I've done a lot of things that lacked judgment.
Hi.
Seriously? What, I'm not allowed to laugh at funny things anymore? What did I say that was so funny? Hi.
I'm Kai Bartley.
You must be Scout's dad.
Link.
Atticus Lincoln.
Wait.
You've met Scout? Your name is Atticus? - Don't.
- Excuse me.
Don't protect me.
No, I'm not protecting you.
I'm protecting myself from having to watch another one of your hissy fits.
- My hissy fits? - Mm-hmm.
Dr.
Webber, why are you Uh.
- Schmitt? - 57 years old, status post-fall down a flight of stairs, sustaining a tension hemopneumothorax with a flail chest and likely a femoral neck fracture.
Pneumo relieved by a home thoracostomy but Okay, trauma one's ready.
Move, move, move.
We were just i-in a fight, and then she slipped, and she fell down the stairs, and I-I feel like it's all my fault.
What No.
Schmitt, no.
You saved her life.
Now let Altman and Link finish what you started.
Dr.
Webber, I want to go with my mom.
You absolutely cannot go.
Richard, you need to finish what you started.
Dr.
Webber, I can't just wait and do nothing.
Uh, can I finish? I'd recommend it.
Okay.
My mom wrote those things.
She wrote that this program breaks people because I was broken, and then we got into a fight, and s-she fell, and and now she might die just like Devon did, and all of it's my fault.
All of it.
It's all my fault.
It's all my fault.
It's all It's all my fault! It's all It's It's It's all my fault.
It's all my fault! It's all my fault! You said five rules.
That was only four.
Richard Webber, general surgeon, Fox Foundation chief medical officer, and residency director at Grey-Sloan.
Levi Schmitt, fourth-year, um, resident.
Grey-Sloan has been a training ground for hundreds of successful surgeons.
I started as a sub-I under Dr.
Webber.
My f-first day wasn't, uh, exactly stellar.
Meredith Grey.
Miranda Bailey.
Hell, I trained here myself.
When I was a resident, I thought saving a life was the highest calling to aspire to.
Then I started teaching.
My My glasses fell into a patient.
But I learned, and I got better.
Because Dr.
Webber didn't give up on me.
There's something uniquely fulfilling about training future generations of surgeons.
He taught me how to do lap choles and the importance of a square knot.
You see them show up wide-eyed.
You nurture and nudge them.
You watch them achieve and stumble and grow and soar.
He also taught me how to persevere and learn from my mistakes.
I know that this review is supposed to determine whether he's a competent surgeon or effective teacher.
I'm sure the methodology behind it is well-tested.
I asked for an evaluation to see if it was time for me to put down my scalpel.
Years ago, I took an oath Do no harm.
I stand by it.
I don't want to retire.
I love being a surgeon.
And I love teaching.
You all know what you're doing.
Just don't kill anyone.
I'm done! But I also know that Richard Webber helped me save my mom's life today.
Or I I hope so.
I hope that we saved her life.
But even more, I believe in the power of medicine and science.
I don't even want to think about what could've happened without him.
So if I need to step down in order for future generations to keep training here then I will.
I appreciate you letting me finish.
And for taking the statement from Schmitt.
Oh, it certainly can't hurt.
It's also not necessary.
You passed.
Flying colors.
Congrats, Webber.
Mrs.
Schmitt's head CT was negative.
- Oh.
Uh-huh.
- Teddy and Link are almost done.
She's gonna make it.
Wow.
Thank you.
I Well, thank you.
Well, don't thank me.
You're the one who passed.
- He passed? - Mm-hmm.
You passed! Oh.
Oh! Not everyone gets another chance in the OR.
Take advantage.
I'm sorry about earlier.
I was worried about him.
That's okay.
I get it.
He's your David.
Mm.
Hi.
Uh, so, I can show you more things.
Um, our plant room, which Actually, Dr.
Bailey, we've seen enough.
Okay.
Please.
We have reviewed hundreds of these residency programs, and we can usually tell pretty quickly when they're not working, and that's even when the doctors and the residents are very well-prepped for my visit.
I see.
And based on my visit today, I can unequivocally say that when it comes to resident well-being, that Grey-Sloan's surgical department is well, one of the best that I've seen.
Despite long hours and hard work, the residents seem genuinely excited about their work.
And your attendings They care enough to be nervous about these meetings, which is a good sign.
The sense of community, the sense of family is completely palpable.
And Dr.
Webber? Well he's impressive.
- He is.
- Mm.
What I saw in person today was almost enough to override what I see on paper.
But not quite.
As caring as you of all are, you simply do not have enough surgeons to maintain an effective teaching program.
D-Dr.
Bailey, it, um it hurts me to say this, but I am going to have to place Grey-Sloan's residency program on probation, effective immediately.
We will provide a list of specific improvements that need to be made, and we'll be back for another review in a few weeks.
A few A few weeks? We always give hospitals time to rectify matters before we shut down their residency programs.
Good luck, Dr.
Bailey.
Researchers studied why some people perform better on tests.
Okay.
They found that it's not necessarily related to intelligence.
Some people become anxious during exams and divert mental energy toward anxiety instead of expending it on finding the right answers.
Others have a better grasp of how tests work.
They use process of elimination and other techniques to help them make better choices.
Some people study harder.
They start early, make flashcards rely on repetition to retrieve answers when they need them.
Well, you were right.
Bailey's okay.
Okay, good.
I spoke to Maggie.
She didn't know about the offer, either, so Can I bring her in? Yeah.
Um, one second.
Maybe this will cheer you up.
- Wow! - Yes, wow.
500 cc.
Epi it works.
Thank you, Mason.
Look at you, changing the face of transplant medicine.
No, no, no, no.
Look at us.
- You needed that win.
- I did.
- Bring her in.
- Okay.
Yeah.
Hi.
Ready? Okay.
It's okay.
Oh, my love.
Okay.
Did Did it work? The organ thing, did Did it work? It worked.
It was a minor miracle, but Mason here, he he made it happen.
Please.
You hear that, babe? You made it happen.
It's okay.
I'm gonna be okay.
I am I'm ready to I'm just I'm ready to start over.
I'm definitely ready.
I'm gonna take that offer.
- Really? - Yes, really.
Tests don't always measure how much you know.
They measure how well you take tests.
And tests certainly don't measure your worth.
But knowing that doesn't make it hurt less when you don't succeed.

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