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We find out that Sacred Heart has now become a medical school where J.D., Cox and Turk have become teachers. Oh and that Elliot is totally pregggers and Denise has become a teaching assistant. J.D.'s successor and the show's new narrator, Lucy meets some of her new classmates including Cole, who she sleeps with during a moment of weakness after med school (aka Cox) wore her down. We also meet Drew, the oldest of the med school students who's doing this for a second time around, who ends up sleeping with Denise. In the end Lucy gets a small victory by standing up to Cox.