At the end of a long day, the docs gather in the conference room for an update from the physician adviser. Cristina makes a speech in support for the African pediatric program so that she can see more fascinating cases. Oh, and it saves the lives of lots of kids, too. Alana has no intention of cutting the program. It's a terrific as far as PR. However, there will have to be some cuts. Alana proposes they close the hospital's ER.
Everyone is aghast at the thought of closing the emergency room. Derek tries to speak his mind, but Bailey cuts him off. She says that some people need their jobs at the hospital, as they don't have a few million bucks to fall back on. Ouch! Later, Richard tries to have a chat with Alana, who can see that he's disappointed in her. Changes are coming whether he likes it or not. Alana lets Richard know that he logged fewer OR hours than anyone else last month. Was that a threat?