The Chief announces that he’s stepping down from his post, though he’ll stay on as a member of the staff. Owen takes over as Chief of Surgery. Needless to say, just about everyone is stunned. Teddy his very happy for Owen, but Bailey looks like her head is about to explode. You know the look we’re talking about, right? In other news, the time has come for the fifth year residents to rotate in as lead surgeons. Should make for an interesting shift!

Meredith is tasked with clipping an aneurysm. Alex is doing a bowel resection. Jackson is to work on a baby with a cleft lip. Cristina is scheduled for a mitral valve replacement. As for April, she’s still having trouble gaining the respect of her colleagues. They invade her office where a contest is proposed. Whoever has the worst outcome of the day teaches the skills lab for the month. April doesn’t like it, but she’s overruled.

Alex doesn’t have time for small talk as April chats with the bowel resection patient and his concerned son. He barks for the bullet points of the case. The exchange doesn’t exactly put the family at ease. April assures the son that Alex is a very good surgeon. But even top docs need practice. That’s why Alex operates on a big pig first. His friends also want dibs on the practice porker in order to hone their skills for their impending procedures.

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