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Carter engages in competition with new surgical resident-in-training Dale Edson upon learning that residents will be evaluated and graded, with only the top ones advancing to second year. It doesn't help that Dale once had a relationship with Harper. Mark flirts with infomercial director Iris, and a hidden camera captures some private conversations. Benton faces the fallout from his altercation with Doug when surgeons begin dropping him from procedures. Shep begins exhibiting uncontrolled hostility, first to a patient being abusive with Carol, then a pedestrian. Susan and Chloe try to reach an agreement regarding Little Susie.