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Carter receives early tenure, at Susan's expense. Luka finds Sam's pregnancy test, and discovers that she's not expecting. Pratt's friend convinces him to attend an old friend's 30th birthday party. Ray thinks a 14-year-old is a drug seeker, but he's really the victim of molestation. Abby meets Jake's extended family at his niece's baptism. Morris is named the new Chief Resident.

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