Third-year med student Lucy Knight reports to the ER for the first day of her rotation. Greene takes a teacherly interest in her, helping her get acquainted, but she gets off to a bad start with the irritable Carter when she speaks insensitively, and without Carter present, with a patient's wife about her husband's very serious condition. The rest of the day finds her comforting a woman who has suffered a miscarriage, getting locked out on the roof, having Carol bail her out on a simple procedure, and trying to figure out Kerry Weaver's "Tour on Tape."

Dr. Corday's father visits from overseas in an attempt to convince her to join his medical practice. Weaver suggests that Elizabeth look into alternative methods to stay in America, like starting over as an intern. Weaver also doesn't let an opportunity pass to remind Doug of the way he bypassed her authority in the McLean case. Lucy continues learning, earning more of Carter's respect than she deserves. Peter takes Reese in for another hearing test. Mark has several discussions with paramedics about the state of the EMT program. Carol hires a nurse practitioner to help out in the clinic. Carter is having trouble being an RA in the dorms.

Halloween night finds the ER awash with allergic or otherwise incapacitated children. Kerry tolerates a visiting candidate for chief while she waits for the official vote. Romano operates on an 11-year-old girl and finds she's genetically male. Carter leaves Lucy in charge of a dorm party he's supposed to be overseeing, with unfortunate results. Mark learns that Jenn's moving to St. Louis--with Rachel. Mark and Carol treat a pregnant schizophrenic.