The ER treats victims of a gang shootout. Carter arrives late and unprepared for his new position. Mark learns all about being an attending, including senior staff's habit of bad-mouthing the residents, particularly Doug Ross. Mark hires a new chief resident, Kerry Weaver. New third year med students arrive to complete their ER rotation.

Carter gets his first patient...and loses him. Susan's feud with Kerry Weaver intensifies when Weaver demands all of Susan's procedures be cleared with her. Chloe abandons Little Susie again for a lucrative career in the flea market business. Carol finishes her paramedic recertification by picking up a very overweight, lethargic man. Shep hits on Carol. Jeanie ends her relationship with Benton. Wendy conducts interviews with various ER staffers for an article on Dr. Greene. Dr. Ross cares for a four-year-old Asian boy with AIDS.

Weaver and Susan's feud escalates to the point where Mark needs to step in and fix it. Benton is involved in a parking lot altercation, resulting in a broken hand and Carter replacing him in surgery. Mark cares for an abandoned elderly woman. Susan tries to juggle her work and care for Little Susie. Shep risks his life to bring in a gunshot victim.