The time has come for each of the Chief Resident hopefuls to interview with Owen, and at the same time everyone is doing what they need to do out of the interview room as well. Jackson actually knocks himself out of the running early when he inexplicably resigns from the Chief's diabetes clinical trial. Owen's actually kind of pissed about it since he thinks Jackson has a history of quitting when things get hard, and then he wonders if the trial is flawed. But when Owen investigates the trial, he finds that it's actually so awesome it could potentially win awards, such as the very one named after Jackson's grandfather. Owen realizes that Jackson quit because he realized that if he was on the trial it would never win said award, and he tells Jackson he respects the decision but also warns him not to let the name hold him back. Jackson isn't too worried that he's out of the running because he still has his loving girlfriend Lexie -- though she spends most of the episode mooning over Mark and Sofia, who are hanging out during Callie's first day back at work. It seems the image of Mark with an infant isn't as horrifying as she had anticipated, and in fact is turning out to be her own personal catnip.

Meredith is finding that she's pretty into the baby idea as well. She and Derek are still working to try and adopt Zola, but Meredith is fretting about all the ways things could go wrong and the adoption could fall through. Zola has to have routine surgery for a hernia, and Mere worries during the entire procedure while watching through the window, but things go totally fine. She then has a meeting with someone from the adoption agency to see how suitable she might be as a parent, and she's crazy nervous and awkward during the interview. Once she calms down a bit and just speaks honestly, she winds up doing a great job showing the woman how much she cares about Zola in her own way. The other thing adding to Mere's stress level is that she's terrified that Alex is going to spill the beans about her switcheroo in the trial, but he keeps it to himself, even though he's pretty bitter about it.

As part of her interview, April shows Owen how well her checklists work to make sure the doctors follow protocol in treating every patient. But her plan is messed up when Cristina swoops in and takes one of the patients herself instead of calling Teddy to consult as the list told her to do. Cristina discovers that the guy has a tiny little tree that is growing in one of his lungs and decides that she's going to do the surgery to remove it herself. April is totally against it until Cristina offers to put in a good word for her with Owen if she keeps her mouth shut. April seems tempted, but ultimately she blows the whistle on Cristina, and Richard, Teddy and Owen are all livid. The patient, however, is so grateful for Cristina figuring out what was wrong with him that he insists she do the surgery herself. It seems like Teddy's head might explode from seeing Cristina totally flaunt the rules and yet save the day once again. Once Cristina has her own Chief Resident interview with Owen, he tells her point-blank that she's not getting the job, but it's not because of the stunt she pulled -- instead, he points out that the job entails a ton of managerial bullshit, scheduling, dealing with other residents' problems, and all sorts of other things that Cristina would hate. He tells her that she's a brilliant surgeon and should just focus on surgery. She's completely pissed off, but once she has time to think about it (time, and a few drinks at the bar) she realizes he's right and that he's looking out for her, and they make up.

After the showdown with Cristina, Teddy seems to be thinking a life on the other side of the world with a hot man might not be the worst thing ever. She kind of breaks Henry's heart when she tells him about the possibility of her moving, and it's made worse when he realizes that she hasn't even told Andrew that they are married. Henry decides he has to start taking care of himself, so he manages to convince Richard to accept him into the diabetes trial, and then that helps Henry get his old job back, too, since he won't be falling sick all the time like he had been. He hopes that this will give him a fighting chance against Andrew, but Teddy ultimately decides to move to Germany, and Henry asks her for a divorce.

Shockingly, Alex and Lucy (remember her?) now appear to be dating, or at least sleeping together. Lucy tells him she's been offered a position at Baylor and he thinks that's great and she could take it, which hurts her feelings since she thought he'd fight at least a little bit to have her stay for the sake of their budding relationship. Alex is still treating some of his African patients and he seems to really care about them, as more than just an edge in the Chief Resident race. The older sister of one of his patients falls ill, and the docs discover that not only is she pregnant, but she's got complications of the highest order, with the baby growing outside her uterus. Lucy delivers the baby and then hands him over to Alex, who continues to be awesome and gets the baby breathing and doing well. He makes a comment to Arizona afterward about how sad it is to know that all these patients still won't necessarily get the long-term follow-up care that they need, so Arizona suggests he go to Africa and take over the position in the clinic which she vacated. He makes some inquiries about it, which makes Lucy even madder, and Cristina has to point out for him that Lucy is mad because he didn't take her into consideration when thinking about the job. He finally does and decides he wants to see where the relationship might go, but when he goes to tell her that, she admits that she swiped the job in Africa out from under him. He goes to the bar to drown his sorrows, and while talking to Cristina she babbles that she thinks Mere will win Chief Resident on account of how organized and trustworthy she is. This is the last straw for a hurt and pissed-off Alex, so he does what he does best -- lashes out -- by drunkenly announcing to Owen that Meredith messed with the Alzheimer's trial.

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