Back to Owen, he reminds them all that they need to have as many good outcomes as possible in their surgeries and explains that to motivate them he has started a system where he'll get an email at his personal traveling office if anyone winds up with over ten bad outcomes. When April also runs in late, Owen makes an example of her by announcing her two bad outcomes. When Alex (balls ever growing) mocks her Owen brings up that he's leading the pack with five. Alex grumbles that he's just got dud patients. I'm sure the people whose lives ended on or right after being on his table greatly appreciate the tender concern their surgeon feels for their lives. Cristina starts texting with a sassy smile and then Owen's phone beeps; he asks her if she's getting all of this info down and she uses it as a chance to brag about the fact that so far she has a perfect record which will stay so during her ortho rotation that week.
With Meredith out of neuro and Jackson staying devoted to plastics, Derek's newest trainee assistant is Little Grey, and she so far is proving to be the Lesser Grey when it comes to working with him. She's desperately apologizing for not doing something and promises she's not making an excuse by blaming it on the scrub nurse; basically, the more she talks the deeper she digs herself into a hole and Derek orders her to leave, presumably before his head explodes. If the neuro god's head explodes, after all, there won't be any one left who is brilliant enough to fix it!
She walks over to Mere and begs her to have sex with Derek so that he'll be nicer. In addition to visiting her sister, she must have been spending a lot of time living in a dream world where Meredith and Derek are even remotely considering taking off their clothes around one another. Meredith just laughs and warns her that she has to learn all of his quirks, which makes Lexie grumble and leave. Mere then saunters over to her husband to ask about his day, and he grouses about how all of his cases are boring; Meredith adds a bit wistfully that he also can't tell her about it because he can't talk about neuro, almost like maybe he will cave and change his mind. And then something weird happens. He agrees, but then leans in and kisses her and suggests with a smile that he knows something that they can do instead of talking. [Insert sound of a screeching record here.] Wait, what? Mere warns him that there is no kissing in the hospital but they are all smiley and flirty with each other, and he only lets her leave to answer a page once he kisses her one more time. Did we miss an episode? Did ABC air something out of order? Because the last we saw of these two, Derek 1) told Owen he can't bring himself to forgive Meredith yet and is still totally angry; 2) finally was able to rub Meredith's back when they found out their daughter would live and Mere was sobbing with relief, and that physical contact was the most they had had in weeks; and 3) they still went to bed fully clothed, on top of the covers, not looking at each other. Now we've suddenly arrived back at sexy sexy funtimes? I... am very confused.