Attention turns to Monica, who fails her fellowship exam.
Despite appealling to management, Dr. Collin is expected to work another night when a locum cannot be found to cover. Betancourt reveals to Claire that the hospital did not even attempt to find cover, and that because Andrew has worked an illegal number of hours, he cannot be paid.
During Andrew's long night, the hospital manager Alex Legg is brought in suffering from a heart attack.
