Chelsea General is home to some of the top surgeons in the world, thanks in large part to the hospital's notorious Monday morning morbidity and mortality - or "311" - conferences. In these legendary meetings, Chief of Staff Harding Hooten (Alfred Molina) leads a harsh, closed-door review of the complications encountered and mistakes made during the course of patient care.
Hooten's mentor, Dr. Arvin Wayne (guest star Hal Holbrook), walks into the wrong procedure on the wrong day, leading the surgeons at Chelsea General to question the cognitive abilities of one of the hospital's elder statesmen.
During Monday's 311 conference, Hooten calls Dr. Stewart Delany (guest star Ioan Gruffund) to explain how a careless mistake killed Delany's young patient. But the outcome of the conference leaves the hospital's surgeons conflicted.
Hooten and Buck find themselves facing off in court against attorney Mitch Tompkins (guest star Anthony Heald) after a grieving son refuses to comply with his mother's final wishes. Sydney's outrage over the health of a morbidly obese 16-year-old boy further strains her relationship with Lieberman (guest star Jonathan Silverman).