Emily and Micah are frantic when they discover their patient needs a kidney transplant immediately, but they are baffled when she mysteriously refuses to accept the kidney from her new husband. Elsewhere, Emily assists Dr. Hamada (Brittany Ishibashi) and Dr. Bandari, with a risky surgery after they discover that one of the babies their patient is carrying for her sister suffers from a defective heart valve. Meanwhile, in an effort to keep Cassandra away from Will, Emily tries to land the job as Dr. Bandari's research assistant. However, her competition is Cassandra, who is willing to play dirty in order to get what she wants.
Season 1 Episode 4 of Emily Owens, M.D. resulted in a 0.40 rating in the 18-49 demographic.
At long last, Emily Owens feels like she is an actual grown-up. She can finally put her high school days as the geeky-girl-with-flop-sweats behind her; she's graduated from medical school and is now a first-year intern at Denver Memorial Hospital, where she'll have the chance to work with world-famous cardiologist Dr. Gina Beckett - and where, not-so-coincidentally, her med-school crush Will Rider is also an intern. So why does everyone keep warning her that the hospital is just like high school? Emily soon finds out the hard way - her high school nemesis, the gorgeous, popular Cassandra Kopelson, is also just starting out at Denver Memorial, and it seems like they're rivals all over again - not only as surgical interns, but for Will's attention.
Fellow intern Tyra Granger warns Emily that the cliques at Denver Memorial are all too familiar: the jocks have become orthopedic surgeons; the mean girls are in plastics; the rebels are in the ER, and Tyra has her own Awkward place as the principal's kid - her father is the chief resident. Emily's the new kid all over again, and it's just as Awkward as high school. Only this time around, Emily will have to balance the personal and emotional turmoil of social politics with the high-stakes world of life-and-passing medical decisions. At least she has fellow intern Tyra and nerdy-but-cute resident Micah, to count on as friends. Emily is growing to realize that although she may be a geek, she may also grow to be a great doctor, flop sweats and all.