To motivate the residents Dr. Kelso announces that the person with the most interesting case study will get to go to a medical conference in Reno which makes all the residents look like crazy to find themselves an interesting case, everyone except J.D.. Elliot and Carla realize that they have more in common than just their relationships with J.D. and Turk, meanwhile Turk is in big trouble as he forgot to ask for a new laser for the surgical team on the one day that Dr. Kelso grants requests.