仁华是江城最大的三甲医院，实习医生们受到了以周明为首的导师们“惨无人道”的考验和训练，末位淘汰制的阴影始终盘旋在他们心头，无处不在的激烈竞争时刻挑战着他们体力、智力和意志力，也考验着他们的友情、爱情、和对从医理想的执着。实习医生叶春萌刻苦要强又颇具天分，连魔鬼导师周明都对她暗自器重，而她却长期被来自...小城贫困家庭的自卑困扰，成功留院曾一度是她唯一的人生目标。为此，面对陈曦和白晓菁的优越身世她敏感过，面对能让她少奋斗十年的诱惑她动摇过，面对和导师周明间障碍重重的爱情她犹豫过。但最终还是在周明的感召下，在医治病患的实战中，她重新找到了自我，发现了从医的快乐与意义，也觉悟了幸福的真谛。
程学文支开了医护人员说是汇总手术方案，其实是给白晓菁单独见刘志光的机会。躺在手术床上的刘志光终于对白晓菁表露了心声，他说要谢谢身上插的这根管子，否则自己早就失血过多死了，也就没有机会对白晓菁说这三个字。他说白晓菁笑起来最好看，白晓菁让他快点好起来，以后自己每天笑给他看。 医护人员尽了全力但终是没把…
陈曦二十五岁生日，叶春萌买了蛋糕替她祝贺，但陈曦却没有心情，她但愿自己从没有遇到过韦天舒。叶春萌告诉陈曦自己实习结束后会去考江城另外的三甲医院，她要让别人知道她能留在江城不是靠周明的。谢南翔买了玫瑰花来祝贺陈曦生日，陈曦对谢南翔为她出头去找韦天舒非常感动。 一帮实习生来到码头聚会，他们分别在码头许…
周明认为病人的胃出血就是普通的术后并发症，和碰到门静脉没有关系。但病人需要第二次手术，韦大夫不愿接手，让程学文另请高明。他言下之意就是周明把手术搞砸了，自己不愿意掺和进来。程学文把门关起来要叶春萌把周明暂停手术的实情告诉他，他还有机会帮周明在葛院长前面挡一下，如果被葛院长先知道了再处理下来，自己可…
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