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"A Change Is Gonna Come" is the fourth season premiere of the American television medical drama ''Grey's Anatomy'', and the 62nd episode of the overall series. The premiere focused on the aftermath of the main characters' promotion to residency, following the conclusion of their internship. The episode was the first not to feature Isaiah Washington, portraying Preston Burke, due to his being fired from the series at the conclusion of the third season. The installment marked Chyler Leigh's promotion to series regular status, following her guest appearances in the last two episodes of the previous season. Also featured were one-time guest actors Mark Pellegrino, Stephania Childers, Sandra Thigpen, and Steven Porter. The story arcs which provided a particular focus on individual characters include Cristina Yang (Sandra Oh) dealing with the aftermath of Burke's (Washington) departure, and the dissolution of their engagement, Izzie Stevens, (Katherine Heigl) struggling with her romantic feelings towards the married George O'Malley (T.R. Knight), and Callie Torres (Sara Ramirez) learning to deal with her new position of Chief Resident. Also dealt with was Alex Karev (Justin Chambers) coping with Rebecca Pope's (Elizabeth Reaser) departure, and Meredith Grey (Ellen Pompeo) facing the conclusion of her relationship with Derek Shepherd (Patrick Dempsey), while dealing with the arrival of her half-sister, Lexie Grey (Leigh), who enrolls in the surgical program at the hospital. The script for the premiere was written by series creator Shonda Rhimes, while Rob Corn served as the director. The episode aired on September 27, 2007 in the United States on the American Broadcasting Company (ABC), with an approximated 20.93 million viewers tuning in. Ranking second in the time-slot and third for the week, the episode garnered a 7.3 Nielsen rating in the 18–49 demographic, seeing a decrease from the previous episode, which received an 8.0 rating. Critical response of the episode ranged from mixed to negative, with Yang's storyline being a particular source of critical acclaim from television reviewers. Although the episode was fictionally set in Seattle, Washington, filming occurred in Los Angeles, California. == Plot == "A Change Is Gonna Come" opens to a voice-over narrative from Meredith Grey (Ellen Pompeo) about change, the episode's main theme. Following the conclusion of their internship, Meredith, along with her colleagues, Cristina Yang (Sandra Oh), Izzie Stevens (Katherine Heigl), and Alex Karev (Justin Chambers) commence their residency in the department of surgery, and start dealing with new responsibilities, including the new generation of interns, to whom they have been assigned as mentors. After failing his post-internship exam in the season three finale, George O'Malley (T.R. Knight) must repeat his internship, in order to avoid being forced to leave the medical field. It is revealed that among the new interns is Lexie Grey (Chyler Leigh), Meredith's half-sister, who previously had an encounter with Derek Shepherd (Patrick Dempsey), despite his unawareness of her identity. Callie Torres (Sara Ramirez), whom Richard Webber (James Pickens, Jr.) chose for Miranda Bailey's (Chandra Wilson) righteous position of Chief Resident, finds difficulty in exposing an authoritative behavior, getting no respect from her subordinates. It is explained that, in the aftermath of her being left by Preston Burke (Isaiah Washington) at the altar, Yang spent her honeymoon travelling with Meredith. Having just returned, she is shocked to learn that Burke has resigned from Seattle Grace, and relocated to an unknown location. Stevens has to deal with her romantic feelings for O'Malley, whose marriage to Torres is being threatened by his yet to be exposed affair. O'Malley, who finds himself in the unpleasant situation of repeating his internship, quickly gains support in Lexie, who decides not to tell the fellow interns about his failed exam. Karev is revealed to have visited Rebecca Pope (Elizabeth Reaser), following her departure. In the absence of Addison Montgomery (Kate Walsh), who relocated to Los Angeles, California, Mark Sloan (Eric Dane) seeks reconciliation with Shepherd, formerly his closest friend and confidant. Initially unwilling to resume his friendship with Sloan, Shepherd ultimately gives him a second chance. Bailey manifests a cold attitude towards Webber, in order to express her disappointment in not being considered for the position of Chief Resident, in spite of her enviable reputation among the hospital staff. Lexie meets Meredith for the first time, but is demoralized when she becomes aware of her apparent discomfort. Meredith and Shepherd encounter difficulty in being broken up, realizing that their mutual romantic feelings are an impediment in their attempt at having separate lives. The emergency room is filled with victims from a chain car accident, one of whom is admitted in the department of neurosurgery, under the care of Shepherd and Yang. As the physicians soon discover that he has been internally decapitated, they come to the conclusion that even a minor move would result in irreparable damage. A pregnant woman is admitted in plastic surgery, after having her arm severed. Meredith is assigned to work for Sloan during the day, and is immediately told to find the arm, much to the fascination of her interns. Despite trying to deal with her trainees in a strict manner, Stevens is looked upon as unprofessional by the interns she was assigned to. Her image is further deteriorated when she decides to abandon her hospital duties, in order to perform surgery on a deer, once again letting her emotional involvement interfere with her career. Meredith and Shepherd discuss the repercussions of their breakup, and realize that they cannot reconcile. However, the two engage in sexual intercourse, as a manner to express their mutual feelings for the last time. O'Malley comes to the realization of his love for Stevens, and quickly discloses to her that he shares her romantic feelings. 抄文引用元・出典: フリー百科事典『 ウィキペディア（Wikipedia）』 ■ウィキペディアで「A Change Is Gonna Come (Grey's Anatomy)」の詳細全文を読む スポンサード リンク
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