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Dr. Owen Hunt (Kevin McKidd) and Dr. Richard Webber (James Pickens, Jr.) clash over who is to scrub in for a complicated surgery. It is up to Dr. Derek Shepherd (Patrick Dempsey) to decide whose tactics are best suited for the challenging procedure. McDreamy orders them to "work on it together," but the two seem beyond the point of negotiation and are each in it to win it. "There’s nothing wrong with a little friendly, professional competition," said Derek. "Come up with plans, present them to me, I will choose. Dr. [Cristina] Yang (Sandra Oh) and Dr. [Meredith] Grey (Ellen Pompeo) will assist."

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