Chicago Med season 4 preview: Major changes ahead

CHICAGO MED -- "Be My Better Half" Episode 401 -- Pictured: (l-r) Nate Santana as Jimmy Lanik, Oliver Platt as Dr. Daniel Charles, Eddie Jemison as Dr. Stanley Stohl -- (Photo by: Elizabeth Sisson/NBC)
CHICAGO MED -- "Be My Better Half" Episode 401 -- Pictured: (l-r) Nate Santana as Jimmy Lanik, Oliver Platt as Dr. Daniel Charles, Eddie Jemison as Dr. Stanley Stohl -- (Photo by: Elizabeth Sisson/NBC) /

Significant changes are coming to Chicago Med. Find out what you can expect from the new Chicago Med season in our Chicago Med season 4 preview.

When fans check back into Chicago Med next Wednesday, they’ll discover that the hospital is in the middle of some pretty big changes.

After the third season focused primarily on the romantic relationships at Gaffney Chicago Medical Center, the beginning of the fourth season swings the focus back to the medicine.

Tensions are high as new chief operating officer Gwen Garrett (Heather Headley, who was introduced in the previous finale) is determined to stop the financial bleeding that plagued the hospital throughout last season.

Her presence is not met kindly by administrator Sharon Goodwin (S. Epatha Merkerson), who is determined to keep the focus on patients, not profit and loss. The two butt heads right away, and with Headley recurring throughout the season, it’s going to be a protracted conflict.

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Two new medical students are introduced in the first episode; one goes over well and the other one sticks out like a sore thumb.

Newcomer Colby Lewis portrays Terry McNeal, who is a former NFL player turned med student. Terry is earnest and well-meaning, but has a lot to learn; he’s everything you’d expect a med student to be.

Conversely, Molly Bernard (Younger) falls flat as Elsa Curry. Devoid of any social graces, Elsa comes off like a junior version of last year’s new addition Dr. Ava Bekker (Norma Kuhling).

But whereas Ava still cares about patients despite her abrasive approach, Elsa seems like she’d rather be anywhere but here. Bernard is stuck delivering snarky lines that make the audience wish her character would finish her residency somewhere else.

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Speaking of going somewhere else, Chicago Med reveals what Dr. Connor Rhodes (Colin Donnell) chose to do with that job offer. His frenemy Ava is unsurprisingly the most affected by the news, and it’s not a spoiler to say the show finds a way to keep Connor in Chicago, given that Donnell has been seen in promos for weeks now.

But how Connor comes to that decision, and how Ava plays into it, will surprise audiences. It’s not just chalked up to their sexual tension, and what happens presents both a bombshell that will light a fire under their storyline—and a very interesting new idea for the hospital overall.

Plus, there’s an answer to Dr. Will Halstead’s (Nick Gehlfuss) marriage proposal, and Dr. Sarah Reese (Rachel DiPillo) finds out the truth about her father, after discovering him collapsed on the floor at the end of last season. Reese’s reaction is a very strong one that forces both her and Dr. Daniel Charles (Oliver Platt) to make some tough decisions.

While the romances answered some long-held fan questions last season, Chicago Med season 3 gets back to the life and death of it all, and that’s invaluable. The show has one of the best casts on television, and they are at their best when they’re having to navigate medical and moral issues that could change people’s lives forever.

Audiences will be surprised by how much the hospital changes by the end of the season premiere, but what stays the same is that this is still the best-acted medical drama on television, and there are new challenges for the actors (and the audience) to sink their teeth into. This is a hospital you won’t want to check out of.

Next. Our Chicago Med season 4 predictions. dark

For the latest Chicago Med season 4 spoilers and news, plus more on the entire series, follow the Chicago Med category at One Chicago Center.