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In addition, Hathaway is able to open a free clinic in the ER with the help of Carter's grandmother.Ross vies for a pediatric attending position in the ER.Ross and Hathaway get more serious when Ross surprises Hathaway and proposes to her in front of the ER staff, which she accepts.
Long-time crew members Lance Gentile and Neal Baer were promoted to producers for the fourth season.
Third season co-producers Wendy Spence Rosato and Penny Adams returned to their positions.
Jack Orman and David Mills joined them as new co-producers and writers. Following his departure Adams was promoted to producer and Richard Thorpe and Michael Salamunovich joined the production team as co-producers.
While there, Greene visits his own parents, where he finds out that his mother is sick, and his relationship with his dad continues to be strained.
Back in Chicago, he begins to date new ER desk clerk Cynthia Hooper (played by Mariska Hargitay).
Lydia Woodward also returned as an executive producer and writer. Flint was replaced as co-executive producer by Christopher Chulack.