On the first day of internship, O'Malley is selected by chief of cardiothoracic surgery Preston Burke (Isaiah Washington) as the first intern to perform surgery. He freezes in the operating room, and is mocked by his peers, and earns the nickname "007" because of almost killing a patient in such a simple operation (referring to James Bond's "license to kill"). O'Malley dates nurse Olivia Harper (Sarah Utterback), breaking up with her when he contracts syphilis from her, which she in turn contracted from Karev.
On the first day of internship, O'Malley is chosen by chief of cardiothoracic surgery Preston Burke to perform surgery. He freezes during the operation and is ridiculed by his peers, earning him the nickname "007" for almost killing a patient in such a basic procedure.  O'Malley also dates nurse Olivia Harper but breaks up with her after contracting syphilis from her, which she had acquired from Karev.