Being the youngest of 6 kids isn't easy, its especially harder having them all be doctors. Ivy Shepherd is in her 3rd year of residency when her hospital merges with another, bringing her to work with the older brother with the even bigger career. There she meets his new wife and her friends. Season 6- Season 13 Jackson Avery/OC Derek Shepherd/Sister!OC Ranked #1 on derekshepherd -3/27/21 Ranked #3 on alexkarev -4/4/21 Ranked #1 on jacksonavery -4/17/21 Ranked #1 on owenhunt -2/20/21 Ranked #5 on cristinayang -3/1/21 Ranked #9 on greysanatomy -2/19/21 Ranked #3 on mirandabailey -4/4/21 Ranked #2 on callietorres -2/26/21 Ranked #5 on marksloan -2/26/21 Ranked #1 on meredithgrey -3/28/21