title: "Hardship exception" is necessary.
authors.forename: Edward
authors.initials: E
authors.lastname: Zawadzki
mesh_terms: D004503:Education, Medical, Graduate / Q000639:trends*; D006801:Humans; D007396:Internship and Residency / Q000639:trends*; D010021:Osteopathic Medicine / Q000193:education*