A friend of mine took a leave of absence from a mid/low tier MD school. The reason for it being initial adjustment issues that stemmed from much later acceptance and distance from campus. While his grades improved throughout the latter half, the committee that decided on her leave felt that her failing grades from a previous block put her at an academic risk. She plans on restarting next fall and made the appropriate adjustments required for her to succeed academically. What are your thoughts, especially considering the latest USMLE p/f adjustment on being competitive for a speciality like ENT?