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I've noticed several 4 year programs have a 2 year MD option at the END of training, i.e. VCU, Jackson, Banner/Good Sams, etc. For normal dual-degreed programs my understanding is that one attends 2 years of Medical School +1 year of general surgery required for licensure. How does it work for these programs? Are the 2 years just medical school or general surgery as well? How do they fulfill this requirement?