If you really want something, then you should be willing to do what it takes to get it, even if it means a one hour train ride to school. If you are not willing to sacrifice, then you have no one else to blame but yourself if you fail to get what you want.

It isn't a problem limited to just medicine, you're getting it even with those contemplating professional certificates and the like. Or even worse, people enrolled in courses they have no idea about.