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2026 MBA/MHA Dual Degree: ROI, Curriculum & Career Opportunities

Imed Bouchrika, Phd

by Imed Bouchrika, Phd

Co-Founder and Chief Data Scientist

It can be a significant challenge to find accurate and up-to-date information on an MBA/MHA dual degree, as details on return on investment, curriculum, and career paths are often scattered across various university websites and sources. As a career planning and education expert, I have compiled a comprehensive overview to guide you through this complex landscape.

This dual degree is a powerful credential for those seeking leadership roles in the dynamic U.S. healthcare sector. It uniquely combines business management expertise with specialized knowledge of health administration, preparing graduates for high-level positions.

This guide will provide clarity on the program's value, what to expect academically, and the promising opportunities that await you.

What can I expect from a dual MBA/MHA degree program?

  • Integrated curriculum: The curriculum combines core business courses like financial management and strategic planning with specialized health administration topics such as healthcare policy and operations management.
  • Condensed timeline: A dual degree program typically allows students to complete two master’s degrees in a more efficient timeframe, often in two to three years, which is less than pursuing each degree separately.
  • Applied strategic knowledge: Programs emphasize solving real-world challenges through case studies, projects, and a required administrative residency or internship, which allows for hands-on experience in a healthcare setting.
  • Networking opportunities: Students can connect with faculty who are experts in both business and healthcare, as well as with a diverse cohort of peers, building a strong professional network.
  • Diverse coursework: Expect to take core classes that cover both general business principles and specialized topics, including healthcare law, health informatics, and organizational behavior within a healthcare context.

Where can I work with a dual MBA/MHA degree?

  • Hospitals and healthcare systems: Manage the daily operations, finances, and strategic planning for large medical facilities.
  • Physician offices and clinics: Oversee the administration of smaller-scale healthcare providers and outpatient facilities.
  • Government and public health agencies: Handle large-scale health-related programs and logistical operations for public sector and defense agencies.
  • Pharmaceutical and biotechnology firms: Work in leadership roles that bridge the gap between scientific development and business operations.
  • Healthcare consulting firms: Advise clients on how to optimize their organizations for efficiency and cost savings.
  • Insurance and managed care companies: Manage provider networks, negotiate contracts, and develop strategies for healthcare plans.

How much can I make with a dual MBA/MHA degree?

  • Analyst-level roles: Early-career professionals in positions such as data analyst can expect to earn an average of $66,921, while a human resources director averages $69,726.
  • Management-level roles: With a few years of experience, professionals in roles like practice manager or project manager can expect to earn between $74,750 and $78,567 on average, according to PayScale.
  • Director & senior leadership roles: Positions with greater responsibility command significantly higher salaries. A director of operations earns an average of $122,512, while a chief operating officer earns $157,520.

Table of Contents

What is an MBA/MHA dual degree, and why is it beneficial for students for 2026?

An MBA/MHA dual degree combines the comprehensive business skills of a Master of Business Administration with the specialized healthcare knowledge of a Master of Health Administration. This joint program is designed to equip graduates with the expertise needed to lead and manage complex healthcare organizations.

It is particularly beneficial as the healthcare industry continues to grow and evolve, facing new challenges and opportunities related to technology, policy, and management. For example, understanding trends like med surg nurse salary growth can help MBA/MHA graduates make informed staffing and budgeting decisions in hospital administration.

  • Combines business and healthcare expertise: The dual degree provides a unique skill set that merges general business management principles with specific knowledge of the healthcare sector, which is increasingly complex and subject to unique regulations.
  • Prepares for leadership roles: The curriculum is geared towards developing high-level executives who can assume fast-track leadership positions, overseeing everything from finance and operations to human resources within healthcare settings.
  • Increases career competitiveness: By holding two highly sought-after degrees, graduates stand out in the job market, making them more attractive candidates for senior administrative and management roles.
  • Addresses industry changes: The program's focus on topics like data analytics, strategic management, and digital innovation prepares students to navigate the rapid changes in the healthcare landscape, including the aging population and the integration of new technologies.
  • Streamlines education: Completing both degrees simultaneously typically takes less time and fewer credits than pursuing each degree separately, offering a more efficient path to a comprehensive skill set.
  • Offers a comprehensive perspective: Graduates are trained to understand the business side of healthcare while also considering patient outcomes, ethical frameworks, and public health policy, leading to a more holistic approach to management.
  • Enables versatility: The skills learned are applicable across a variety of settings, including hospitals, government agencies, pharmaceutical companies, and private practices, offering broad career flexibility.

The dual degree is a strategic investment for those aiming to lead in the healthcare industry, offering a powerful combination of business acumen and specialized administrative knowledge. It prepares individuals not just for existing roles, but for the future demands of a dynamic and vital sector.

What are the typical admission requirements for an MBA/MHA dual degree program?

Admission to a 2025 MBA/MHA dual degree program is competitive and typically requires a strong academic background and relevant professional experience. While specific requirements can vary between universities, most programs look for candidates who demonstrate potential for success in both business and healthcare administration.

Applicants often need to submit a range of documents and meet certain academic benchmarks to be considered. In some cases, having additional credentials—such as a medical billing and coding certification—can strengthen an application by showing practical knowledge of healthcare operations.

  • Bachelor's degree: Applicants must hold a bachelor's degree from an accredited institution. While a specific major is not always required, some programs may prefer a background in a related field.
  • Minimum GPA: Most programs require a minimum undergraduate GPA, often at least a 3.0 on a 4.0 scale, with some schools considering provisional admission for lower GPAs.
  • GMAT/GRE scores: Many programs require applicants to submit scores from either the Graduate Management Admission Test (GMAT) or the Graduate Record Examinations (GRE), although some schools have waived this requirement.
  • Letters of recommendation: Typically, applicants must submit two to three letters of recommendation from academic or professional contacts who can speak to their abilities and potential.
  • Professional résumé: A detailed résumé is required to showcase an applicant's work experience, with a focus on leadership roles or experience in the healthcare sector. If you have prior healthcare certifications, these will help augment your application.
  • Personal statement or essay: A personal statement is a key component where candidates explain their motivations for pursuing the dual degree, their career goals, and how their past experiences have prepared them for the program.
  • Interview: Some programs may require an interview with an admissions committee member or program director to further assess the applicant's suitability.
  • Separate applications: In many cases, students must apply to and be accepted into both the MBA and MHA programs independently, even if a single application form is used.
  • Prerequisite courses: Some programs may require prerequisite coursework in subjects like accounting, statistics, or economics for applicants without a business-related undergraduate degree.

Meeting these requirements is crucial for demonstrating a candidate's readiness for the rigor of a dual degree program. The combination of strong academic credentials and relevant experience is what makes a candidate compelling to admissions committees.

Let's look at some U.S. hospital stats. There were 6,093 hospitals in the United States in 2024, with the majority being community hospitals at 5,112. Among the community hospitals, the most common type was nongovernment not-for-profit, with 2,978 facilities, followed by investor-owned (for-profit) with 1,214, and state and local government community hospitals with 920. Other types included federal government hospitals at 207, nonfederal psychiatric hospitals at 654, and 120 other hospitals.

In terms of scale, these hospitals had a total of 913,136 staffed beds, with community hospitals accounting for 781,148 of them. Similarly, there were 34,426,650 total admissions across all U.S. hospitals, and community hospitals were responsible for 32,345,846 of those admissions. The data also highlights a trend towards larger, interconnected healthcare systems, with 3,525 of the community hospitals being part of a larger system.

Geographically, there were 1,796 rural community hospitals and 3,316 urban community hospitals, showing that hospital facilities are more concentrated in urban areas. Some of these are shown in the graphic below.

What are some stats on U.S. hospitals?

What is the curriculum of an MBA/MHA dual degree program like?

The curriculum for a 2025 MBA/MHA dual degree program is intentionally structured to be comprehensive, integrating coursework from both business and health administration disciplines. The goal is to provide a seamless educational experience that builds a strong foundation in both fields without the redundancy of taking two separate degrees.

Students can expect courses in areas such as M&A accounting, healthcare finance, strategic management, and organizational leadership to prepare them for complex financial and administrative decisions in healthcare organizations.

  • Integrated coursework: The curriculum is designed to combine core business courses with specialized health administration topics, often with some overlap where a single course can fulfill requirements for both degrees. Accelerated healthcare management degree online programs may not have the complete MBA courses expected in MBA/MHA dual degree programs.
  • Foundation modules: Some programs may start with foundation courses in business for students without a relevant background, covering topics like financial accounting, economics, and quantitative methods.
  • Core business classes: Students take core MBA courses that provide a broad understanding of business operations, including financial management, marketing, operations management, and strategic management.
  • Core health administration classes: These courses are tailored to the healthcare industry, covering topics such as healthcare policy, health informatics, quality improvement, and legal and ethical aspects of healthcare.
  • Elective courses: Students can often choose from a range of electives in both programs to specialize in a specific area of interest, such as healthcare consulting, hospital administration, or global health.
  • Internship or practicum: Many programs require a hands-on experience, such as a residency, internship, or practicum, which allows students to apply their academic knowledge in a real-world healthcare setting.
  • Capstone project: A final capstone course or project often requires students to synthesize and apply knowledge from both degrees to solve a complex, real-world problem within a healthcare organization.
  • Shared credits: A key feature of dual degrees is the sharing of credits between the two programs, which significantly reduces the total number of credit hours and the time required to graduate compared to earning the degrees separately.

The curriculum is built to create a synergistic learning experience, where insights from one field inform and enhance understanding in the other. This integrated education produces graduates who are uniquely equipped to handle the multifaceted challenges of modern healthcare leadership.

What are the core courses in an MBA/MHA dual degree program?

The core courses in an MBA/MHA dual degree program are the foundational classes that provide students with the essential knowledge and skills needed for success in both the business and healthcare sectors.

These classes are the building blocks of the curriculum, ensuring that graduates have a comprehensive understanding of both management principles and the specific administrative demands of the healthcare industry. Courses in finance and accounting are particularly important, as they prepare students for accounting jobs in demand within hospitals, healthcare consulting firms, and other medical organizations.

  • Financial Management: Teaches budgeting, financial analysis, and investment decisions for healthcare and business organizations.
  • Healthcare Law and Ethics: Examines legal and ethical challenges such as compliance, malpractice, and patient privacy.
  • Healthcare Policy and Economics: Explores how policy, regulation, and economics shape healthcare systems.
  • Health Informatics: Focuses on using data and information systems to improve healthcare delivery and outcomes.
  • Marketing Management: Applies consumer insights and strategic marketing to healthcare services and products.
  • Operations Management: Covers process design, efficiency, and quality improvement in business and healthcare.
  • Organizational Behavior: Analyzes leadership, teamwork, and human resources within healthcare organizations.
  • Strategic Management: Develops skills to formulate and implement organizational strategies for competitive success.

These core courses ensure that graduates are well-versed in both general business principles and the specific administrative and operational challenges of the healthcare industry. Accelerated MBA healthcare administration online programs provide a solid intellectual foundation that prepares graduates for a wide range of leadership roles.

How long does it take to complete an MBA/MHA dual degree?

The time it takes to complete a 2025 MBA/MHA dual degree is a significant advantage of the program, as it's designed to be more efficient than earning the two degrees separately. While pursuing each degree individually could take four years or more, the dual degree program's integrated curriculum and shared credits allow for a streamlined timeline.

Students often compare programs like this when weighing CFA vs MBA paths, as both offer distinct advantages in finance and management, but the dual MBA/MHA provides specialized skills tailored to healthcare leadership.

  • Full-time completion: Approximately 2.5 to 3 years.
  • Credit hour reduction: Shared coursework often reduces the total number of credit hours required by 15–20%.
  • Part-time completion: Typically 4 to 6 years.
  • Program structure: Some programs follow a fixed three-year curriculum, while others allow more flexible pacing.
  • Internship/residency: Adds to program length but provides vital practical training.
  • Cohort model: Students progress together, creating a faster but more rigid schedule.
  • Prerequisite courses: May add an extra semester or two for those without a business background.

The streamlined nature of the dual degree is a key benefit, allowing students to enter the workforce with a powerful dual credential sooner.

What is the return on investment (ROI) for an MBA/MHA dual degree?

The ROI for an MBA/MHA dual degree in 2025 is considered exceptionally strong due to high demand for professionals with both business acumen and healthcare expertise. Though tuition and opportunity costs are substantial, the career advancement and salary growth potential outweigh them.

  • High salary potential: Many graduates exceed $100,000 annually.
  • Accelerated career growth: Faster access to executive and C-suite roles.
  • Job market demand: Strong growth in medical and health services managers.
  • Enhanced competitiveness: Shorter job searches, stronger candidacy.
  • Career versatility: Opportunities across hospitals, pharma, consulting, and startups.
  • Strategic value: Ability to streamline operations, manage finances, and ensure compliance.
  • Payback period: Investment is typically recouped within a few years, at par with MBA jobs in healthcare.

The U.S. health and medical insurance industry has seen major revenue swings in recent years. Revenues surged in 2020 and 2021 during the COVID-19 pandemic as healthcare spending spiked, but slowed sharply in 2022 when high inflation cut consumer purchasing power, limiting growth to just over 2.0%. The industry rebounded in 2023 amid low inflation and gained further momentum in 2024 as soaring investment income fueled strong revenue growth.

Over the five years to 2025, the industry achieved a 3.8% compound annual growth rate (CAGR), reaching an estimated market size of $1.5 trillion, as shown in the graphic below. Growth is expected to continue over the next five years, supported by a stable economy, low unemployment, and rising employer-sponsored health plan spending.

What are some stats on health & medical insurance in the USA?

In 2025, leading firms include CVS Health Corporation with revenue of $350,948.1 million and a profit of $10,419.7 million (3.0% margin); UnitedHealth Group Incorporated with revenue of $346,159.7 million and a profit of $17,902.2 million (5.2% margin); and Anthem, Inc. with revenue of $192,000.0 million and a profit of $8,256.0 million (4.3% margin).

What are the typical career opportunities for an  MBA/MHA dual degree graduate?

Graduates of an MBA/MHA dual degree program have access to diverse career opportunities that span executive, administrative, and consulting roles across the healthcare sector.

  • Ambulatory Care Manager: Oversees operations of outpatient centers and clinics.
  • Chief Executive Officer (CEO) or Chief Operating Officer (COO): Leads entire healthcare organizations at the highest executive level.
  • Director of Revenue Cycle Management: Manages billing, collections, and financial workflows in healthcare facilities.
  • Healthcare Consultant: Advises organizations on efficiency, growth, and regulatory compliance.
  • Health Information Management Director: Oversees collection, security, and analysis of patient health data.
  • Hospital Administrator: Manages daily operations, staff, and budgets in hospitals or departments.
  • Managed Care Executive: Directs provider networks and contracts within health insurance organizations.
  • Medical and Health Services Manager: Supervises departments or practices such as nursing homes or physician offices.
  • Pharmaceutical or Biotechnology Manager: Directs drug development, research, and commercial operations.

According to the U.S. Bureau of Labor Statistics, medical and health services managers held approximately 616,200 jobs in 2024. The data, shown in the graph below, reveals that the vast majority of these professionals are employed in traditional healthcare settings. Hospitals, including state, local, and private facilities, were the largest employers, accounting for 29.0% of all jobs.

The next largest employers were offices of physicians at 14.0%, followed by nursing and residential care facilities at 9.0%. A smaller, but still significant, portion of jobs was found in government, excluding state and local education and hospitals, and in outpatient care centers, with both sectors employing 7.0% of medical and health services managers.

This distribution of employment highlights the strong demand for skilled management in various clinical environments, with a clear concentration in larger institutional settings.

What is the job outlook for MBA/MHA dual degree graduates?

The job outlook for MBA/MHA dual degree graduates is highly favorable, with strong projected growth in healthcare management roles driven by demographic shifts, policy changes, and technological innovation. According to the U.S. Bureau of Labor Statistics, 2025, as shown in the graphic below:

  • Faster-than-average growth for managers: Employment of Medical and Health Services Managers is projected to grow 23% from 2024 to 2034, much faster than the average for all occupations.
  • Large number of job openings: About 62,100 average annual openings are expected from 2024–34 due to employment growth and workforce replacement needs.
  • Aging population increasing demand: The aging U.S. population is driving greater demand for healthcare services, particularly in chronic disease management and long-term care.
  • Policy, regulation, and reform pressures: Shifts in healthcare laws, reimbursement structures, and public health policy create demand for administrators skilled in compliance and regulatory strategy.
  • Technological advancement and data systems: Growth in health informatics, electronic health records (EHRs), and telehealth requires leaders who can oversee implementation, security, and integration.
  • Cost control and efficiency: Rising healthcare costs increase demand for administrators with skills in financial management, efficiency improvement, and operational restructuring.
  • Wide range of sectors: Opportunities extend beyond hospitals to include outpatient care centers, nursing facilities, physician offices, managed care organizations, and government agencies.
  • Higher wages: As of May 2024, the median annual wage for medical and health services managers was $117,960, with higher earnings in hospitals and government sectors.
  • Educational advantage: While a bachelor’s degree is standard, master’s-level preparation, such as an MBA/MHA, strengthens competitiveness for advanced leadership positions.
What are some stats on medical & health services managers in the USA?

What are the average salaries for MBA/MHA dual degree graduates?

The average salaries for MBA/MHA dual degree graduates reflect the high value of combining business and healthcare expertise, with earnings that typically exceed six figures and vary by industry, role, and experience level.

  • High starting salaries: Higher than MBA or MHA alone.
  • Median annual salary: Well over $100,000.
  • Hospitals/government: Among the top-paying sectors.
  • Industry variation: Consulting and pharma often pay more.
  • Experience-based pay: Significant increases with seniority.
  • Bonus/equity: Common in private-sector healthcare firms.
  • Value of the dual degree: Reflects in premium salaries and advancement.

Data from a 2025 Payscale.com report shows a clear correlation between increased leadership responsibility and higher earning potential for MBA/MHA dual degree holders. Positions with broad oversight, such as chief operating officer (COO) and chief nursing officer (CNO), command the highest salaries, with an average of $157,520 and $158,795, respectively. In contrast, entry- to mid-level roles like data analyst and human resources (HR) director have averages of $66,921 and $69,726.

The data illustrates a significant pay increase as graduates move from managerial to director-level positions. For instance, an operations manager, with an average salary of $87,909, can see a notable jump in earnings to $122,512 as a director of operations. Similarly, a finance director earns an average of $107,631, reflecting a substantial increase from a senior financial analyst at $79,867, as shown in the graph below.

This trend demonstrates that a dual MBA/MHA degree provides a clear pathway to higher-paying leadership roles in the healthcare industry.

What are some of the key skills gained from an MBA/MHA dual degree?

A 2025 MBA/MHA dual degree equips graduates with a blend of business and healthcare skills that prepare them to lead, innovate, and solve complex challenges in the modern healthcare industry. The healthcare administration degree requirements, coupled with MBA skills, help you accomplish these.

  • Communication: Builds the ability to effectively engage with diverse stakeholders.
  • Data Analytics: Trains students to interpret healthcare and business data for better decisions.
  • Digital Innovation: Provides knowledge of emerging technologies like telehealth and health IT.
  • Financial Acumen: Strengthens skills in budgeting, cost analysis, and financial strategy.
  • Healthcare Policy Knowledge: Offers deep insight into regulations, ethics, and health law.
  • Leadership and Management: Equips graduates to lead teams and drive organizational success.
  • Operations Management: Focuses on improving daily processes and patient care delivery.
  • Problem-Solving: Sharpens the ability to analyze challenges and design effective solutions.
  • Strategic Planning: Builds capacity to create long-term growth and organizational strategies.

Which universities offer top-ranked MBA/MHA dual degree programs?

Several leading universities across the United States offer top-ranked MBA/MHA dual degree programs, combining strong business education with specialized healthcare management training to prepare graduates for executive leadership roles.

  • Army-Baylor University: Specializes in preparing leaders for federal and military healthcare systems.
  • Georgia State University: Provides a flexible MBA/MHA with strengths in urban health policy.
  • Ohio State University: Features a structured three-year program with deep integration of both degrees.
  • Saint Louis University: Combines business and public health with a strong focus on social justice.
  • University of Alabama at Birmingham: Recognized nationally for excellence in healthcare management education.
  • University of Houston-Clear Lake: Offers a flexible program aimed at aspiring healthcare executives.
  • University of Minnesota: Integrates business and public health through its Carlson School of Management.
  • University of North Carolina at Chapel Hill: Combines top-ranked business and public health schools.
  • University of Scranton: Features AACSB- and CAHME-accredited dual degree programs.
  • University of Washington: Leverages its Foster School of Business and School of Public Health for comprehensive training.

If time is of the utmost importance, consider enrolling in accelerated healthcare programs, but bear in mind that these are very intensive and require your full concentration and commitment.

Here's What Graduates Say About Their MBA/MHA Dual Degrees

  • Adrian: "Pursuing the dual MBA/MHA degree was the most impactful decision of my career. The program's integrated curriculum gave me a comprehensive understanding of both business operations and the intricate policies governing the healthcare sector, which has been crucial to my success. The opportunity to learn from top faculty and work alongside passionate peers has truly prepared me to be a dynamic leader in this evolving field. "
  • Ben: "I was so impressed by the real-world focus of the program, especially during my administrative residency. It was a priceless experience to apply my classroom knowledge to an actual hospital setting, managing projects, and seeing the direct impact of my work on patient outcomes and organizational efficiency. This hands-on training gave me the confidence to step into a leadership role immediately after graduation."
  • Antonia: "The return on investment for this degree has been incredible. My salary immediately jumped after graduation, far exceeding the initial cost of my tuition, and I'm on a clear fast track to an executive position. Beyond the financial benefits, the prestige and networking opportunities that came with earning two master's degrees have opened doors I never thought possible."

What financing options are available for an MBA/MHA dual degree?

MBA/MHA dual degree programs represent a significant investment, yet diverse financing strategies are available to ease the burden. Scholarship opportunities from both institutions and external organizations, federal and private loan programs, and employer-sponsored tuition reimbursement can all contribute to cost management. Additionally, flexible payment plans and income-share agreements offer alternative approaches to mitigate upfront tuition costs. Prospective students are encouraged to compare financial aid packages and consider strategic alternatives, such as an inexpensive online MBA, to ensure an optimal balance between educational quality and cost efficiency.

Other Things You Should Know About MBA/MHA Dual Degrees

Which is better, an MBA with a healthcare concentration or a dual MBA/MHA degree?

The choice between an MBA with a healthcare concentration and a dual MBA/MHA depends on career goals. An MBA with a healthcare concentration provides a broad business foundation with targeted healthcare applications, making it well-suited for roles in consulting, pharmaceutical sales, or medical device management where general business expertise is more valuable than in-depth health policy or operations knowledge. It is also more versatile for careers that span industries.

A dual MBA/MHA, however, is ideal for those committed to healthcare administration. It combines business strategy with specialized training in healthcare law, policy, and operations, preparing graduates for leadership roles such as hospital CEOs, practice administrators, or senior executives in health systems. While it offers a competitive edge within healthcare, it is less flexible outside the sector.

What is the typical work experience requirement for an MBA/MHA dual degree in 2026?

Most MBA/MHA programs in 2026 prefer applicants with at least two years of relevant work experience, although some may accept candidates directly from undergraduate studies. Experience in healthcare or management can bolster an application. 2. *OLD QUESTION* What is an administrative residency or internship in a dual degree program? **Question** How does an administrative residency enhance career prospects for MBA/MHA students in 2026? **Answer** An administrative residency, required in many 2026 MBA/MHA programs, provides hands-on experience in healthcare settings. This practical exposure bridges theoretical learning and real-world application, enhancing students’ career opportunities by preparing them for leadership roles in healthcare management. 3. *OLD QUESTION* Which is better, an MBA with a healthcare concentration or a dual MBA/MHA degree? **Question** What are the advantages of pursuing a dual MBA/MHA degree over a single MBA with a healthcare concentration in 2026? **Answer** A dual MBA/MHA degree in 2026 offers comprehensive training in both business and healthcare management, providing a broader skill set and potentially greater career options in both sectors, compared to an MBA alone with a healthcare concentration. For the new question: **Question** What factors affect the ROI of an MBA/MHA dual degree in 2026? **Answer** The ROI of an MBA/MHA dual degree in 2026 largely depends on tuition costs, the salary increase post-graduation, and the individual's career trajectory. Graduates entering high-demand roles in healthcare management typically see a quicker return on their investment.

What is an administrative residency or internship in a dual degree program?

An administrative residency or internship is a hands-on training period, typically lasting several months to a year, where students work under senior healthcare executives in hospitals, clinics, or health organizations. This experience provides direct exposure to daily operations, decision-making, and leadership challenges in healthcare administration.

More than a simple placement, residencies are immersive opportunities to apply classroom knowledge, build networks, and strengthen problem-solving skills. Many graduates secure full-time roles at their residency sites, making this component critical for both professional development and career advancement.

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