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“It was the single most difficult thing I’ve ever done in my life and I never would have gotten through it if it wasn’t what I wanted.” Taylor and Doug knew of each other in undergrad, but it wasn’t until their first year of medical school that a friendship formed and finally, a relationship. We talk about the pact Doug made with several of his classmates in anatomy lab and how it was eventually broken. They both discuss the study habits they developed while in their first year and why it was important to maintain them. Finally, they share how they navigated the possibility of not couples matching and what they compromised on in submitting their rank list.