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If my memory serve right, you have do exercise until the time limit, then you can become a doctor, or failed to do so. Fail to become a doctor will make your girl to be stranded in another town; separated by her family. So it hard for her to marry someone because of that.
The problem is that the girl has to move to another town when they decided to become a doctor. If they succeed, then there is no a problem. They'll get money and can return to their hometown easily. But the problem is if they failed, and they stranded to a different city, as you have to buy a horse cart etc in order to back home. Plus, when you're separated from your father and mother, it's not possible to marry somebody. Either you invite them to the town, or you return to your hometown.
Well, if you choose to become a doctor, you have to choose that at the age of 10. It also have been awhile since I played this game.