To the naked eye, French silver plate often looks identical to French solid silver. It take close inspection and knowledge of a few key features to reliably tell the difference. Silver plating is the process of applying a thin layer of silver to another, inexpensive, metal, such as nickel or copper.
Courses generally last five or six years: two years of pre-clinical training in an academic environment and three years clinical training at a teaching hospital and in community settings. Medical schools and teaching hospitals are closely integrated.
Completing med school is four years of hard studying. Residency is four years of long hours at the hospital. After that the anesthesiology board exams are another year of studying. So it's hard, the hours are long and it takes years to do it.