That fall, Addams, her sister Alice, Alice's husband Harry, and their stepmother, Anna Haldeman Addams, moved to Philadelphia so that the three young people could pursue medical educations. Harry was already trained in medicine and did further studies at the University of Pennsylvania. Jane and Alice completed their first year of medical school at the Woman's Medical College of Philadelphia, but Jane's health problems, a spinal operation and a nervous breakdown prevented her from completing the degree. She was filled with sadness at her failure. Her stepmother Anna was also ill, so the entire family canceled their plans to stay two years and returned to Cedarville.