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Possibility for one to persue certificate in orthopedics and trauma medicine with a D plain in Biology and Maths

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To do a certificate in Orthopaedic and Trauma Medicine, you need to have KCSE mean grade of C-, C- Biology, D+ in Physics, Mathematics, Chemistry, Computer Studies, etc.  Therefore, you do not qualify mainly because of your Biology grade.
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What if you have D- in maths

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