Like that Menrva had kept up her studies for 4 years and was already well into the sponsored medical degree that she wanted when she was 14,
Despite this Menrva kept this up, improving, learning and training herself so that she could become better and even started to view herself as a protector as 2 years had flown by, Menrva herself had completed her internship and was into her residency.
Menrva has continued like this for a year with the protection of her sister, visiting the other academies and hospitals to upgrade and maintain cybernetics of those who requested it, sometimes on official Atlas business to update someone who had deals or contracts with the military. She also does perform surgery if needed before the installation of cybernetics and works with a fully qualified surgeon but always tends to be her leading during the procedure.