In Twilight, how does Carlisle practice medicine despite having a century-old doctorate?

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Another possibility may be that he uses his money to purchase new documents proving that he is a doctor. They have a lot of money so they would be able to afford it. They also throw people off their trail by moving around a lot so this helps. They cannot stay in one place for too long because then people will begin to notice that they do not age. Who knows, they may even alter documents themselves. Or maybe they know people who are vampires like them that work for universities and can give him new updated documents. I guess it is all up to our imagination.

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Of course, this answer is just speculation, at least I can't recall any specific evidence in the book to clear this up.  My guess is that he is able to use his resume of recent employment, etc., and they don't have to refer back to his degree's date of issue.  He could likely just omit that detail and depend on references and his contacts in the current hospital where he works to get him a new job if necessary.  When you are that good and apparently well known in your industry, people stop being as concerned about med school as they were when you first got out.

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