 She took eight years to complete the four-year course because, using the pseudonym Graham Travers, during her studies she wrote a novel, "Mona Maclean, Medical Student".This was described by "Punch" magazine as "a novel with a purpose — no recommendation for a novel, more especially when the purpose selected is that of demonstrating the indispensability of women-doctors".After graduating in 1894, she took her MD in Brussels.