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In page Kei Okami:

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After four years of study, she graduated in 1889, with Susan La Flesche Picotte[2][3], following in the footsteps of Anandi Gopal Joshi[4] who graduated in 1886. Okami thus became the first Japanese woman to obtain a degree in the Western medicine from a Western university.[5] Her education formed a part of broader international movement of women from Asia and other regions who travelled abroad in the nineteenth century to pursue medical training that was unavailable to them domestically.[citation needed]