Perform the indicated operation and simplify the answer. 
Definitions:
Abbreviations Correctly
The practice of shortening words or phrases correctly according to established conventions and rules.
M.D.
An abbreviation for Doctor of Medicine, a professional degree for physicians and surgeons.
Spell Out
To explain something in very clear terms with no ambiguity or to write or display something in its entirety.
First Use
The initial occurrence or application of something, such as a term, invention, or procedure.
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