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A contraction is a shortened version of the written and spoken forms of a word, syllable, or word group, created by omission of internal letters.

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Conjunction contraction - second "a" and "at"

In the first example I would go for "He earned an MD and a gold medal from St Andrews", because to leave out the second "a" implies that the gold medal is an enhancement to the MD in the sense of "DSO …
Gerry Dorrian's user avatar