Since you're a first year med rad, you would need one elective in first term and one in second term (or one 6 credit course like French 1Z06 or Soc 1A06 that spans both terms).
You can definitely have 4 courses in one term and 6 in the other, but I would advise against it. Your workload will be very heavy with 6 courses, especially in med rad, and you have to keep in mind that you not only need to make the cut-off for second year but maintain a pretty decent average if you want to enter your stream of choice for second year.
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