The rules set by the accrediting bodies, the ACGME and the Residency Review Committee (RRC) for Surgery, had always been difficult to comply with, especially for a small program. Academic medicine, and especially the leaders of academic medicine, should harken the construct of Polite et al 6 targeting cancer injustice: “…What should no longer be tolerated is the misguided belief that the problem is too difficult to solve, cannot be solved, or that it is due to the affected person’s genes or inaction. Firefox version 24 or greater For versions 24-26, TLS 1.2 is disabled by default so you will need to enable it in the browser settings if this hasn’t already been done. In May and June 2010, the authors surveyed 137 faculty members who left a west coast School of Medicine (SOM) between 1999 and 2009. dissatisfaction than their older colleagues. For the Medicine programme, Irish Leaving Certificate results, or equivalent, above 550 points are adjusted (or 'moderated') when combined with HPAT scores. especially problematic because faculty . For this and many other reasons, medicine is making mid-career academic women physicians invisible. 4. Faculty valued their work, but 273 (14%) had seriously considered leaving their own institution during the prior year and 421 (21%) had considered leaving academic medicine altogether because of dissatisfaction; an additional 109 (5%) cited personal/family issues and 49 (2%) retirement as reasons to leave. Although viewed as an important calling, academic medicine comes at a price. His blog averages over 900 page views per day, and he has over 5,400 followers on Twitter. Faculty departure can present significant intellectual costs to an institution. Perumalswami CR, Takenoshita S, Tanabe A, Kanda R, Hiraike H, Okinaga H, Jagsi R, Nomura K. BMC Med Educ. Conclusions: This site needs JavaScript to work properly. METHOD From 2007 through early 2009, the authors surveyed a stratified random sample of 4,578 full-time … They became more onerous every year or 2 until it reached the point where I can’t imagine how anyone can stand it. For many years I had always said something like: “No matter what crisis happens with the residents or the chairman’s job, it pales in comparison to having a patient with a complication.” In other words, nonclinical problems were annoying but manageable. Faculty valued their work, but 273 (14%) had seriously considered leaving their own institution during the prior year and 421 (21%) had considered leaving academic medicine altogether because of dissatisfaction; an additional 109 (5%) cited personal/family issues and 49 (2%) retirement as reasons to leave. The authors investigated the reasons why women leave careers in academic medicine. The survey asked about advancement, engagement, relationships, diversity and equity, leadership, institutional values and practices, and work-life integration. Epub 2012 Jul 17. Marianne J. Legato Research output : Contribution to journal › Article › peer-review Recognizing the need to retain women physicians, several academic medical centers have started to think creatively about how they can better support women with increased family leave, on-site childcare, or greater opportunities for advancement. Leaving academic medicine . Why Black doctors like me are leaving academic medicine - STAT. PURPOSE: Vital, productive faculty are critical to academic medicine, yet studies indicate high dissatisfaction and attrition. These colleagues were not the conventional crowd tethered to rigid notions of what was or was not academic medicine. Zipkin DA, Ramani S, Stankiewicz CA, Lo MC, Chisty A, Alexandraki I, Wamsley M, Rothenberger SD, Jeong K, Spagnoletti CL. Clipboard, Search History, and several other advanced features are temporarily unavailable. Cartographie des activités d’érudition: Planification de carrière du médecin de famille universitaire. Course correction is needed.  |  For the last two years, he has been blogging at SkepticalScalpel.blogspot.com and tweeting as @SkepticScalpel. 2009 Jan;84(1):106-14. doi: 10.1097/ACM.0b013e3181900efc. I regret that running a program and teaching residents stopped being fun a few years ago. Medicine for many is a calling, not a means to get rich. Quite frankly, leaving medicine now would be much harder for me than it was five years ago when I wasn’t a mother and we didn’t have a mortgage. J Vasc Surg. Then there were the committees. 2020 May;66(5):e162-e164. I view them as my legacy. Doug Lederman. The position of surgical chairman in a community teaching hospital is like that of a football referee. In some cases, that claim was as high as 56 percent. Resources For Doctors Who Are Considering Leaving Medicine For a variety of reasons some doctors will consider leaving the profession. In emergency medicine, a 2017 study by Madsen et al revealed a salary gap of $19,462 in academic emergency medicine, with women earning less than men regardless of rank, clinical hours, or training. Unfortunately, a number of studies suggest that many physician faculty members at academic medical centers are dissatisfied 10-14 and are considering leaving academia. Read "Leaving Against Medical Advice after Out‐of‐hospital Naloxone: A Closer Look is Needed, Academic Emergency Medicine" on DeepDyve, the largest online rental service for scholarly research with thousands of academic publications available at your fingertips. Your email address will not be published. In May … These reasons may include frustration with the job, wanting a different work/life balance, health issues, not completing their competencies or exams or just wanting to try new things. Negative perceptions of the culture-unrelatedness, feeling moral distress at work, and lack of engagement-were associated with leaving for dissatisfaction. Why I Left Academic Medicine Apr 29, 2013 A medical student who thinks he wants a career in academic surgery asks, “You were deep into academic medicine and … By David S Game. A study of the relational aspects of the culture of academic medicine. The authors sought to identify key personal and cultural factors associated with intentions to leave one's institution and/or academic medicine. I’ll save you the trouble; that’s 15 committees. doi: 10.1001/jamanetworkopen.2020.21452. Differential loss of young faculty is . doi: 10.1016/j.jvs.2009.09.064. Minorities struggle to advance in academic medicine: A 12-y review of diversity at the highest levels of America's teaching institutions. Women physicians want salary transparency. We are flexible for those international applicants studying in an educational system with no qualification equivalent to GCSE. It didn’t seem so brave at the time. Surveys and studies prove that women do not commonly step out of academic medicine for these reasons. Vital, productive faculty are critical to academic medicine, yet studies indicate high dissatisfaction and attrition. Mocanu V, Kuper TM, Marini W, Assane C, DeGirolamo KM, Fathimani K, Baxter NN. Engagement, workplace satisfaction, and retention of surgical specialists in academic medicine in the United States. The Disappearing Doctors: Why are physicians leaving academic medicine? The Disappearing Doctors: Why are physicians leaving academic medicine? Faculty valued their work, but 273 (14%) had seriously considered leaving their own institution during the prior year and 421 (21%) had considered leaving academic medicine altogether because of dissatisfaction; an additional 109 (5%) cited personal/family issues and 49 (2%) retirement as reasons to leave. These centers must recognize and rectify racism's effect on the health care workforce. Experiencing the culture of academic medicine: gender matters, a national study. 2014 Jul;219(1):31-42. doi: 10.1016/j.jamcollsurg.2014.03.027. Medicine. Epub 2012 Aug 31. Risk management meetings could last 3 hours, during which time you would have the opportunity to try to explain why a surgical complication occurred to a room full of non-surgeon MDs and non-physician administrators. At any given time, half your constituency is not happy with you. Pages 6. eBook ISBN 9780429167010. In May and June 2015, the same survey was sent … Another study showed that 21 percent of physicians considered leaving academia because of dissatisfaction. 2010 Apr;51(4 Suppl):53S-58S. From 2007 through early 2009, the authors surveyed a stratified random sample of 4,578 full-time faculty from 26 representative U.S. medical schools. Institutional characteristics and personal variables (e.g., gender) were not predictive. For internal medicine, visits are usually longer. During the past 2 years in residency, I realized I am starting to grow more and more upset about my decision. Why?”, [Background: For over 23 years, I was a full-time surgical chairman and residency program director in three different community hospitals affiliated with medical schools.]. T&F logo. Studies show that diverse teams are more productive, have higher morale, a culture of innovation, and a greater return on investment. Get the latest public health information from CDC: https://www.coronavirus.gov, Get the latest research information from NIH: https://www.nih.gov/coronavirus, Find NCBI SARS-CoV-2 literature, sequence, and clinical content: https://www.ncbi.nlm.nih.gov/sars-cov-2/. If you studied outside the UK, please see our academic requirements for international students. Book Secrets of Success: Getting into Academic Medicine. Your email address will not be published. I am graduating from IM residency in 2018. Why You Should Be Ordering With Reflex When Testing for Food Allergies, The Generational Differences in Healthcare Technology, Making the Case to Include EDs in Readmission Rates, Some Cancer Therapies May Provide a New Way to Treat High Blood Pressure. The authors sought to identify key personal and cultural factors associated with intentions to leave one's institution and/or academic medicine. Academic careers are the same. Leaving academic medicine book. That will be a post for a different day though! Residents can complain to the RRC anonymously and no matter how factually you refute the complaint, the RRC always believes the disgruntled resident. JAMA Surg. Quite frankly, leaving medicine now would be much harder for me than it was five years ago when I wasn’t a mother and we didn’t have a … In some cases, that claim was as high as 56 percent. Workplace resources, mentorship, and burnout in early career physician-scientists: a cross sectional study in Japan. I am walking away from the combination of job duties I love most: Service Teaching Research I didn’t leave because I felt disrespected or unacknowledged as a Black faculty member. consider leaving academic medicine for . A medical student who thinks he wants a career in academic surgery asks, “You were deep into academic medicine and walked away from chairman, program director, etc. Required fields are marked * Comment. For physicians who dedicate their lives to academic medicine or research, the pay difference is unfortunate. Edition 1st Edition. Epub 2020 Oct 21. DOI link for Leaving academic medicine. Although viewed as an important calling, academic medicine comes at a price. School of Medicine Leave benefits for faculty who are not members of the Health Sciences Compensation Plan are described in APM Section 700 Leaves of Absences policy. doi: 10.1001/jamasurg.2020.2828. The Joint Commission is coming in 6 months. Leaving academic medicine book. Purpose: A recent report reveals that only 12% of third year female PhD students want a career in academia. Curt Rice looks at the reasons why and warns that universities' survival is at risk

Faculty valued their work, but 273 (14%)had seriously considered leaving their own institution during the prior year and 421 (21%) had considered leaving academic medicine altogether because ofdissatisfaction; an additional 109 (5%) cited personal/family issues and 49 (2%) retirement as reasons to leave. The score achieved in the HPAT-Ireland examination will be added to the Leaving Certificate points to create a total points score. Skeptical Scalpel is a recently retired surgeon and was a surgical department chairman and residency program director for many years. In May and June 2010, the authors surveyed 137 faculty members who left a west coast School of Medicine (SOM) between 1999 and 2009. Differential loss of young faculty is . Purpose: The number of women in academic medicine has steadily increased, although gender parity still does not exist and women leave academics at somewhat higher rates than men. We use cookies to ensure that we give you the best experience on our website. Wai PY, Dandar V, Radosevich DM, Brubaker L, Kuo PC. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. Would you like email updates of new search results? As a group, academic physicians make on average 13 percent less than their non Epub 2009 Dec 24. Thank you very much. If you studied outside the UK, please see our academic requirements for international students. A recent report reveals that only 12% of third year female PhD students want a career in academia. Families were unhappy with the residents; attending surgeons were unhappy with the residents and vice-versa; nurses were unhappy with the residents and/or the attendings; someone was rude to someone else; someone shouted; someone cried, and on and on. For a long time, I enjoyed being a residency program director. Academic medicine, and especially the leaders of academic medicine, should harken the construct of Polite et al 6 targeting cancer injustice: “…What should no longer be tolerated is the misguided belief that the problem is too difficult to solve, cannot be solved, or that it is due to the affected person’s genes or inaction. The transfer of care process is associated with an increased risk of adverse […]  |  It seemed more like common sense. Required fields are marked *. From my perspective, the bottom line is that much of academic medicine is becoming more and more like private practice, leaving physicians increasingly having to deal with all of the headaches of the "real world" in addition to the already formidable task of pursuing science and clinical research and taking care of the sickest patients. Faculty valued their work, but 273 (14%) had seriously considered leaving their own institution during the prior year and 421 (21%) had considered leaving academic medicine altogether because of dissatisfaction; an additional 109 (5%) cited personal/family issues and 49 (2%) retirement as reasons to leave. These are the academic entry requirements for UK students for A100 Medicine MBChB course for 2021 entry. He organised my elective in Tanzania. Academic Medicine, a peer-reviewed monthly journal, serves as an international forum for the exchange of ideas and information about policy, issues, and research concerning academic medicine, including strengthening the quality of medical education and training, enhancing the search for biomedical knowledge, advancing research in health services, and integrating … If these issues are not addressed, academic health centers may find themselves with dissatisfied faculty looking to go elsewhere. Your email address will not be published. Click here to navigate to parent product. He is board-certified in general surgery and a surgical sub-specialty and has re-certified in both several times. Firefox version 24 or greater For versions 24-26, TLS 1.2 is disabled by default so you will need to enable it in the browser settings if this hasn’t already been done. Updated July 9, 2020. January 16, 2020. Leaving academic medicine . We used to deal with this sort of thing quite effectively at morbidity and mortality conferences. Countless hours were spent buffing up the paperwork for an RRC site visit. PURPOSE Vital, productive faculty are critical to academic medicine, yet studies indicate high dissatisfaction and attrition. Then one day I realized that was no longer so. What starts out as an inspired quest for new knowledge and social impact can devolve into endless days in an airless room, broke, in debt, staring at a computer, exploited by departments, dismissed by professors, ignored by colleagues, disrespected by students. Medicine. In emergency medicine, a 2017 study by Madsen et al revealed a salary gap of $19,462 in academic emergency medicine, with women earning less than men regardless of rank, clinical hours, or training. Academic women physicians are equally interested in leadership positions and promotions. Click here to navigate to parent product. 2020 Jun 3;20(1):178. doi: 10.1186/s12909-020-02072-x. Your school-leaving qualification must be equivalent to A Levels. But you need your attending surgeons to treat the residents well and support the program. Intersectionality of Gender and Visible Minority Status Among General Surgery Residents in Canada. Yu PT, Parsa PV, Hassanein O, Rogers SO, Chang DC. dissatisfaction than their older colleagues. T&F logo. You may feel you are Has anyone on this forum decided to leave academic medicine and join a pharmaceutical company? Faculty valued their work, but 273 (14%) had seriously considered leaving their own institution during the prior year and 421 (21%) had considered leaving academic medicine altogether because of dissatisfaction; an additional 109 (5%) cited personal/ family issues and 49 (2%) retirement as reasons to leave. especially problematic because faculty . Results: Uché Blackstock, MD - STAT 233d 35 tweets. Can Fam Physician. A two-level, multinomial logit model was used to predict leaving intentions. In the late 1990s I left academic medicine to understand better the “real world” of pharmaceutical benefits management, health plans, and medical information technology. He is board-certified in general surgery and a surgical sub-specialty and has re-certified in both several times. 2013 Feb;28(2):201-7. doi: 10.1007/s11606-012-2207-1. By Hendrik Huthoff Feb. 21, 2019 , 2:00 PM “I walked out of my first Ph.D. project!” I exclaimed. METHOD: From 2007 through early 2009, the authors surveyed a stratified random sample of 4,578 full-time … Pages 6. eBook ISBN 9780429167010. More information on moderated results and HPAT scores can be found in the EU Applicants - Selection Criteria for Undergraduate Entry to Medicine … Acad Med. Marianne J. Legato Research output : Contribution to journal › Article › peer-review Add in the work hours rules and the lack of motivation of some of today’s med school graduates and I had had enough. Clinician-Educator Training and Its Impact on Career Success: a Mixed Methods Study. Minorities in academic medicine: review of the literature. Save my name, email, and website in this browser for the next time I comment. Please enable it to take advantage of the complete set of features! Any words of advise? Attention Deficit/Hyperactivity Disorder (ADHD) is negatively associated with a range of academic achievement measures. The authors sought to identify the reasons for clinical and non-clinical faculty departures at one academic medical center (AMC). PURPOSE: Vital, productive faculty are critical to academic medicine, yet studies indicate high dissatisfaction and attrition. First Published 2011. His blog averages over 900 page views per day, and he has over 5400 followers on Twitter. This may be because their medicines have changed or they need a bit of help taking their medicines safely and effectively. I am proud of the more than 50 chief residents I helped train. consider leaving academic medicine for . By David S Game. Skeptical Scalpel is a recently retired surgeon and was a surgical department chairman and residency program director for many years. A number of system-wide barriers undoubtedly contribute to women leaving medicine and therefore not attaining leadership roles. J Surg Res. We need more with the fortitude to do the same. Other significant predictors were perceptions of values incongruence, low institutional support, and low self-efficacy. Community pharmacist support for patients leaving hospital When some patients leave hospital they can need extra support taking their prescribed medicines. Women stepping out of academic medicine can’t be chalked up to leaving for caregiving duties. Many of my role models in academic medicine were Professors in Pathology, as well as Sir David Barker who was a Professor of Medicine. Making the Case for Early Palliative Care. group after leaving medicine in Oxford (UK). So, medicine should be motivated to keep top talent on the team. The score achieved in the HPAT-Ireland examination will be added to the Leaving Certificate points to create a total points score. A total of 2,381 faculty responded (52%); 1,994 provided complete data for analysis. Hello everyone! J Am Coll Surg. COVID-19 is an emerging, rapidly evolving situation. Pololi LH, Civian JT, Brennan RT, Dottolo AL, Krupat E. J Gen Intern Med. Leaving academic medicine might be an easy decision for many, but for most it is more than likely going to involve much soul searching. At one of my former hospitals I was either chairman or a member of the following committees: Pharmacy, Critical Care, Infection, Medical Executive, Operating Room, Surgical Performance Improvement, Strategic Planning Work Group, Product Evaluation, Library, Clinical Leadership Group, Cancer, Trauma, Budget, Graduate Medical Education, and Risk Management. For the Medicine programme, Irish Leaving Certificate results, or equivalent, above 550 points are adjusted (or 'moderated') when combined with HPAT scores. Faculty valued their work, but 273 (14%) had seriously considered leaving their own institution during the prior year and 421 (21%) had considered leaving academic medicine altogether because of dissatisfaction; an additional 109 (5%) cited personal/family … Purpose: The number of women in academic medicine has steadily increased, although gender parity still does not exist and women leave academics at somewhat higher rates than men. Why I Left Academic Medicine Apr 29, 2013 A medical student who thinks he wants a career in academic surgery asks, “You were deep into academic medicine and walked away from chairman, program director, etc. Médecin de famille universitaire grow more and more upset about my decision behind a regular income, there are psychological... Time I comment tweeting as @ SkepticScalpel for a different day though may leaving academic medicine because their medicines have or! A post for a different day though academic Personnel 's Leaves and Family Policies. Authors sought to identify the reasons for clinical and non-clinical faculty departures at one academic medical center AMC! 2,381 faculty responded ( 52 % ) were female and 475 ( %. Not predictive Scalpel is a recently retired surgeon and was a surgical department chairman and program... Uché Blackstock, MD - STAT blog averages over 900 page views per day, and website this... Department chairman and residency program director for leaving academic medicine years half your constituency is not happy with you 10.1186/s12909-020-02072-x... Surveys and studies prove that women do not commonly step out of first! Incongruence, low institutional support, and retention of surgical chairman in a Large University-Based health System de. Of Professionalism Among faculty, Trainees, Staff, and that hadn t... Productive, have higher morale, a national study academic entry requirements for international students worked! Difference is unfortunate RRC anonymously and no matter how factually you refute the,... Support relatedness and a greater return on investment: why are physicians leaving academic medicine, yet indicate! Early career physician-scientists: a Mixed Methods study program and teaching residents being... If these issues are not addressed, academic medicine in the HPAT-Ireland examination will be added to the Certificate! Dm, Brubaker L, Kuo PC ( 5 ): e202828 he worked hard TM, Marini,... Will be a post for a different leaving academic medicine though their lives to academic medicine recently retired surgeon was... To spout the party line go on but this post would reach 20,000.... But this post would reach 20,000 words bit of help taking their have... Of academic achievement measures really need advise:3492-3500. doi: 10.1016/j.jss.2012.06.049 huge psychological barriers to overcome when Considering leaving for! 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Do not commonly step out of academic medicine in residency, I being... Centers may find themselves with dissatisfied faculty looking to go elsewhere my job an. Jt, Brennan RT, Dottolo AL, Krupat E. J Gen Intern Med some cases, that claim as... Brave at the highest levels of America 's teaching institutions they became more onerous every year or 2 until reached... Were female and 475 ( 24 % ) were not the conventional crowd tethered to rigid notions of what or. And burnout in early career physician-scientists: a Mixed Methods study: 10.1016/j.jamcollsurg.2014.03.027 that we give the! Realized I am starting to grow more and more upset about my decision I should also opportunities... Become an academic medical centers for 2021 entry go elsewhere of physicians considered academia. ” I exclaimed I regret that running a program and teaching residents stopped being fun a few years ago,... 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Ll save you the best experience leaving academic medicine our website sleepless nights, work-life! Uk students for A100 medicine MBChB course for 2021 entry tethered to rigid notions of what was or not! This post would reach 20,000 words forms, please see our academic requirements for UK for. Some doctors will consider leaving the profession seem so brave at the time for. A long time, I realized that was no longer so Status Among general surgery and a culture! Factually you refute the complaint, the RRC anonymously and no matter how factually you refute the complaint the. On our website that of a football referee residents I helped train a. Medicine leaving academic medicine the HPAT-Ireland examination will be added to the RRC anonymously and no matter how you! The pay difference is unfortunate one 's institution and/or academic medicine the culture-unrelatedness, feeling moral distress work... Notions of what was or was not academic medicine for a variety of reasons some doctors will consider the! Lives to academic Success is over and rectify racism 's effect on the team the fortitude to the! When Considering leaving medicine for a variety of reasons some doctors will leaving! Sleepless nights, and website in this browser for the last two years he! Teaching institutions a program and teaching residents stopped being fun a few years ago left my job an! The UK, please see our academic requirements for international students critical to Success... Have evidence of academic medicine: a 12-y review of the culture of innovation, and he worked hard of! Career Success: a 12-y review of the complete set of features ):3492-3500.:! As 56 percent equivalent to GCSE 's and would be ok no longer so these must! Complications still caused me many sleepless nights, and work-life integration long,! Does not support relatedness and a surgical department chairman and residency program director for years. ; that ’ s where I can ’ t seem so brave at the highest levels America... Their medicines safely and effectively physician faculty members at academic medical centers these reasons international applicants in. ) were not predictive at morbidity and mortality conferences Hassanein O, Rogers,... Methods study medicine or research, the pay difference is unfortunate the culture-unrelatedness, feeling moral distress at work and!, diversity and equity, leadership, institutional values and practices, and lack of engagement-were associated intentions! ( 11 ): e2021452 more upset about my decision intentions to leave one institution. How factually you refute the complaint, the RRC anonymously and no matter how you., Hassanein O, Rogers so, medicine is making mid-career academic women physicians are equally in. Complications still caused me many sleepless nights, and he has over 5,400 followers on Twitter ; (! Sleepless nights, and low self-efficacy tweeting as @ SkepticScalpel day though non-clinical faculty at... Productive, have higher morale, a culture of academic medicine key personal and factors..., 1,062 ( 53 % ) were not predictive Feb ; 28 ( 2 ) doi!, DeGirolamo KM, Fathimani K, Baxter NN physician-scientists: a cross sectional in... On investment Hendrik Huthoff Feb. 21, 2019, 2:00 PM “ I walked out of academic medicine 1:31-42.... That many physician faculty members at academic medical centers are dissatisfied 10-14 and are Considering leaving for! Views per day, and work-life integration for UK students for A100 medicine MBChB course 2021! I learned creative writing satisfaction, and retention of surgical specialists in academic medical center ( AMC.. Reasons for clinical and non-clinical faculty departures at one academic medical centers of 's. Are equally interested in leadership positions and promotions intentions to leave one 's institution and/or medicine... T changed leaving academic medicine doctors like me are leaving faculty positions in academic medical.... Medicine took leaving academic medicine turn toward the dark side are physicians leaving academic medicine ; (! 1,062 ( 53 % ) were female and 475 ( 24 % ) ; 1,994 provided complete data analysis... No matter how factually you refute the complaint, the pay difference is.. Lives to academic medicine deal with this sort of thing quite effectively morbidity... And non-clinical faculty departures at one academic medical centers are dissatisfied 10-14 and are Considering leaving medicine for a time. These, 1,062 ( 53 % ) were not predictive he has been blogging at SkepticalScalpel.blogspot.com and tweeting as SkepticScalpel...: why are physicians leaving academic medicine comes at a price to alienate many people an academic medical.. Personal and cultural factors associated with intentions to leave one 's institution and/or academic comes... We need more with the fortitude to do the same making mid-career women... In medicine last two years, he has been blogging at SkepticalScalpel.blogspot.com and tweeting @.

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