How to Become a Family Physician (Family Health is Wealth)

how to become a family physician

If you’ve ever aspired to guide families towards healthier lifestyles or wondered what it takes to become a family physician, you’re in the right place.

In this guide, we’ll delve into the SPECIFIC steps you need to take to kickstart your career as a family physician. We’ll discuss:

  • The key skills required.
  • The educational pathway that can lead you there.
  • How to secure a job as a family physician.

So, whether you’re a medical novice or a healthcare professional looking to specialize, stick around.

We’re about to decode the roadmap to becoming a family physician.

Let’s embark on this journey!

Contents show

Steps to Become a Family Physician

 

Step 1: Research the Profession

Before embarking on the journey to become a family physician, it’s important to understand what the profession entails.

Spend time researching the responsibilities, skills, and qualifications of a family physician.

These doctors are general practitioners who treat a wide range of medical conditions across all age groups.

They diagnose and treat chronic and acute illnesses, provide routine health screenings and counseling, and help patients prevent disease.

In addition to understanding the role, you should also look into the lifestyle, work hours, and work environment.

Family physicians often have long and irregular hours due to the nature of their work.

They could be working in private practices, hospitals, or clinics.

As a family physician, having strong communication skills and empathy are crucial as they often build long-term relationships with patients and their families.

A commitment to lifelong learning is also required, as medicine is a constantly evolving field.

Researching the profession will not only provide a clear understanding of what the job entails, but it will also help you to determine if this is the right career path for you.

If possible, consider arranging informational interviews or job shadowing opportunities with practicing family physicians to gain firsthand insights into the profession.

 

Step 2: Obtain a Bachelor’s Degree in Pre-medical Studies or Related Field

To become a family physician, the first step after high school is to obtain a bachelor’s degree, preferably in pre-medical studies or a related field like biology, chemistry, or health science.

This is an essential step because medical school admissions are highly competitive and often require a strong foundation in the life sciences.

During your undergraduate studies, you should focus on courses that will prepare you for the Medical College Admission Test (MCAT), as well as for the rigorous study involved in medical school.

These courses typically include biology, chemistry, physics, and math, along with some courses in humanities and social sciences.

Furthermore, it’s advisable to participate in extracurricular activities that can demonstrate your commitment to medicine.

This can be volunteering in a medical setting, shadowing a doctor, or participating in research projects.

Lastly, maintain a high GPA and build strong relationships with your professors as you’ll need their recommendations for medical school applications.

Remember, becoming a family physician is a long journey and this is just the first major step.

 

Step 3: Take the Medical College Admission Test (MCAT)

To begin your journey towards becoming a Family Physician, you will need to take the Medical College Admission Test (MCAT).

This standardized, multiple-choice exam is a prerequisite for admission to nearly all medical schools in the United States and Canada.

The MCAT tests potential medical students on their knowledge of physical, biological, and social sciences, along with critical analysis and reasoning skills.

Preparation for the MCAT involves extensive study, usually over a period of three to six months.

Many students opt for MCAT preparation courses, which can be online or in-person, to help them understand the format of the test and to identify areas where they need improvement.

The MCAT score plays a significant role in medical school admissions.

Therefore, it’s crucial to take this test seriously and prepare diligently.

It’s advisable to take practice tests regularly to track your progress and adjust your study plan accordingly.

After taking the MCAT, your next step will be applying to medical schools that offer a strong emphasis on family medicine.

Remember, the path to becoming a Family Physician is competitive, so strive for a high MCAT score to enhance your chances of getting into your desired medical school.

 

Step 4: Apply to and Attend Medical School

To become a family physician, you need to complete medical school, a rigorous and intense educational journey that typically lasts four years.

Start by researching accredited medical schools and considering factors such as their curriculum, location, cost, and admission requirements.

You’ll generally need to submit an application through the American Medical College Application Service (AMCAS), along with your MCAT scores, transcripts, letters of recommendation, and personal statement.

Medical school is divided into two parts.

The first two years are primarily classroom-based and cover a broad range of medical knowledge, including anatomy, biochemistry, pharmacology, ethics, and skills in diagnosing and treating illness.

The second two years are more clinically oriented, and you’ll have hands-on training in a variety of medical settings under the supervision of experienced physicians.

During this time, you’ll rotate through different specialties, which allows you to get a taste of various fields and helps decide if family medicine is the right choice for you.

It’s crucial to perform well academically and show a strong commitment to the field of family medicine.

This will increase your chances of securing a residency in family medicine, which is the next critical step in your journey to becoming a family physician.

 

Step 5: Complete a Family Medicine Residency Program

After graduating from medical school, the next essential step to becoming a family physician is to complete a family medicine residency program.

This is a three-year training program where you gain hands-on experience treating patients of all ages and managing a wide array of health conditions and illnesses under the supervision of experienced physicians.

During this period, you will rotate through various medical disciplines such as pediatrics, obstetrics and gynecology, internal medicine, psychiatry, and surgery to gain a broad range of medical knowledge and skills.

You will also learn about preventive care and chronic disease management, which are crucial in family medicine.

Throughout the residency, you will also have the opportunity to work in different settings like hospitals, outpatient clinics, and long-term care facilities.

This experience will provide you a deeper understanding of the healthcare system and prepare you for the diverse scenarios you might encounter in your future practice.

After completing your residency, you will have to pass a board certification exam to demonstrate that you have acquired the necessary knowledge and skills to practice family medicine.

This certification is a testament to your competence and is often required by employers.

Remember that medicine is an ever-evolving field, and continuous learning is crucial.

Therefore, you must keep yourself updated with the latest advancements in family medicine even after your residency.

 

Step 6: Obtain a Medical License

To work as a family physician, you are required to obtain a medical license, which signifies your competency to practice medicine.

The process for obtaining a medical license varies by state, but typically involves passing the United States Medical Licensing Examination (USMLE).

This is a three-part examination that assesses a physician’s ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills, that are important in health and disease.

It also tests the fundamental skills essential for safe and effective patient care.

Once you pass the USMLE, you can apply for licensure through your state’s medical board.

The application process generally requires proof of your medical education, postgraduate training, and passing scores on the USMLE.

Some states may have additional requirements such as a criminal background check, fingerprinting or an interview.

It is important to maintain and renew your license as needed, which often involves completing continuing medical education (CME) credits.

These credits ensure that you stay updated with the latest advancements in medicine and keep refining your skills as a family physician.

Remember, a medical license is not just a certification, it’s a commitment to uphold the medical profession’s high standards of ethics and patient care.

 

Step 7: Become Board Certified in Family Medicine

After completing your residency, the next step is to become board certified in family medicine.

This is a crucial step in your journey to becoming a family physician as it demonstrates your competence and dedication to the medical field.

The certification is managed by the American Board of Family Medicine (ABFM) and consists of an examination that assesses your understanding of the core principles of family medicine.

The exam is typically taken right after residency, but it can be taken later if necessary.

Once you pass the certification exam, you’ll be officially recognized as a Board Certified Family Physician.

This certification lasts seven years, after which you’ll need to renew it through the ABFM’s Maintenance of Certification (MOC) program.

This involves completing a set number of continuing medical education (CME) hours and passing a recertification exam.

Becoming board certified not only enhances your credibility but can also open more job opportunities, as many employers prefer or even require board certification.

It’s a way to prove that you’ve met a standard of expertise and are committed to maintaining it throughout your career.

 

Step 8: Gain Experience through Practice

After completing your education and residency, it’s time to start practicing medicine as a Family Physician.

You can either join an existing practice or start your own.

This is an important step in your career as it will provide you with the hands-on experience needed to further develop your skills.

You can start by working in a hospital or a clinic, where you would handle a diverse range of cases.

This will allow you to learn about different medical conditions, treatments, and patient management strategies.

You may also choose to work in rural or underserved areas, which often have a high demand for family physicians.

After gaining some experience, you can choose to specialize in a particular area of family medicine, such as geriatrics, sports medicine, or adolescent medicine.

This would require additional training and possibly another residency.

Building relationships with patients and their families is a crucial part of being a family physician.

Over time, you’ll build a trusting relationship with your patients, providing them with personalized care.

Remember that continuous learning is a part of the job.

Medicine is a field that is constantly evolving, and it’s important to stay up-to-date with the latest research, treatments, and medical practices.

Therefore, you should take part in continuing medical education (CME) courses, seminars, and workshops regularly.

Finally, your experience will also come from interaction with other healthcare professionals.

Working in a team-based approach can improve patient outcomes and allow you to learn from your colleagues.

Therefore, networking and collaboration are also integral to this step.

 

Step 9: Stay Updated with Medical Advances and Continuing Education

As a family physician, it’s crucial to keep yourself updated with the latest medical advances, treatment methods, technologies, and research findings.

The medical field is constantly evolving, and staying up-to-date can make the difference in delivering optimal patient care.

Subscribing to relevant medical journals, attending industry conferences, participating in workshops, and joining online forums or communities for medical professionals can be beneficial.

They offer valuable insights, expose you to innovative ideas, and provide opportunities to interact with other professionals in the field.

It’s also important to pursue continuing medical education (CME).

These are educational activities that help maintain, develop, or increase the knowledge, skills, and professional performance of a physician.

They are often mandatory for maintaining licensure and certification.

You can complete CME through online courses, conferences, seminars, or workshops.

By staying updated and continuing your education, you can enhance your skills and expertise as a family physician.

This not only helps you provide better care for your patients but also increases your standing in your professional community.

 

Step 10: Develop Good Patient-Doctor Relationships

As a family physician, a key part of your role will be to establish and maintain positive relationships with your patients.

This involves clear communication, empathy, and a genuine interest in their wellbeing.

You will often be dealing with patients over a long period of time, possibly even their lifetime, making strong relationships essential.

Learning how to communicate effectively with patients of all ages, backgrounds and health statuses will be vital.

You will need to be able to explain complex medical conditions and treatments in a way that is understandable to the patient, and be able to listen and respond to their concerns and questions.

Additionally, having a non-judgmental and empathetic attitude is crucial.

Many patients will come to you with sensitive or difficult issues, and your ability to respond with understanding and compassion will significantly impact their comfort level and trust in you as their doctor.

Make sure you have a good bedside manner.

This means being patient, attentive, and friendly during patient visits, as well as showing a genuine interest in their lives.

This not only helps to build a strong patient-doctor relationship, but can also lead to better patient outcomes, as patients are more likely to follow treatment plans and preventative measures from a doctor they trust.

Finally, maintaining patient confidentiality is a vital part of building trust and strong patient-doctor relationships.

You must always respect your patients’ privacy and adhere to all laws and regulations regarding medical privacy and patient confidentiality.

These skills and qualities can be developed over time, and through continued practice and professional development, and are an essential aspect of being a successful family physician.

 

Step 11: Join Professional Associations for Networking

As a family physician, joining professional associations is a crucial step in furthering your career and expanding your professional network.

These organizations offer numerous benefits, including opportunities for continued learning, staying up-to-date with medical advancements, and networking with other medical professionals.

Consider joining associations such as the American Academy of Family Physicians (AAFP) or the American Medical Association (AMA).

Through these organizations, you can gain access to a wealth of resources such as scholarly journals, annual conferences, online forums, and continuing education opportunities.

These associations also provide a platform for you to share your knowledge and experiences with your peers.

Networking can not only contribute to your professional growth but also provide opportunities for collaborative efforts and mentorship.

Finally, these professional bodies often have job boards and career resources, which can prove invaluable when seeking career advancement or exploring different career paths within family medicine.

Remember, being an active member of such associations can significantly enhance your professional visibility and credibility in the field of family medicine.

 

Step 12: Consider a Specialization or Fellowship

After becoming a licensed physician, you might want to consider a specialization or fellowship.

Family physicians can pursue a wide range of subspecialties or focus areas to further their careers.

These might include areas like sports medicine, geriatric medicine, obstetrics, palliative care, or adolescent medicine.

To pursue a specialization, you need to apply for a fellowship program in your chosen area.

These programs typically last for one to three years and provide specialized training beyond the general family medicine residency.

During this time, you’ll gain the skills and knowledge needed to provide advanced care in your chosen area.

If you choose to specialize, it’s important to consider the additional time and commitment required.

However, a specialization can offer more career opportunities and potentially higher pay.

It can also provide the chance to work more closely with specific patient groups or to tackle more complex medical issues.

When choosing a specialization, consider your own interests and where you want your career to go.

You should also consider the needs of your patients and your community.

This can help you choose a specialization that will be both rewarding and beneficial to your practice.

 

Step 13: Apply for Family Physician Positions

As you near the completion of your residency program, it’s time to start looking for job opportunities as a Family Physician.

You can search for job openings in hospitals, health clinics, or even consider starting a private practice.

Many institutions also post job vacancies on medical job boards and professional organizations, which you can keep an eye on.

In your job application, it’s crucial to highlight your relevant experience from your residency, including any special cases or research you were involved in.

Your application should also reflect your commitment to patient care and your ability to handle a variety of health conditions, as family physicians are often the first point of contact for patients.

Prepare for interviews by reviewing common medical situations and ethical scenarios you may face in a family practice.

It could be useful to have a mentor or colleague conduct mock interviews with you.

This will help you become comfortable with answering questions under pressure.

Once you secure a position, you must continue to stay updated with the latest medical research and practices in your field, as medicine is continually evolving.

Joining professional organizations and attending conferences will help keep you informed.

 

Family Physician Roles and Responsibilities

Family Physicians provide comprehensive medical care to individuals and families regardless of age or gender.

They diagnose and treat a wide range of health conditions, and also educate patients on disease prevention and health maintenance.

They have the following roles and responsibilities:

 

Medical Care

  • Diagnose and treat a variety of illnesses and injuries in adults and children.
  • Perform minor surgeries and procedures as required.
  • Prescribe and manage medications and treatment plans.

 

Preventative Care

  • Develop personalized care plans to help patients achieve their health goals.
  • Advise on diet, exercise, and disease prevention and health promotion.
  • Conduct routine check-ups and health-risk assessments.

 

Referrals

  • Refer patients to specialists when needed.
  • Collaborate with other healthcare professionals for optimal patient care.

 

Patient Education

  • Educate patients and their families on managing their health.
  • Provide resources for self-care and wellness.

 

Emergency Care

  • Provide immediate medical attention during emergencies.
  • Coordinate with hospitals and specialists for advanced care.

 

Record Keeping

  • Maintain detailed and accurate patient records.
  • Update patient history and document all treatments and procedures.

 

Continuing Education

  • Keep up-to-date with latest medical research and technologies.
  • Participate in continuing education activities and maintain board certification.

 

Communication

  • Communicate effectively with patients, families, and healthcare professionals.
  • Explain complex medical information in a way that patients can understand.

 

Ethical Conduct

  • Adhere to ethical and legal guidelines in all aspects of practice.
  • Maintain patient confidentiality and respect patient rights.

 

What Does a Family Physician Do?

Family Physicians, also known as General Practitioners, serve as the first point of contact for patients in the healthcare system.

They work in private practices, clinics, and hospitals across the globe.

They provide comprehensive health care to individuals and families across all ages, genders, diseases, and parts of the body.

They are responsible for diagnosing a wide range of health conditions and illnesses, and refer patients to specialists when needed.

Family Physicians are skilled in preventive care, including routine checkups, health-risk assessments, immunization and screening tests.

They also manage chronic conditions such as diabetes, heart disease, or arthritis.

They have the expertise to treat a vast array of health conditions and provide personalized care tailored to individual patient needs.

This involves developing ongoing relationships with patients and families to understand their lifestyle, health goals and preferences.

Family Physicians also provide patient education, helping patients understand their health conditions and how to manage them, and promoting wellness by advising on diet, exercise, and mental health.

In summary, the role of a Family Physician is to provide comprehensive, patient-centered care that takes into consideration the individual patient’s needs and preferences.

 

Essential Family Physician Skills

  • Communication: A Family Physician must effectively communicate with patients of all age groups, from infants to seniors, to explain their medical conditions and treatment plans. Clear communication aids patient understanding and compliance with medical advice.
  • Medical Knowledge: Physicians must have broad and deep knowledge of various medical conditions, treatments, and procedures, and stay updated with the latest advancements in medical science.
  • Problem-solving: The ability to identify, analyze, and solve health problems in patients is crucial. They need to utilize their medical knowledge and diagnostic skills to determine the underlying health issues and appropriate treatment plans.
  • Empathy: Providing patient-centric care requires understanding the patient’s emotions and showing empathy. This skill helps in building trust and improving patient cooperation.
  • Physical Examination: This involves assessing the patient’s physical condition through observation and palpation, listening to the body sounds, and performing specific maneuvers. This skill helps in formulating a diagnosis.
  • Decision Making: Family physicians must make critical decisions about patient care, including diagnosis, treatment, and referral to specialists. This requires sound judgment and the ability to make decisions under pressure.
  • Medical Coding and Billing: Understanding medical codes and billing procedures is essential to maintain accurate patient records and ensure reimbursement from insurance providers.
  • Time Management: Physicians often have to see many patients each day, so effective time management is crucial to provide quality care to each patient without delays.
  • Teamwork: Family physicians often work with other healthcare professionals, such as nurses, pharmacists, and specialists. Collaboration and teamwork are vital for ensuring comprehensive patient care.
  • Electronic Health Records (EHRs): Proficiency in using EHR software is required for maintaining patient records, ordering tests, and prescribing medications.
  • Patient Education: Educating patients about their health conditions, preventive measures, and self-care techniques is an essential skill for family physicians. This promotes patient engagement and self-management.
  • Professionalism: Maintaining professional behavior, respecting patient confidentiality, and adhering to ethical guidelines are essential for building a positive patient-doctor relationship.
  • Leadership: As primary care providers, family physicians often lead healthcare teams and coordinate patient care. Leadership skills are essential for managing the team and ensuring optimal patient outcomes.
  • Resilience: The ability to cope with stress and maintain emotional stability is crucial in the challenging and often demanding environment of healthcare.
  • Lifelong Learning: Medicine is a constantly evolving field. A commitment to continuous learning and professional development is essential to keep pace with new research, technologies, and treatment protocols.

 

Family Physician Career Path Progression

The Foundation: Medical Student

Your journey usually starts as a Medical Student.

This is a phase of intense learning and exposure to various aspects of medicine.

You’ll learn about the human body, common diseases, and medical procedures.

Here are some tips for success:

  1. Study Diligently: Medicine is a vast field. Ensure you have a solid grasp of the basics and continuously broaden your knowledge.
  2. Explore Different Specialties: Use your rotations to learn about different specialties and identify your areas of interest.
  3. Practical Experience: Make the most of your clinical rotations and internships to gain practical experience.

 

The Ascent: Resident Physician

Upon graduation from medical school, you’ll enter a residency program as a Resident Physician.

Here, you’ll choose your specialty, such as family medicine, and receive in-depth training in that area.

To excel in this stage:

  1. Apply Knowledge: Apply your medical knowledge in real-world scenarios, honing your diagnostic and treatment skills.
  2. Interpersonal Skills: Develop strong communication skills to interact effectively with patients, their families, and other medical professionals.
  3. Professionalism: Uphold the highest standards of ethics and professionalism in your practice.

 

Reaching New Heights: Family Physician

After completing your residency, you’ll become a fully licensed Family Physician.

You’ll be responsible for providing comprehensive healthcare to patients of all ages.

To thrive in this role:

  1. Patient Care: Provide compassionate and effective care, building long-term relationships with your patients.
  2. Continued Learning: Stay updated with the latest medical advancements and best practices in family medicine.
  3. Teamwork: Work collaboratively with other healthcare providers to ensure optimal patient outcomes.

 

Beyond the Horizon: Specialist Roles and Leadership Positions

As your career progresses, you may choose to specialize further, such as becoming a Geriatrician or a Sports Medicine Specialist.

Alternatively, you may take on leadership roles like a Medical Director or Department Head.

Here’s what to focus on:

  1. Expertise: Develop deep expertise in your chosen specialty, becoming a trusted authority in the field.
  2. Leadership: If you step into a leadership role, hone your management skills to effectively guide your team and manage resources.
  3. Contribution to Medicine: Contribute to the field of medicine through research, education, or policy-making.

 

Pinnacle of Success: Chief Medical Officer

At the top of your career, you may become a Chief Medical Officer or hold other high-level positions in a hospital or healthcare organization.

In such roles, you’ll oversee medical operations, shape healthcare policies, and ensure quality patient care across the organization.

 

Family Physician Salary

Entry-Level Family Physician

  • Median Salary: $150,000 – $180,000 per year
  • Entry-level family physicians typically have 0-2 years of experience after completing their residency and are responsible for basic patient care in a general practice setting.

 

Mid-Level Family Physician

  • Median Salary: $180,000 – $210,000 per year
  • Mid-level family physicians have 2-5 years of experience and often take on more complex cases and may have additional responsibilities such as supervising medical staff or overseeing administrative tasks.

 

Senior Family Physician

  • Median Salary: $210,000 – $250,000 per year
  • Senior family physicians possess 5+ years of experience and are often responsible for managing a practice or a team of physicians, mentoring junior physicians, and handling more complex medical cases.

 

Lead Family Physician / Medical Practice Manager

  • Median Salary: $250,000 – $300,000+ per year
  • These roles require significant experience and often involve leading a medical practice, managing a team of physicians, and making key decisions about patient care and practice operations.

 

Chief Medical Officer / Medical Director

  • Median Salary: $280,000 – $350,000+ per year
  • These high-level positions require extensive experience, deep medical expertise, and often involve setting medical strategies for a healthcare organization or large medical practice.

 

Family Physician Work Environment

Family Physicians typically work in private practices, hospitals, or community health centers.

They may also be employed by educational institutions, the military or work in corporate settings as an occupational health provider.

Family physicians often have regular office hours, but may also be required to work evenings, weekends, and holidays, depending on the needs of their patients or their practice’s hours of operation.

They spend most of their time in direct patient care, but may also dedicate a significant portion of their day to administrative tasks such as patient paperwork, coordinating with other healthcare providers, and ongoing professional development.

Some Family Physicians may choose to open their own practice after gaining sufficient experience, and others may work in a group practice where the administrative duties are shared among several physicians.

They often work in a team with other healthcare providers such as nurses, physician assistants and medical assistants.

Family Physicians are often required to be on call, meaning they must be available to address patient concerns or emergencies outside of regular office hours.

This can be stressful, but it is also an integral part of their commitment to providing comprehensive care to their patients.

Despite the potential stressors, many Family Physicians find their work deeply rewarding, as they get to form long-term, meaningful relationships with their patients and often have the opportunity to care for multiple generations within a single family.

 

FAQs About Becoming a Family Physician

What education is required to become a family physician?

To become a family physician, you’ll typically need to complete a bachelor’s degree followed by a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.

This is usually followed by a 3-year residency in family medicine.

Many also choose to become board-certified by the American Board of Family Medicine (ABFM) or the American Osteopathic Board of Family Physicians (AOBFP).

 

How long does it take to become a family physician?

The length of time to become a family physician can vary, but typically, it takes about 11 years of post-high school education.

This includes four years of undergraduate study, four years of medical school, and a three-year residency program in family medicine.

 

Is it possible to become a family physician without going through medical school?

No, it’s not possible to become a family physician without going through medical school.

Family physicians are fully trained medical doctors, and medical school is a mandatory part of their education.

After obtaining a bachelor’s degree, aspiring family physicians must attend medical school and complete a residency program in family medicine.

 

Is being a family physician a stressful job?

Being a family physician can be stressful at times due to the responsibility of managing patients’ overall health, juggling a diverse patient load, dealing with complex medical conditions, and working long hours.

However, many family physicians find the job rewarding as they build long-term relationships with their patients and families, and have a broad impact on their community’s health.

 

What are the prospects for family physicians in the next decade?

The prospects for family physicians are expected to grow in the next decade.

As the population ages and the demand for comprehensive healthcare services increases, family physicians will continue to play a crucial role in preventive care and chronic disease management.

Moreover, the shift towards value-based care and the focus on population health further emphasize the importance of family physicians in the healthcare system.

 

Conclusion

And there you have it.

Deciding to become a family physician is indeed a monumental task, but the fulfillment it offers is immense.

Equipped with the right knowledge, proper medical training, and relentless perseverance, you’re on the right track to making a profound difference in people’s lives.

Remember, the journey might be strenuous, but the potential to heal is infinite. Your dedication could pave the way for groundbreaking treatments or preventive measures that revolutionize healthcare.

So, take that initial leap. Immerse yourself in extensive medical studies. Connect with seasoned healthcare professionals. And most critically, never stop caring for others.

Because the world is eagerly anticipating your invaluable contribution.

And if you’re seeking personalized advice on starting or furthering your career in family medicine, have a look at our AI Career Path Advisor.

This complimentary tool is specifically designed to provide tailored recommendations and resources to effectively guide you through your career journey.

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