How to Become a Medical Director (Pave Paths, Save Lives)

how to become a medical director

If you’ve ever envisioned yourself leading a medical team or wondered what it takes to become a Medical Director, you’ve come to the right place.

In this guide, we’ll walk you through the PRECISE steps you need to take to launch your career as a Medical Director. We’ll discuss:

  • The essential skills you need.
  • The education and training that will prepare you for this role.
  • How to secure a position as a Medical Director.

So, whether you’re a medical novice or a seasoned healthcare professional looking to take the next step, stay tuned.

We’re about to unveil the roadmap to becoming a Medical Director.

Let’s embark on this journey!

Contents show

Steps to Become a Medical Director

 

Step 1: Obtain a Bachelor’s Degree

If you’re interested in becoming a Medical Director, the first step is to obtain a Bachelor’s Degree.

This undergraduate degree should be in a field related to medicine or health science.

Courses in biology, anatomy, chemistry, mathematics, and health sciences will lay the groundwork for your medical knowledge.

During your bachelor’s studies, focus on maintaining a high grade point average and developing strong foundational knowledge in the sciences.

Such strong academic records can be advantageous for competitive medical school applications.

In addition to your coursework, try to gain practical experience by participating in volunteer work or internships related to healthcare.

This will not only give you a real-world understanding of the medical field but also provide you with the opportunity to work with medical professionals and patients, which could prove invaluable in your future career as a Medical Director.

Remember, becoming a Medical Director is a long journey and completing a Bachelor’s degree is just the first step, but it’s an important one in setting the foundation for your future medical career.

 

Step 2: Attend Medical School

After earning a bachelor’s degree, your next step is attending medical school, which generally takes four years to complete.

The first two years typically consist of foundational coursework in the sciences, such as anatomy, biochemistry, physiology, pharmacology, and microbiology.

You will also learn about the legal and ethical issues related to medicine, and the humanistic aspects of patient care.

During the last two years of medical school, you will gain hands-on experience under the supervision of experienced physicians in hospital and clinic settings, rotating through different specialties such as surgery, pediatrics, internal medicine, psychiatry, and obstetrics.

Admission into medical school is highly competitive and requires a strong GPA, high scores on the Medical College Admission Test (MCAT), letters of recommendation, and relevant experience.

Many medical schools also look for demonstrated leadership skills, which is a critical aspect of the Medical Director’s role.

Upon completion of medical school, you will have the degree of Doctor of Medicine (M.D.) or Doctor of Osteopathic Medicine (D.O.).

However, the journey does not end there.

After medical school, you must complete a residency program, which provides further specialized training.

 

Step 3: Complete a Medical Residency Program

After completing your medical degree, the next step towards becoming a Medical Director is to complete a medical residency program.

This program provides hands-on experience under the supervision of experienced medical professionals and is a crucial step in your medical career.

The residency program you choose should be aligned with your career goals.

For instance, if you aspire to be a Medical Director in a hospital, you may consider a residency program that provides you with a broad spectrum of medical knowledge, such as internal medicine or family practice.

If you’re interested in a specific specialty, you can opt for a residency program in that field.

During your residency, you will rotate through different specialties to gain a comprehensive understanding of various fields and their inter-relationships.

You will learn to diagnose and treat illnesses, perform procedures, and develop patient management strategies.

On completion of a residency program, you may consider a fellowship in healthcare administration or management.

This will allow you to gain the administrative skills required for the role of a Medical Director.

Remember, the path to becoming a Medical Director is demanding and requires dedication, patience, and a willingness to continuously learn and improve.

However, the experience and knowledge gained during this process are invaluable and will serve as a strong foundation for your career.

 

Step 4: Gain Clinical Experience

Before stepping into the role of a Medical Director, it is crucial to gain extensive clinical experience.

This involves working in healthcare settings such as hospitals, clinics, or private practices.

As a medical practitioner, you will be able to understand the complexities and daily operations of healthcare institutions.

This will enable you to make informed decisions as a Medical Director in the future.

Most Medical Directors have years of experience as physicians, surgeons, or other healthcare professionals.

This hands-on experience not only equips you with clinical knowledge but also helps you understand patient care, medical protocols, and healthcare management.

Getting involved in various medical departments can also be beneficial.

This exposure will provide a broader perspective on healthcare operations, preparing you better for a leadership role.

It is also important to seek opportunities that enhance your management and decision-making skills, as these are critical for a Medical Director.

Remember, the more diverse your clinical experience, the better equipped you will be to handle the challenges of a Medical Director role.

From managing medical staff to implementing health policies, every aspect of your role will be influenced by your past clinical experiences.

 

Step 5: Obtain Board Certification

After completing a residency program, you should aim to get board-certified.

A board certification is a voluntary process that goes above and beyond basic medical licensure.

It demonstrates your commitment to the field and your ability to provide superior patient care.

Board certification often involves passing an examination and meeting other requirements as set by the board.

The certification you seek should align with your medical specialty, such as Internal Medicine, Surgery, Pediatrics, or Emergency Medicine, among others.

Once you are board-certified in your chosen specialty, you may also seek additional certifications in subspecialties or specific areas of interest.

This board certification will not only enhance your credentials but also make you a more attractive candidate for a Medical Director role.

It displays your ability to uphold high standards of practice, a critical quality that is required for the leadership role of a Medical Director.

Remember, board certifications may need to be renewed periodically to ensure you are up-to-date with the latest medical advancements and technologies in your field.

This usually involves continuous education and meeting certain criteria defined by the board.

 

Step 6: Acquire Leadership or Management Experience

In addition to the educational requirements and clinical experience, a Medical Director also needs to possess leadership or management skills.

Therefore, it is imperative to seek opportunities that will allow you to lead a team or manage a department.

This can be achieved by taking on leadership roles during your residency or fellowship or later as you start your medical practice.

In these roles, you would be expected to oversee the medical operations of a department, manage a team of healthcare professionals, and make key decisions.

You could also pursue a formal management degree such as a Master’s in Health Administration or Business Administration to gain administrative, financial, and strategic skills.

This leadership experience is crucial because as a Medical Director, you would be responsible for the overall strategic direction and management of the medical facility.

This includes policy formulation, ensuring quality care, managing staff, budgeting, and liaising with other healthcare executives.

Therefore, having prior experience leading a team or managing a department will prepare you to handle the responsibilities of the Medical Director role effectively.

Remember that demonstrating leadership potential to your superiors can also aid in your transition to a Medical Director position.

You can do this by showing initiative, problem-solving skills, and the ability to make difficult decisions.

In summary, acquiring leadership or management experience is a critical step on the path to becoming a Medical Director.

 

Step 7: Consider Further Education in Business or Health Administration

Medical Directors are not only required to have a solid grounding in clinical medicine but also need to possess a strong grasp of healthcare management and administration.

If you’re interested in this role, you may want to consider pursuing further education in business, health administration or a similar field.

A Master of Business Administration (MBA) degree can teach you how to effectively manage a team, understand the financial aspects of running a department, or make strategic decisions.

On the other hand, a Master in Health Administration (MHA) or a Master in Public Health (MPH) can provide a deeper understanding of the healthcare system, policy planning, and the intricacies of healthcare delivery.

Some universities offer dual degree programs such as MD/MBA or MD/MHA which can be pursued alongside your medical degree, or you can choose to pursue these degrees after gaining some experience in the medical field.

Understanding both the medical and the administrative aspects can make you a more effective Medical Director, as the role requires managing staff, making key decisions about medical protocols, and working with the budget for a medical department or facility.

This step isn’t compulsory for all Medical Director roles, but it is highly beneficial and could make you a more attractive candidate.

 

Step 8: Stay Informed on Healthcare Laws and Regulations

As a Medical Director, it’s crucial to stay current on healthcare laws and regulations.

Changes in legislation and regulations can have significant implications on your medical practice and can directly affect patient care and hospital policies.

This involves understanding laws such as the Health Insurance Portability and Accountability Act (HIPAA), the Patient Protection and Affordable Care Act (ACA), as well as local health regulations.

Staying informed will require you to continuously learn and stay updated even after you’ve landed the job.

You can do this by subscribing to medical newsletters, attending conferences, and participating in continuing medical education (CME) courses.

It’s also important to have a good relationship with legal professionals who can provide you with detailed information about new laws and regulations and how they affect your practice.

They can also assist with legal issues that can arise in your role as Medical Director, such as malpractice suits or contract negotiations.

Remember, ignorance of the law is not an excuse, especially in a position as critical as a Medical Director.

Staying informed on healthcare laws and regulations can save you from legal troubles and ensure that you provide the best possible care to your patients.

 

Step 9: Develop Strong Communication and Interpersonal Skills

As a Medical Director, it is not only important to have a thorough understanding of clinical practices and healthcare systems but it is also equally crucial to have strong communication and interpersonal skills.

In your role, you will be expected to communicate effectively with a variety of stakeholders, including doctors, nurses, other healthcare professionals, patients, and their families, as well as insurance companies and regulatory bodies.

You can start developing these skills during your medical training by participating in team-based projects or patient-centered care activities.

Effective communication in the medical field extends beyond verbal and written communication.

You should also be good at listening, showing empathy, and being able to explain complex medical jargon in layman’s terms.

Moreover, having strong interpersonal skills can help you lead your team more effectively, manage conflicts, and foster a positive working environment.

You may consider attending workshops or training courses in leadership, management, and communication to further refine these skills.

Being a Medical Director often requires making difficult decisions and having potentially sensitive discussions with patients and their families.

Hence, honing these skills can provide the confidence needed to navigate these challenging situations.

 

Step 10: Network with Healthcare Professionals

Establishing a strong network within the healthcare industry can be a key step in becoming a Medical Director.

Actively participating in professional organizations and associations related to healthcare, such as the American Medical Association or American Association for Physician Leadership, can provide you with opportunities to meet influential peers, potential mentors, and recruiters.

Attending conferences and seminars in your field will not only help you stay up-to-date with the latest healthcare trends and advances, but also allow you to interact with other healthcare professionals.

This could lead to job opportunities or partnerships.

Moreover, consider joining online healthcare communities and forums.

These platforms can provide an opportunity to learn from others’ experiences, ask for advice, and share your own insights.

Remember, it’s not just about making connections, but also about maintaining them.

Regularly reach out to your contacts, whether it’s to ask for advice, share interesting industry news, or simply catch up.

This helps keep the relationship strong and ensures you’re at the forefront of their mind if any new opportunities arise.

Finally, take advantage of any networking opportunities your current workplace offers.

Whether it’s internal training, company events, or committee work, these can all be excellent ways to meet people and make your aspirations known.

 

Step 11: Apply for Medical Director Positions

Once you’ve gained the necessary experience and leadership skills in the healthcare field, you can start applying for Medical Director positions.

Medical Director positions are available in hospitals, clinics, pharmaceutical companies, and other healthcare organizations.

It’s essential to apply for positions that align with your specialization and interest to ensure job satisfaction and career growth.

When applying, ensure your resume is up-to-date, highlighting your medical experience, leadership roles, and any initiatives or projects you’ve led or been a part of that positively impacted patient care or the organization.

Tailor your resume and cover letter to each position, highlighting how your skills and experiences make you the right fit for the role.

Networking can also be extremely beneficial during this process.

Connect with other medical professionals in higher positions, attend healthcare conferences, and become a part of professional organizations to increase your chances of getting a good job.

Finally, prepare for your interviews.

As a potential Medical Director, you should be ready to discuss your leadership style, your vision for the organization, how you handle conflict, and how you would improve patient care.

Do thorough research about the organization before the interview and be prepared to ask insightful questions.

Remember, getting a Medical Director position can be competitive, so it’s essential to display persistence, determination, and passion for the role during your job search.

 

Step 12: Pursue Continuous Professional Development

As a Medical Director, it is important to maintain and enhance your professional knowledge and skills continually.

This can be achieved through Continuous Professional Development (CPD).

CPD includes pursuing further educational opportunities, attending relevant conferences, workshops, seminars, and staying updated with latest research and medical advancements.

It may also include taking up leadership and management courses to enhance your administrative skills, as a Medical Director’s role isn’t limited to medicine, but also involves managing a team of healthcare professionals and overseeing the operations of a healthcare facility.

Furthermore, engage in self-directed learning where you read medical journals, articles, and books.

Participate in professional communities or associations related to your field which can help you network with other professionals, gain insights, and share knowledge.

Maintaining your certification in your specialty through a recognized board is also crucial.

This often involves completing a certain number of CPD hours each year and may require you to take exams to demonstrate your competency.

Remember, the healthcare field is always evolving, and to provide the best care to patients and lead a medical team effectively, you must stay updated with the current best practices, medical technologies, and industry trends.

 

Medical Director Roles and Responsibilities

Medical Directors play a crucial role in healthcare institutions, providing clinical guidance, strategic direction, and ensuring the delivery of high-quality medical care.

They are typically responsible for overseeing the activities of physicians and other healthcare professionals.

They have the following roles and responsibilities:

 

Clinical Leadership

  • Provide strategic and clinical leadership to medical staff.
  • Ensure delivery of high-quality patient care services.
  • Implement medical policies, procedures, and standards.

 

Staff Management

  • Oversee hiring, training, and supervision of medical staff.
  • Conduct performance evaluations and provide feedback.
  • Manage conflicts and mediate disputes among staff.

 

Quality Assurance

  • Monitor and ensure compliance with all relevant laws, regulations, and standards.
  • Implement quality assurance and improvement programs.
  • Review and analyze medical reports, patient feedback, and staff performance to identify areas for improvement.

 

Budget Management

  • Develop and manage the medical department budget.
  • Monitor expenditures and ensure cost-effective use of resources.
  • Approve purchase of medical equipment and supplies.

 

Patient Care

  • Diagnose and treat patients as needed.
  • Ensure patients’ medical needs are met and rights are respected.
  • Engage in patient consultation and follow-up.

 

Strategic Planning

  • Participate in strategic planning and decision making at the executive level.
  • Help set overall health service goals and objectives.
  • Identify opportunities for service expansion and improvement.

 

Interdepartmental Coordination

  • Coordinate with other departments and staff to ensure integrated delivery of patient care.
  • Liaise with external agencies and vendors.
  • Engage in public relations and community outreach activities.

 

Education and Research

  • Keep abreast of latest research and developments in medicine.
  • Encourage and support staff education and development.
  • Facilitate clinical research and innovation.

 

Risk Management

  • Assess potential risks and implement mitigation strategies.
  • Ensure safety and health standards are met.

 

Ethics and Compliance

  • Uphold medical ethics and professional standards.
  • Ensure all operations are conducted in compliance with ethical guidelines and legal regulations.

 

Continuous Improvement

  • Develop and implement initiatives for clinical excellence and quality improvement.
  • Strive for continuous improvement in patient care and satisfaction.

 

What Does a Medical Director Do?

A Medical Director is a high-level executive who is responsible for the overall clinical direction and management in a healthcare setting.

They typically work in hospitals, clinics, or other healthcare facilities.

Their role involves developing and implementing clinical policies, protocols, and procedures to ensure the delivery of high-quality medical care.

They also oversee the performance of doctors, nurses, and other medical staff, providing guidance and supervision where necessary.

Medical Directors work closely with other healthcare administrators to set budgets, establish quality standards, and coordinate the use of resources.

They are also involved in patient care, often serving as a senior consultant for complex cases.

Furthermore, they are tasked with ensuring compliance with healthcare regulations and laws, maintaining an environment that is safe for both patients and staff.

They may also be responsible for hiring and training medical staff, evaluating their performance, and taking necessary actions to improve their skills and competencies.

In addition, Medical Directors represent the medical staff in the hospital’s top management and play a pivotal role in decision-making processes related to patient care and services.

They might also interact with patients and their families, especially in cases involving complaints or complications.

Overall, the role of a Medical Director is multifaceted and requires excellent leadership, medical expertise, and administrative skills.

 

Essential Medical Director Skills

  • Leadership: A medical director is in charge of overseeing medical facilities or specific departments; hence, leadership skills are paramount. This includes the ability to make decisions, manage teams, and drive the mission and vision of the organization.
  • Medical Expertise: A deep understanding and knowledge of medicine is crucial. They must be aware of the latest medical procedures, guidelines, and trends in healthcare.
  • Communication: Effective communication is vital in this role. The medical director must coordinate between various departments, communicate with other healthcare professionals, and explain complex medical terms to non-medical stakeholders.
  • Problem-solving: Medical directors often face various challenges in healthcare management. They need to identify issues quickly and develop effective and efficient solutions.
  • Strategic Planning: They must be able to develop and implement strategic plans to enhance healthcare services, improve patient satisfaction, and achieve organizational goals.
  • Regulatory Compliance: Understanding and ensuring compliance with healthcare laws and regulations is essential. This includes knowledge of patient rights, medical ethics, and privacy laws.
  • Financial Acumen: Medical directors should be capable of budgeting, financial planning, and understanding the economic aspects of healthcare to make cost-effective decisions.
  • Quality Assurance: Ensuring the highest quality of medical care and patient safety is a primary responsibility. Knowledge of quality assurance processes and standards is important.
  • Teamwork: Collaborating with other healthcare professionals, administrative staff, and stakeholders is a must. They should foster a culture of teamwork and mutual respect.
  • Change Management: The healthcare industry is constantly evolving. The ability to manage change effectively, promote innovation, and adapt to new circumstances is crucial.
  • Networking: Building and maintaining relationships with other healthcare organizations, government bodies, and community stakeholders can be beneficial.
  • Critical Thinking: The ability to analyze complex medical and administrative situations, weigh the pros and cons, and make sound decisions is critical.
  • Interpersonal Skills: They should have strong interpersonal skills to interact with patients, families, and staff with empathy and understanding.
  • Technology Savvy: Familiarity with medical software, electronic health records (EHR), and other healthcare technologies is important to streamline operations and improve patient care.
  • Conflict Resolution: Handling conflicts between staff members or addressing patient complaints requires diplomacy and effective conflict resolution skills.

 

Medical Director Career Path Progression

The Foundation: Resident Physician

Your journey begins as a Resident Physician after obtaining your medical degree.

During this stage, you’re learning about patient care, medical specialties, and hospital operations.

You are gaining practical experience and honing your clinical skills.

Here are some tips for success in this role:

  1. Continuous Learning: Stay updated with the latest advancements in medical science and treatments.
  2. Seek Mentorship: Learn from senior doctors and medical professionals to gain practical and theoretical knowledge.
  3. Collaboration: Work closely with nurses, other residents, and medical personnel to understand hospital operations.

 

The Ascent: Specialist Doctor

With experience and specialization, you’ll transition into the role of a Specialist Doctor.

You’ll handle more complex cases, make critical decisions, and become an integral part of the healthcare team.

Here’s how to thrive in this stage:

  1. Expertise: Deepen your knowledge in your chosen medical specialty and improve your patient care abilities.
  2. Teamwork: Collaborate effectively with other healthcare professionals to provide the best patient care.
  3. Leadership: Take charge of challenging situations and guide junior doctors and nurses.

 

Reaching New Heights: Chief of Department

The next step is the Chief of Department position.

At this stage, you’re recognized for your expertise and leadership within the healthcare facility.

You may take on administrative roles, make key decisions, and drive your department’s success.

To excel as a Chief of Department:

  1. Mentorship: Share your knowledge and help junior doctors and residents grow.
  2. Strategic Thinking: Plan and implement strategies for improving the department’s performance and patient satisfaction.
  3. Leadership: Set an example with your work ethic and patient management skills.

 

Beyond the Horizon: Hospital Administrator

As your career progresses, you may choose to step into administrative roles like Hospital Administrator.

These roles involve managing hospital operations, including staffing, budgeting, and policy-making.

Here’s what to focus on:

  1. Operational Leadership: Drive hospital initiatives and shape the future of your healthcare facility.
  2. Management Skills: Develop strong leadership and communication skills to manage your team effectively.
  3. Innovation: Incorporate modern healthcare trends and technologies into your hospital’s operations.

 

Pinnacle of Success: Medical Director

You may reach the role of Medical Director at the highest rung of the healthcare career ladder.

Here, you’ll be responsible for overseeing the entire medical operation of the healthcare facility, making critical strategic decisions, and managing larger teams.

You will ensure the highest standards of care are met and facilitate improvements and innovation within the facility.

 

Medical Director Salary

Entry-Level Medical Director

  • Median Salary: $180,000 – $200,000 per year
  • Entry-level medical directors typically have 0-2 years of experience in this role but have substantial prior medical experience. They usually hold advanced degrees, such as MD, DO, or equivalent, and may also have a board certification.

 

Mid-Level Medical Director

  • Median Salary: $200,000 – $260,000 per year
  • Mid-level medical directors have 2-5 years of experience in the role and often take on additional administrative responsibilities within the healthcare organization or hospital.

 

Senior Medical Director

  • Median Salary: $260,000 – $320,000 per year
  • Senior medical directors possess 5+ years of experience in the role and are responsible for leading multiple departments, making key decisions in patient care protocols, and mentoring junior medical staff.

 

Executive Medical Director / Hospital Administrator

  • Median Salary: $300,000 – $400,000+ per year
  • These roles require significant experience in healthcare management and often involve strategic planning, financial management, and overall healthcare delivery.

 

Chief Medical Officer (CMO) / VP of Medical Affairs

  • Median Salary: $400,000 – $600,000+ per year
  • These high-level positions require extensive experience in medicine and healthcare administration. The responsibilities often involve setting medical policies, representing the healthcare organization externally, and making decisions on strategic healthcare initiatives.

 

Medical Director Work Environment

Medical Directors primarily operate in healthcare settings such as hospitals, clinics, assisted living facilities, rehabilitation centers, or within the health departments of organizations.

Their work involves overseeing the medical activities and ensuring the healthcare services provided comply with state and federal regulations.

This typically requires them to spend most of their time in an office setting, interacting with healthcare staff, attending meetings, and reviewing medical reports.

They often work full-time, and their schedules can be demanding due to the critical nature of their role.

This may involve working extra hours, being on-call, and sometimes working during weekends and holidays if the situation demands it.

Medical Directors often have a wealth of clinical experience behind them, and many continue to provide direct patient care alongside their administrative duties.

Their role is pivotal in bridging the gap between healthcare administration and clinical practice.

Work-related stress can be significant due to the high level of responsibility and the need to make vital decisions that affect patient health and safety.

However, the role also brings the satisfaction of being able to improve the overall standard of healthcare delivery within their organization.

 

FAQs About Becoming a Medical Director

What qualifications do I need to become a Medical Director?

To become a Medical Director, you will need a medical degree (MD or DO) and a valid license to practice medicine.

After obtaining this, you’ll need to gain experience as a physician, typically for a minimum of 5-7 years.

In addition, many organizations require Medical Directors to have board certification in a specific specialty.

Leadership experience and understanding of healthcare administration are also crucial.

Some professionals opt for a Master’s in Business Administration (MBA) or a Master’s in Healthcare Administration (MHA) to enhance their administrative and leadership skills.

 

What are the primary responsibilities of a Medical Director?

The Medical Director’s responsibilities vary depending on the organization but usually include overseeing medical policy, ensuring quality patient care, supervising clinical staff, and providing medical leadership.

They also play a significant role in decision-making processes, staff education and training, strategic planning, budgeting, and liaising with other healthcare professionals and administrators.

 

Is it challenging to balance clinical and administrative duties as a Medical Director?

Balancing clinical and administrative duties can be a challenge for Medical Directors.

However, effective time management, delegation skills, and a strong support team can help manage both aspects of the role.

Some Medical Directors may also choose to reduce their clinical hours to focus more on administrative responsibilities.

 

What skills are essential for a Medical Director?

In addition to strong medical expertise, a Medical Director should have excellent leadership and communication skills.

They should be able to make strategic decisions, manage teams, and navigate complex healthcare systems.

Knowledge of healthcare laws, regulations, and standards is also crucial.

Furthermore, they should have strong analytical skills to interpret medical data and drive quality improvement initiatives.

 

What is the career outlook for a Medical Director?

With healthcare continually evolving, the need for strong leaders in medical settings is critical.

Hence, the demand for Medical Directors is expected to grow.

These professionals have various career paths, including executive-level positions in healthcare organizations, consulting roles, or roles in healthcare policy development.

 

Conclusion

And there you have it.

Setting out on a quest to become a medical director is a considerable endeavor, but it’s unquestionably fulfilling.

Equipped with the right skills, education, and tenacity, you’re well on your way to making a substantial impact in the field of healthcare.

Remember, the journey may be rigorous, but the potential to make a difference is boundless. Your leadership could lead to breakthroughs that transform the way we understand, treat, and prevent diseases.

So, take that initial step. Immerse yourself in further learning. Connect with healthcare professionals. And most importantly, never stop striving for excellence in patient care.

Because the world is waiting for the change you can bring.

And if you’re seeking personalized guidance on beginning or advancing your career in medical leadership, have a look at our AI Career Path Advisor.

This complimentary tool is designed to provide tailored advice and resources to help you effectively navigate your career path in healthcare management.

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