How to Become a Physiatrist (Healing Hands, Human Hearts!)

how to become a physiatrist

If you’ve ever envisioned yourself helping people overcome physical limitations or wondered what it takes to become a physiatrist, you’ve landed in the right place.

In this guide, we’ll examine the SPECIFIC steps you need to embark on your journey towards becoming a physiatrist. We’ll discuss:

  • The skills you need.
  • The education and training necessary for this field.
  • How to secure your first job as a physiatrist.

So, whether you’re a medical novice or a health-conscious individual looking to specialize, stay connected.

We’re about to unfold the roadmap to becoming a physiatrist.

Let’s dive in!

Contents show

Steps to Become a Physiatrist


Step 1: Understand the Role of a Physiatrist

A physiatrist, also known as a Physical Medicine and Rehabilitation (PM&R) physician, specializes in treating a variety of medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons.

To pursue this career, the first step is gaining a comprehensive understanding of the role.

Physiatrists evaluate and treat injuries, illnesses, and disability, and are experts in designing comprehensive, patient-centered treatment plans.

Their work includes conducting thorough medical examinations, diagnosing conditions, prescribing treatments and managing the care of patients.

They work with patients of all age groups and may collaborate with other healthcare professionals such as physical therapists, occupational therapists, and speech therapists to optimize patient care.

Physiatrists are typically involved in coordinating long-term rehabilitation for patients with disabilities and they often treat patients with chronic pain conditions.

Understanding the complexity of this role and the requirement of a multi-disciplinary approach to patient care is crucial in the early stages of pursuing this career.

It’s important to be aware that as a physiatrist, you must have a deep understanding of the entire human body and its functions.

You should also be passionate about helping patients improve their physical abilities and quality of life.

Understanding these aspects of the role will provide a foundation for the years of study and practical training required to become a physiatrist.


Step 2: Earn a Bachelor’s Degree

The journey to becoming a physiatrist starts with earning a bachelor’s degree.

While there is no required major for aspiring physiatrists, most tend to focus on pre-medical or biological sciences to adequately prepare for medical school.

This typically involves studying biology, chemistry, physics, mathematics, and possibly human anatomy and physiology.

During your undergraduate years, it is important to maintain a strong grade point average, especially in your science classes as medical schools consider this in their admissions process.

It is also beneficial to gain some exposure to the medical field through internships, volunteering, or shadowing professionals in a healthcare setting, preferably related to physical medicine and rehabilitation.

Moreover, while in school, it’s important to develop strong communication and problem-solving skills, as these are critical for any doctor, including physiatrists.

Take the opportunity to learn from your professors and classmates, and engage in activities that will help strengthen these skills.

Upon completion of your bachelor’s degree, you will need to take the Medical College Admission Test (MCAT) as it is one of the prerequisites to apply for medical schools.


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

To become a physiatrist, it is imperative to pass the Medical College Admission Test (MCAT).

This is a standardized, multiple-choice examination used by medical school admissions departments to assess a candidate’s aptitude and knowledge of natural, behavioral, and social science concepts.

The MCAT score is a vital component of the medical school admission process and is used along with other criteria such as GPA, letters of recommendation, and personal statements.

The MCAT is divided into four sections: Biological and Biochemical Foundations of Living Systems; Chemical and Physical Foundations of Biological Systems; Psychological, Social, and Biological Foundations of Behavior; and Critical Analysis and Reasoning Skills.

Preparing for the MCAT requires a comprehensive review of the topics covered and regular practice with sample questions and tests.

Many students enroll in preparatory courses specifically designed to help them succeed in the MCAT.

It’s recommended to take the MCAT the year before you plan to enter medical school.

Keep in mind that the MCAT is not the end-all-be-all of your medical school application – it’s just one part of a holistic review process.

However, a strong score can significantly enhance your chances of being accepted into medical school, paving the way to your career as a physiatrist.


Step 4: Graduate from Medical School

After you’ve obtained your undergraduate degree, the next step to becoming a physiatrist is to graduate from medical school.

This involves completing a four-year program at an accredited medical school to earn your Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree.

The first two years of medical school typically involve classroom instruction where you learn about the human body, diseases, and healthcare practices.

You’ll study subjects like anatomy, physiology, biochemistry, microbiology, pharmacology, and medical ethics.

The last two years of medical school usually consist of clinical rotations in various areas of medicine.

This provides you with hands-on experience under the supervision of experienced physicians.

You’ll rotate through specialties like pediatrics, psychiatry, surgery, obstetrics and gynecology, internal medicine, and more.

It’s during these rotations that you may develop an interest in physical medicine and rehabilitation.

Remember, to get into medical school, you’ll need to pass the Medical College Admission Test (MCAT), submit your academic transcripts and letters of recommendation, and likely go through an interview process.

Graduating from medical school is a significant step towards becoming a physiatrist, as it gives you the foundational knowledge and skills needed to further specialize in physical medicine and rehabilitation.


Step 5: Obtain a Medical License

Once you have completed your medical degree and residency, the next step is to obtain a medical license to legally practice as a physiatrist.

This process involves passing the United States Medical Licensing Examination (USMLE), a three-part exam assessing your ability to apply medical knowledge and understanding of biomedical and clinical science.

Licensing requirements can vary from state to state, so it is important to check the specific requirements in the area where you plan to practice.

This typically involves submitting your medical school transcripts, proof of residency completion, and passing results from the USMLE.

Once you are licensed, you must continue to meet certain requirements to maintain your license, such as ongoing medical education, over time.

The American Board of Physical Medicine and Rehabilitation also offers board certification for physiatrists, which though optional, can enhance your credentials and make you more appealing to potential employers.

Remember, obtaining your license is just the start, maintaining it requires continued education and staying updated with the latest practices in the field of physical medicine and rehabilitation.


Step 6: Complete Residency in Physical Medicine and Rehabilitation (PM&R)

After graduating from medical school, you need to complete a residency in Physical Medicine and Rehabilitation, which typically lasts about four years.

This residency is crucial in honing your skills and gaining hands-on experience in the field of physiatry.

During this time, you will work closely with patients, helping them to overcome physical disabilities resulting from illness or injury.

The first year of the residency generally involves gaining general medical experience in a hospital setting.

The following three years focus more on rehabilitation, dealing with conditions related to the nerves, muscles, and bones.

During your residency, you will get the chance to work with a diverse patient population, from athletes recovering from sports injuries to older adults dealing with the effects of stroke or arthritis.

Residencies are highly competitive, requiring a strong academic record, excellent references, and a demonstrated interest in the field of physical medicine and rehabilitation.

You may also have to interview with potential residency programs.

Upon completion of your residency, you will be eligible to take the certification exam administered by the American Board of Physical Medicine and Rehabilitation (ABPMR) to become a board-certified physiatrist.

This certification ensures that you have met the highest standards of competence and ethics in the field.


Step 7: Pursue Fellowship Training (Optional)

After completing a residency in Physical Medicine and Rehabilitation, you may want to pursue a fellowship in a specific sub-specialty of physiatry.

This is not a requirement for all physiatrists, but it can provide additional training and specialization that can benefit your career.

Common subspecialties include sports medicine, spinal cord injury medicine, neuromuscular medicine, pediatric rehabilitation medicine, and pain medicine.

These fellowships typically last one to two years and will provide you with more specialized knowledge and expertise in your chosen area.

During a fellowship, you will have the opportunity to treat patients within your specialty, work with experienced physiatrists, and conduct research.

This additional training can make you more competitive in the job market and can also lead to more advanced job opportunities in the field of physiatry.

Remember, this is an optional step in your career as a Physiatrist.

Many successful physiatrists choose to enter practice directly after their residency.

However, if you have a specific area of interest or if you want to gain more specialized knowledge and skills, a fellowship may be a good choice for you.


Step 8: Become Board Certified

After completing your residency in physical medicine and rehabilitation, the next step to becoming a physiatrist is to become board certified.

This involves passing the American Board of Physical Medicine and Rehabilitation (ABPMR) certification exam.

The ABPMR certification exam is designed to assess your knowledge, clinical judgment, and overall clinical competence in physical medicine and rehabilitation.

It will test your understanding of core physiatry topics such as neuromuscular medicine, musculoskeletal medicine, pediatric rehabilitation, and more.

Once you pass this exam, you will be considered a board-certified physiatrist.

This certification demonstrates to employers, colleagues, and patients that you have met the high standards of proficiency and ethics established by the ABPMR.

This can enhance your professional reputation and give you an edge in your career.

Keep in mind that you will need to maintain your certification through continued learning and periodic retesting.

The ABPMR requires that physiatrists participate in a maintenance of certification (MOC) program, which includes ongoing education and performance measurement.

Remember, board certification is a voluntary process and is not required to practice medicine.

However, it is highly respected and can open doors to more opportunities in the field of physiatry.


Step 9: Continue Medical Education

After completing your residency and becoming board certified, it’s crucial to continue your education as a physiatrist.

Medical advancements and techniques in the field of physical medicine and rehabilitation are constantly evolving, and it’s important to stay updated on these changes.

One method to continue your education is through medical conferences and workshops.

These provide opportunities for networking, learning about the latest research, and gaining new skills.

Many organizations such as the American Academy of Physical Medicine and Rehabilitation (AAPMR) offer annual conferences and workshops.

Another method is through online courses and journals.

Many institutions and medical associations offer online resources for continuing medical education (CME).

You can choose courses or articles based on your specific areas of interest within physiatry.

The American Board of Physical Medicine and Rehabilitation requires physiatrists to maintain their certification through a maintenance of certification (MOC) process, which includes CME credits.

This ensures that you are up-to-date with the latest knowledge and practices in your field.

Finally, consider joining a professional organization.

They often provide resources, including training opportunities, to their members.

They also can offer networking opportunities and access to peer-reviewed journals.

These organizations can help you stay informed about the latest research, treatments, and techniques in physiatry.


Step 10: Apply for Jobs and Build a Professional Network

Upon completing your residency and obtaining your board certification, you are ready to start applying for physiatrist jobs.

Job opportunities can be found in various medical settings including hospitals, private clinics, rehabilitation facilities, sports medicine centers, and academic institutions.

It’s important to craft a solid resume that outlines your education, skills, and clinical experiences.

Networking is also crucial in the field of physical medicine and rehabilitation.

Attend relevant conferences, seminars and join professional associations such as the American Academy of Physical Medicine and Rehabilitation (AAPM&R).

These platforms will provide you with opportunities to meet other professionals in your field and stay updated with the latest advancements in physiatry.

Consider establishing relationships with mentors who can guide you in your career path and provide you with advice based on their experiences in the field.

Joining online professional communities can also be beneficial in expanding your network and gaining additional support.

Furthermore, consider fellowships in physiatry if you are interested in specializing in a specific area such as sports medicine, pediatrics, or spinal cord injury.

Such fellowships not only enhance your expertise but also make you more marketable to potential employers.

Remember, the job search can be a lengthy process.

Be persistent, follow-up on your applications, and don’t be discouraged by rejections.

Your perseverance will eventually lead you to the right opportunity.


Step 11: Consider Specializing

As a physiatrist, you have the opportunity to specialize in various areas within physical medicine and rehabilitation.

Some of the potential subspecialties include sports medicine, hospice and palliative medicine, pain medicine, pediatric rehabilitation, and spinal cord injury.

Choosing a subspecialty can allow you to focus your career and give you an opportunity to become an expert in a particular area.

This might mean providing care for athletes, helping patients manage chronic pain, or aiding in the recovery of children with physical impairments.

To specialize, you will need to complete a fellowship program that typically lasts one to two years.

During this time, you will receive additional training and gain practical experience in your chosen subspecialty.

Upon completion of the fellowship, you may be eligible to sit for a board examination to become certified in your chosen subspecialty.

Remember that the choice to specialize should align with your career goals and passion.

If you find a specific area of physical medicine and rehabilitation particularly rewarding, it may be worth pursuing a fellowship in that subspecialty.


Step 12: Stay Updated on New Treatments and Technologies

As the field of physiatry is continually evolving, it’s essential for practitioners to stay abreast of new treatments, technologies, and research in the field.

You can do this by participating in continuing medical education (CME) courses, attending medical conferences, and reading medical journals that focus on physiatry.

It may also be beneficial to join professional associations, such as the American Academy of Physical Medicine and Rehabilitation, as they often provide resources and opportunities to learn about advancements in the field.

Staying updated with the latest technologies could involve familiarizing yourself with new medical devices, rehabilitation equipment, and emerging therapeutic methods.

Adopting these new technologies and treatments into your practice can improve patient outcomes and keep your skills current.

Remember that learning is a lifelong process, and it doesn’t stop once you’ve obtained your certification.

Constantly updating your knowledge and skills is critical to providing the best care to your patients and maintaining a successful career in physiatry.



Physiatrist Roles and Responsibilities

Physiatrists, also known as Physical Medicine and Rehabilitation (PM&R) physicians, are medical doctors who specialize in diagnosing and treating a variety of medical conditions affecting the brain, spinal cord, nerves, bones, joints, ligaments, muscles, and tendons, with a focus on improving functionality and quality of life.

They have the following roles and responsibilities:


Patient Assessment

  • Perform physical examinations and medical history reviews.
  • Diagnose and treat pain as a result of an injury, illness, or disabling condition.
  • Determine and lead a treatment/prevention plan.


Rehabilitation Management

  • Manage non-surgical treatments for musculoskeletal conditions including back and neck injuries.
  • Lead a team of medical professionals, which may include physical therapists, occupational therapists, and physician extenders to optimize patient care.


Medical Procedures

  • Perform procedures such as electrodiagnostics, nerve conduction studies, and electromyography.
  • Perform therapeutic procedures such as injections, manual medicine techniques, intrathecal baclofen pump trial and management, and spinal cord stimulator trial and implantation.


Prescription Management

  • Prescribe medications and provide patients with a comprehensive medication management plan.
  • Provide guidance on the use of assistive devices, prosthetics, and orthotics.



  • Work with other healthcare professionals to coordinate patient care.
  • Communicate with referring physicians regarding patient evaluation and treatment, progress updates, and discharge summaries.


Patient Education

  • Educate patients and their families on the patient’s condition, care plan, and how to manage their condition at home.



  • Stay up-to-date with the latest research and advancements in physiatry and related medical fields.
  • Contribute to medical research in the field of physiatry.


Professional Development

  • Participate in ongoing education and training to maintain and enhance professional competence.
  • Engage in teaching and mentoring opportunities to share knowledge and skills.



  • Maintain accurate and timely documentation of patient care, progress notes, procedure notes, discharge summaries and patient education.


What Does a Physiatrist Do?

Physiatrists, also known as Physical Medicine and Rehabilitation (PM&R) physicians, specialize in helping patients recover functionality after an illness or injury, such as stroke, spinal cord injury, or amputation.

They evaluate and treat injuries, illnesses, and disability, and are experts in designing comprehensive, patient-centered treatment plans.

Physiatrists utilize cutting-edge as well as tried and true treatments to maximize function and quality of life.

Physiatrists often lead a team of medical professionals, which might include physical therapists, occupational therapists, and physician extenders to optimize patient care.

They perform comprehensive patient assessments, manage medical issues and complications, prescribe medications, and administer injections to manage pain and inflammation.

Physiatrists also employ electodiagnostic medicine techniques, such as electromyography (EMG) and nerve conduction studies (NCS), to help diagnose conditions that cause pain, weakness, and numbness.

Their goal is not only to reduce patient’s pain, but also to help them improve their physical, psychological, emotional, and social wellbeing.

They aim to help patients not only survive, but to thrive in their daily lives.


Essential Physiatrist Skills

  • Medical Knowledge: A physiatrist, also known as a Physical Medicine and Rehabilitation (PM&R) physician, needs extensive knowledge in the medical field, especially in the diagnosis and treatment of physical impairments and disabilities.
  • Physical Assessment: They must be proficient in assessing patients’ physical conditions and evaluating their medical history to provide suitable treatment plans.
  • Rehabilitation Strategies: Physiatrists should have a comprehensive understanding of rehabilitative strategies and procedures, including physical therapies, exercises, and assistive devices.
  • Patient Management: They need to maintain a good rapport with patients, monitor their progress regularly, and update their treatment plans accordingly.
  • Communication: Effective communication skills are vital to explain medical conditions, treatment plans, and prognosis to patients and their families, as well as to collaborate with other healthcare professionals.
  • Problem-solving: The ability to analyze complex medical conditions and create effective treatment plans is crucial for a physiatrist.
  • Empathy: As they deal with patients with physical disabilities and chronic pain, physiatrists need to show empathy and provide emotional support to their patients.
  • Interdisciplinary Collaboration: Physiatrists often work with a team of healthcare professionals including physical therapists, occupational therapists, psychologists, and social workers. The ability to collaborate effectively in a team is essential.
  • Technical Skills: Proficiency in using medical equipment, assistive devices, and technologies associated with physical medicine and rehabilitation is necessary.
  • Continuing Education: As medical science is continually advancing, physiatrists need to keep updated with the latest research, treatment approaches, and technologies in their field.
  • Medical Documentation: They must be capable of maintaining accurate medical records for patient management and legal purposes.
  • Time Management: Due to the often high case load, physiatrists require excellent time management skills to effectively handle multiple patients and manage their schedules.
  • Leadership: In many cases, physiatrists lead the rehabilitation team. Therefore, leadership and management skills are crucial for coordinating patient care and leading the team effectively.
  • Research Skills: The ability to conduct and interpret research is important for physiatrists, as it helps them stay updated with advancements in their field and improve their practice.
  • Cultural Competency: The ability to understand and respect the cultural backgrounds and experiences of diverse patient populations is crucial for providing equitable care.


Physiatrist Career Path Progression

The Foundation: Resident in Physical Medicine and Rehabilitation

Your journey typically begins as a Resident in Physical Medicine and Rehabilitation (PM&R).

At this stage, you are like a sponge, absorbing knowledge and getting hands-on experience.

Your responsibilities may include patient evaluations, creating patient care plans, and learning therapeutic interventions.

Here are some tips for success in this role:

  1. Continuous Learning: Keep up-to-date with the latest PM&R practices and treatments.
  2. Seek Mentorship: Don’t hesitate to ask questions and seek guidance from senior colleagues.
  3. Active Participation: Show enthusiasm and take ownership of your patient’s treatment and recovery.


The Ascent: Physiatrist

As you gain experience and confidence, you’ll transition into the role of a Physiatrist.

You’ll take on more complex cases, conduct thorough patient assessments, and develop comprehensive rehabilitation programs.

Here’s how to thrive in this stage:

  1. Problem Solving: Improve your problem-solving skills by managing complex cases and optimizing treatment plans for effectiveness.
  2. Collaboration: Embrace teamwork and communicate effectively with your patients, their families, and other healthcare professionals.
  3. Patient Care: Focus on providing compassionate, personalized care that improves your patients’ quality of life.


Reaching New Heights: Senior Physiatrist

The next rung on the ladder is the Senior Physiatrist position.

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

You may take on mentoring roles, guide medical decisions, and lead rehabilitation programs.

To excel as a Senior Physiatrist:

  1. Mentorship: Share your knowledge and help residents and junior physiatrists grow.
  2. Strategic Thinking: Think beyond individual cases and consider the broader impact of your decisions on patient care and the healthcare system.
  3. Leadership: Lead by example and inspire others with your dedication and problem-solving abilities.


Beyond the Horizon: Lead Roles and Beyond

As your career progresses, you may choose to specialize in a particular area, such as becoming a Chief of Rehabilitation, Rehabilitation Director, or even a Clinical Researcher.

Each of these roles involves greater responsibilities, leadership, and strategic decision-making.

Here’s what to focus on:

  1. Medical Leadership: Drive medical initiatives and shape the rehabilitation direction of your organization or department.
  2. Management Skills: If you transition into management, develop strong leadership and communication skills to guide your team effectively.
  3. Innovation: Continue to innovate and stay at the forefront of rehabilitation medicine trends.


Pinnacle of Success: Rehabilitation Department Director or VP of Medical Affairs

You may reach roles like Rehabilitation Department Director or VP of Medical Affairs at the highest echelons of the physiatrist career ladder.

Here, you’ll be responsible for shaping the overall strategy of the department, making critical decisions, and managing larger teams.


Physiatrist Salary

Entry-Level Physiatrist

  • Median Salary: $180,000 – $210,000 per year
  • Entry-level physiatrists typically have 0-2 years of experience post-residency and are often still developing their specialty areas within physical medicine and rehabilitation.


Mid-Level Physiatrist

  • Median Salary: $210,000 – $260,000 per year
  • Mid-level physiatrists have 3-6 years of experience and often carry a larger patient load, may begin to specialize further in areas such as sports medicine or spinal cord injury, and take on more complex cases.


Senior Physiatrist

  • Median Salary: $260,000 – $315,000 per year
  • Senior physiatrists possess 7+ years of experience and often hold leadership roles within a medical institution, contribute to research in the field, or supervise residents and fellows.


Lead Physiatrist / Medical Director

  • Median Salary: $300,000 – $400,000+ per year
  • These roles come with significant experience and often involve overseeing a team of physiatrists, setting the medical policies and guidelines, and participating in administrative duties.


Principal Physiatrist / Chief of Rehabilitation Medicine

  • Median Salary: $350,000 – $500,000+ per year
  • These high-level positions require extensive experience, deep medical and administrative expertise, and often involve setting strategies for the physical medicine and rehabilitation department in a hospital or medical institution.


Physiatrist Work Environment

Physiatrists, also known as Physical Medicine and Rehabilitation physicians, primarily work in healthcare facilities such as hospitals, rehabilitation centers, and private clinics.

They may also work in academic institutions where they conduct research and train future physicians.

Physiatrists often work full time and their schedules can be demanding, especially if they are on-call for emergencies.

They generally work with a team of healthcare professionals including physical therapists, occupational therapists, and other medical specialists to provide comprehensive care to their patients.

Physiatrists may also have the opportunity to open their own practice, although this typically requires several years of experience and a solid patient base.

Regardless of the setting, the work environment of a physiatrist is typically fast-paced and requires a high level of interaction with patients, families, and other healthcare professionals.


FAQs About Becoming a Physiatrist

What is needed to become a Physiatrist?

To become a Physiatrist, you need to first complete a Bachelor’s degree, preferably in a science-related field.

This is followed by four years of medical school to earn an MD or DO degree.

After medical school, you must complete a residency in Physical Medicine and Rehabilitation, which typically takes four years.

Additionally, some physiatrists choose to further specialize in a specific area through a fellowship.

Essential skills include a strong understanding of neurology, orthopedics, and rehabilitation techniques, as well as excellent communication, problem-solving, and empathy.


How long does it take to be a Physiatrist?

The pathway to becoming a Physiatrist is quite long.

After a four-year undergraduate degree, it typically requires another four years of medical school, followed by four years of residency.

This means it generally takes at least 12 years of higher education to become a physiatrist.

Additional time may be required if you choose to pursue a fellowship for further specialization.


Can I be a Physiatrist without a medical degree?

No, you cannot become a Physiatrist without a medical degree.

Physiatrists are medical doctors specialized in Physical Medicine and Rehabilitation.

This requires a significant amount of formal education, including an undergraduate degree, a medical degree (MD or DO), and a residency in Physical Medicine and Rehabilitation.


Is being a Physiatrist a stressful job?

Being a Physiatrist can be challenging and stressful at times due to the complexity of the conditions they treat and the need to coordinate with other healthcare professionals to ensure comprehensive patient care.

However, many Physiatrists find their work rewarding as they help individuals regain function and improve quality of life.

Stress levels can vary depending on the work setting and individual coping strategies.


What are the prospects for Physiatrists in the next decade?

The prospects for Physiatrists are expected to remain positive in the next decade.

As the population ages and the demand for rehabilitative care increases, the need for physiatrists is likely to grow.

Additionally, advances in medical technology will likely offer new treatment options and modalities for physiatrists to employ in their practice.



And there you have it.

Setting out on the path to become a physiatrist is no small endeavor, but it’s undeniably fulfilling.

Equipped with the right knowledge, training, and tenacity, you’re on your way to making a significant difference in the healthcare field.

Remember, the journey may be demanding, but the rewards are boundless. Your work could lead to breakthroughs in physical medicine and rehabilitation, changing how we approach patient care and recovery.

So, take that first step. Immerse yourself in learning. Network with healthcare professionals. And most importantly, never stop honing your medical skills.

Because the world is waiting for the healing touch you can provide.

And if you’re seeking personalized guidance on beginning or progressing your career in physiatry, explore our AI Career Path Advisor.

This complimentary tool is designed to provide customized advice and resources to help you effectively navigate your career path.

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