How to Become an Emergency Room Physician (Chaos into Care)

how to become an emergency room physician

If you’ve ever felt compelled to save lives in high-stress situations or wondered what it takes to become an Emergency Room (ER) Physician, you’ve come to the right place.

In this guide, we’ll delve into the EXACT steps you need to take to embark on a career as an ER physician. We’ll discuss:

  • The skills you need.
  • The education and training that will prepare you for this challenging role.
  • How to secure a position as an ER physician.

So, whether you’re a medical novice or a seasoned professional looking to specialize, stay tuned.

We’re about to unravel the blueprint to becoming an ER physician.

Let’s get started!

Contents show

Steps to Become an Emergency Room Physician

 

Step 1: Obtain a Bachelor’s Degree

A bachelor’s degree is the first step to becoming an Emergency Room Physician.

During your undergraduate studies, you should focus on a pre-medical course load to prepare for medical school.

This typically includes courses in biology, physics, and chemistry, as well as advanced mathematics and English.

It’s also recommended to take courses in social sciences, as it can help in dealing with a wide range of people and situations, which is an essential part of the emergency room physician’s role.

Furthermore, you may want to volunteer at a hospital or clinic to gain firsthand experience of the medical field.

While your GPA is important for medical school applications, gaining a holistic understanding of the field through a well-rounded education is equally crucial.

Medical schools often look at your overall profile, including your experiences and extracurricular activities, so it’s beneficial to get involved in healthcare-related work and research projects.

Lastly, you’ll also need to take the Medical College Admission Test (MCAT), as this is a requirement for admission into medical school.

Therefore, you should dedicate a significant amount of time towards MCAT preparation.

 

Step 2: Take the Medical College Admission Test (MCAT)

Before you can apply to medical school to become an emergency room physician, you must first take the Medical College Admission Test, or MCAT.

This standardized, multiple-choice exam is designed to assess your problem solving, critical thinking, and knowledge of natural, behavioral, and social science concepts and principles prerequisite to the study of medicine.

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.

Spend several months preparing for the MCAT.

Consider taking a prep course, hiring a tutor, or using study guides and practice tests to ensure you are prepared.

High scores on the MCAT are an important factor in medical school admissions, so it is essential to study and perform well on this exam.

After you take the MCAT, you can start applying to medical schools.

Most schools require MCAT scores as part of the application process, so be sure to check the requirements for each school you are interested in.

 

Step 3: Enroll in Medical School

After completing an undergraduate degree, the next step towards becoming an Emergency Room Physician is to enroll in medical school.

Medical school typically lasts four years and involves both classroom and clinical education.

The first two years are generally focused on basic medical sciences like anatomy, biochemistry, and physiology.

You’ll also learn about different medical disciplines and the laws and ethics of practicing medicine.

The last two years of medical school are mainly composed of rotations in various medical specialties including surgery, pediatrics, psychiatry, and internal medicine.

During these rotations, you’ll have the opportunity to understand the dynamics of different specialties, which will help you decide if emergency medicine is truly your calling.

It’s advisable to perform well academically in medical school as this affects your chances of matching into a competitive specialty like emergency medicine.

You will also have to pass the United States Medical Licensing Examination (USMLE), a three-part examination required to practice medicine.

Keep in mind that acceptance into medical school is quite competitive, and it requires a strong academic record, high scores on the Medical College Admission Test (MCAT), as well as letters of recommendation and relevant experiences in the medical field, such as volunteering or internships.

You may also need to prepare for and attend multiple interviews.

 

Step 4: Complete a Residency in Emergency Medicine

After graduating from medical school, the next step towards becoming an Emergency Room Physician is to complete a residency in emergency medicine.

This is a post-graduate training program that typically lasts between three to four years, and it offers hands-on experience in a hospital’s emergency department.

The goal of the residency is to provide comprehensive clinical training and to develop essential procedural skills.

During the residency, you’ll be exposed to a wide variety of emergency situations and medical conditions.

These may include, but are not limited to, trauma, cardiac emergencies, surgical emergencies, and pediatric emergencies.

You will also get the opportunity to work with and learn from experienced emergency medicine physicians.

You may also choose to take rotations in related specialties such as internal medicine, critical care, and pediatrics to broaden your understanding of emergency medicine.

At the end of the residency, you should be capable of managing a busy emergency department, making critical decisions, and delivering high-quality emergency care.

To practice as an emergency room physician, you must pass the board certification exam in emergency medicine, administered by the American Board of Emergency Medicine (ABEM) or the American Osteopathic Board of Emergency Medicine (AOBEM) for DO graduates.

Residency is an intense and demanding period, but it is also one of the most critical steps in shaping your career as an Emergency Room Physician.

 

Step 5: Obtain Medical License

After completing your residency, the next crucial step to becoming an Emergency Room Physician is to obtain your medical license.

Licensing requirements can vary from state to state, but universally involve passing the United States Medical Licensing Examination (USMLE), which assesses a physician’s ability to apply knowledge, concepts, and principles, and to demonstrate fundamental patient-centered skills.

The three-step examination includes Step 1, which tests your understanding of the sciences basic to the practice of medicine, with special emphasis on principles and mechanisms underlying health, disease, and modes of therapy.

Step 2 assesses the ability to apply medical knowledge, skills, and understanding of clinical science essential for the provision of patient care under supervision.

It has two components, Clinical Knowledge (CK) and Clinical Skills (CS), and you must pass both.

The final Step 3 focuses on the management of health disease states, emphasizing on ambulatory and office-based activities.

Upon passing all three steps of the USMLE, you can then apply for licensure through the medical board of the state where you plan to practice.

Keep in mind, some states require a certain amount of postgraduate training before a license is granted.

Therefore, it’s crucial to understand the licensing requirements of the state you wish to practice in.

Obtaining your medical license allows you to practice medicine independently and is a fundamental step in your journey to becoming an Emergency Room Physician.

 

Step 6: Become Board Certified in Emergency Medicine

After completing your residency, you should become board certified in Emergency Medicine.

This is a crucial step for anyone aspiring to become an Emergency Room Physician.

The certification is administered by the American Board of Emergency Medicine (ABEM) and demonstrates that you have the knowledge and skills necessary to provide high-quality patient care in emergency situations.

The certification process involves passing an initial qualifying examination, which tests your knowledge in areas such as trauma, cardiology, infectious diseases, and more.

After passing this exam, you must then pass an oral certification exam, which evaluates your ability to apply your knowledge in clinical scenarios.

Becoming board certified not only validates your expertise in emergency medicine but it also increases your employability and can lead to higher compensation.

It’s important to remember that board certification is not a one-time event.

In order to maintain your certification, you must participate in continuous learning and improvement activities, and re-certify every 10 years.

This ensures that you stay up-to-date with the latest advances in emergency medicine and are able to provide the best care to your patients.

 

Step 7: Gain Experience in the Emergency Room

As part of your medical education and preparation for becoming an Emergency Room Physician, it is vital to gain hands-on experience in the Emergency Room (ER).

This will typically be part of your residency program, where you will rotate in various medical and surgical departments, including the ER, under the supervision of experienced doctors.

During this stage, you will get a chance to observe, assist, and gradually handle more complex medical situations in the ER.

You will learn to handle medical emergencies, perform procedures, and make quick decisions under pressure.

You will manage patients with a wide variety of illness and injury, from minor to life-threatening conditions.

This exposure helps you understand the pace and pressure of working in an ER and develops the necessary skills to handle it.

Additionally, you should aim to gain experience in pediatric and adult emergency medicine as ER physicians often have to treat patients of all ages.

After your residency, you may choose to undertake a fellowship in emergency medicine to further specialize and gain more in-depth experience.

It’s also crucial to develop good communication skills as you will need to interact with patients, their families, nurses, and other medical professionals effectively.

Remember that the experience you gain in the ER will be instrumental in shaping your capabilities and confidence as an Emergency Room Physician.

 

Step 8: Develop Strong Interpersonal and Communication Skills

As an Emergency Room Physician, you will be dealing with a variety of patients, medical staff, and families, often in high-stress, life-or-death situations.

This necessitates strong interpersonal and communication skills, not just to convey medical information, but also to offer comfort and support during these trying times.

You may want to attend workshops or take courses that teach empathy, active listening, and conflict resolution.

It’s also crucial to develop cultural competency, as you will be dealing with patients from diverse backgrounds.

Additionally, you must be able to communicate effectively with your medical team.

This includes nurses, technicians, and other doctors.

The ability to clearly delegate tasks, discuss patient conditions, and coordinate treatments is crucial to the smooth operation of the emergency room and the health of your patients.

Lastly, remember that communication is not a one-time skill to be mastered but a constant process of learning and adapting to each situation.

Always be open to feedback and strive to improve in this area.

 

Step 9: Stay Updated with Medical Research and Advances

As an Emergency Room Physician, it is crucial for you to stay updated with the latest medical research and advances in your field.

The world of medicine is constantly evolving with new treatments, techniques, and technologies emerging regularly.

Staying current in your knowledge can have a significant impact on patient outcomes and can also help you make critical decisions in high-pressure situations characteristic of an emergency room setting.

To stay informed about current medical research and advances, you can read medical journals, attend medical conferences, take part in professional development opportunities, and even participate in ongoing education programs.

You could subscribe to journals such as the New England Journal of Medicine, the Journal of the American Medical Association, and other publications that specifically focus on emergency medicine.

In addition, many hospitals and institutions offer courses or seminars to help physicians keep their skills up to date.

Participating in these can not only expand your knowledge base but also provide networking opportunities with other professionals in the field.

In the fast-paced and unpredictable world of emergency medicine, being well-informed about the latest research and advances can be the difference between life and death for a patient.

Therefore, this step is not only important for your career development but also imperative for providing the best possible care to your patients.

 

Step 10: Pursue Further Specialization or Fellowships if Desired

After completing residency, an emergency room physician may choose to further specialize in a particular aspect of emergency medicine.

This specialization can be in areas such as pediatric emergency medicine, sports medicine, or disaster medicine.

Pursuing additional training and education in these areas can allow you to focus your practice and become an expert in a specific field.

For those interested in academia or research, fellowships offer in-depth experience and advanced training.

These can last from one to three years and involve a research project, additional clinical work, and sometimes teaching responsibilities.

Regardless of the path chosen, continuous learning and staying updated on the latest medical advancements is a crucial part of being an effective emergency room physician.

Keep in mind that any additional training or specialization will require more time and commitment, but it can also lead to more job opportunities and higher pay in the future.

 

Step 11: Maintain Board Certification and Licensing Through Continuing Education

Emergency Room Physicians, like all medical professionals, must keep their skills and knowledge up to date.

This is not only crucial for patient care but also essential to maintain your board certification and medical license.

In many cases, this requires participating in continuing medical education (CME) programs.

Continuing medical education consists of educational activities that aim to maintain, develop, or increase the knowledge, skills, and professional performance of a physician.

It covers a range of topics related to emergency medicine and can be completed through conferences, workshops, online courses, or seminars.

Board certification also needs to be renewed periodically, generally every ten years.

This process, known as Maintenance of Certification (MOC), often involves completing a specific number of CME hours, passing an exam, and meeting other practice performance requirements.

In addition to CME and MOC, physicians must renew their state medical licenses, which usually involves completing a set number of CME hours and paying a renewal fee.

The exact requirements for license renewal vary by state, so it’s important to check with your state’s medical board for specifics.

Remember, staying up-to-date with the latest in emergency medicine not only fulfills licensure and certification requirements but also ensures that you provide the best possible care to your patients.

Regularly participating in continuing education opportunities allows you to learn about the latest medical advancements, new treatment protocols, and current best practices in emergency care.

 

Step 12: Apply for Emergency Room Physician Positions.

After completing your residency and obtaining the necessary certifications, the next step is to start applying for positions as an Emergency Room Physician.

You can find these job postings in hospitals, urgent care centers, or medical facilities that provide emergency services.

During your job search, make sure to tailor your application and resume to highlight your skills and experiences relevant to the emergency medicine.

This could include your residency experience, any additional certifications you hold, such as Advanced Cardiac Life Support (ACLS) or Pediatric Advanced Life Support (PALS), and any specific skills or experiences that make you a good fit for a high-pressure, fast-paced emergency room environment.

In addition to applying to job postings, you can also network with other healthcare professionals.

Attend conferences and meetings related to emergency medicine to connect with potential employers.

Once you’ve applied for positions, prepare for interviews.

You may be asked to discuss complex medical cases you’ve handled, how you work under pressure, and how you handle communication with patients and their families during stressful situations.

Keep in mind that some positions may require a probationary period where you work under the supervision of an experienced Emergency Room Physician.

This period allows you to demonstrate your skills and adaptability in real-time emergency situations.

Finally, it’s important to be patient during your job search.

The process can take time, but with persistence and dedication, you’ll find the right opportunity for your career as an Emergency Room Physician.

 

Emergency Room Physician Roles and Responsibilities

Emergency Room Physicians, also known as ER Doctors, are medical professionals who specialize in emergency medicine.

They are responsible for treating patients who need urgent medical attention and are often the first point of contact in a medical emergency.

They have the following roles and responsibilities:

 

Patient Assessment

  • Evaluate and assess patients to determine necessary care.
  • Perform physical examinations and diagnostic tests.
  • Assess severity of patient’s condition and determine if they require immediate attention.

 

Medical Treatment

  • Provide treatment for a wide range of illnesses and injuries.
  • Stabilize patients’ condition before transferring to other departments, if needed.
  • Administer or prescribe necessary medication or treatment.

 

Emergency Procedures

  • Perform emergency medical procedures, such as resuscitations and intubations.
  • Manage and treat life-threatening health conditions.

 

Coordination of Care

  • Coordinate with other medical professionals to provide comprehensive care.
  • Communicate with nurses, paramedics, and other physicians about patient’s condition.
  • Refer patients to appropriate specialists when necessary.

 

Documentation

  • Record patient’s medical history and symptoms.
  • Document findings and treatments in patient’s medical record.
  • Prepare discharge summaries and other documentation.

 

Patient Education

  • Educate patients and their families about treatment and care after discharge.
  • Explain procedures and discuss test results or prescribed treatments with patients.

 

Consultation

  • Consult with specialists and other healthcare professionals as needed.
  • Discuss patient’s treatment plan with other staff members.

 

Continuous Learning

  • Keep up-to-date with advancements in emergency medicine.
  • Participate in training programs, workshops, and conferences.

 

Teamwork

  • Collaborate with a team of healthcare professionals in a high-stress environment.
  • Work closely with nurses, paramedics, and other medical staff.

 

Compliance

  • Ensure compliance with healthcare laws, regulations, and standards.
  • Adhere to privacy and confidentiality regulations.

 

What Does an Emergency Room Physician Do?

Emergency Room Physicians, also known as ER Doctors, work in the fast-paced setting of hospital emergency rooms, where they provide immediate care to patients facing life-threatening conditions.

Their primary role involves examining, diagnosing, and treating patients who come into the emergency room.

This may include injuries, acute illnesses, or other critical cases.

ER Doctors must be able to quickly determine the right course of action in high-stress situations, which may involve conducting diagnostic tests, referring patients to specialists, prescribing medications, or performing emergency procedures and surgeries.

Additionally, they work closely with other healthcare professionals such as nurses, paramedics, and surgeons to ensure appropriate and timely treatment for each patient.

Emergency Room Physicians also often communicate with patients’ families to provide updates and discuss treatment plans, while documenting all medical interventions in patients’ records.

They also contribute to the education and training of medical students and residents in emergency medicine.

In this challenging role, ER Doctors must remain calm and focused, and maintain their medical knowledge and skills at a very high level to provide the best possible care for their patients.

 

Essential Emergency Room Physician Skills

  • Medical Knowledge: An ER physician needs to have a broad range of knowledge in many areas of medicine due to the variety of patients they treat. They must be up-to-date with the latest medical research, techniques, and medications.
  • Triage: The ability to quickly and accurately assess a patient’s condition and prioritize treatment is critical in an emergency room setting. This involves making split-second decisions that can save lives.
  • Critical Thinking: Emergency room physicians often need to make quick decisions with limited information. The ability to think critically and make sound judgments is crucial.
  • Communication: ER physicians must be able to communicate effectively with patients, families, and a wide range of medical professionals. They need to explain complex medical conditions and procedures in a way that patients and their families can understand.
  • Composure Under Pressure: The emergency room can be a high-stress environment. Physicians need to remain calm and composed under pressure to make the best decisions for their patients.
  • Teamwork: ER physicians work with a diverse team of healthcare professionals, including nurses, paramedics, surgeons, and specialists. They must be able to collaborate and coordinate effectively with these team members to provide the best patient care.
  • Problem-Solving: From diagnosing obscure diseases to figuring out how to treat a patient with multiple conditions, ER physicians constantly need to solve complex problems.
  • Physical Stamina: The role of an ER physician is physically demanding, often requiring long shifts with minimal breaks. Physicians need to have the physical stamina to endure these long hours while staying alert and focused.
  • Procedural Skills: ER physicians need to have proficiency in a wide range of medical procedures, from suturing wounds to intubating patients and performing life-saving procedures.
  • Empathy: Dealing with patients in distress requires a high level of empathy. ER physicians must be able to show understanding and compassion to patients who are often in pain or frightened.
  • Leadership: Often, ER physicians are required to lead a team of medical professionals to ensure the highest quality of care for patients. Strong leadership skills are essential to direct the team effectively.
  • Attention to Detail: In medicine, small details can be a matter of life and death. It’s crucial for an ER physician to be extremely meticulous and detail-oriented.
  • Patience: In emergency medicine, some situations may require a lot of patience, be it dealing with difficult patients or waiting for test results.
  • Time Management: The ability to manage time effectively is crucial in an emergency room, where physicians often need to juggle multiple patients and tasks at the same time.
  • Adaptability: Every day brings different cases in the emergency room. ER physicians need to be adaptable, ready to handle any situation that comes their way.

 

Emergency Room Physician Career Path Progression

The Foundation: Medical Student and Intern

The journey usually begins during your medical school years, where you focus on your studies and practical experiences.

Once you’ve earned your medical degree, you’ll intern in a hospital and apply the theoretical knowledge you’ve learned.

Your responsibilities at this stage will vary, including patient assessment, simple procedures, and report writing.

Here are some tips for success:

  1. Study Diligently: Ensure you stay updated with the latest in medical knowledge and techniques.
  2. Observe Carefully: Learn from senior physicians and observe their methodologies and practices.
  3. Communication Skills: Enhance your communication skills to interact effectively with patients and other healthcare professionals.

 

The Ascent: Residency in Emergency Medicine

Following your internship, you’ll enter residency specializing in emergency medicine.

This is a critical stage where you’ll face a diverse array of medical emergencies and learn to make quick, efficient decisions.

Key skills to develop during residency include:

  1. Decision Making: Develop the ability to make quick, accurate decisions under pressure.
  2. Medical Expertise: Continue to deepen your medical knowledge, especially around diagnosing and managing emergencies.
  3. Teamwork: Work collaboratively with the ER team, including nurses, technicians, and support staff.

 

Reaching New Heights: Board-Certified Emergency Physician

Once you’ve completed your residency, you can become a board-certified Emergency Physician.

At this stage, you’re leading the ER team, treating a wide range of patients from minor to severe cases.

To excel as an Emergency Physician:

  1. Leadership: Guide your team effectively, especially during high-stress situations.
  2. Patient Management: Learn to manage multiple patients simultaneously, prioritizing based on severity.
  3. Crisis Management: Improve your ability to handle crises and unexpected situations calmly and effectively.

 

Beyond the Horizon: Senior ER Physician and Department Head

As your career progresses, you could become a Senior ER Physician or head the Emergency Department.

These roles involve more administrative and strategic tasks, such as setting department policies, hiring and training staff, and representing the department in hospital leadership.

Here’s what to focus on:

  1. Administrative Skills: Develop your administrative and managerial skills to handle departmental responsibilities efficiently.
  2. Strategic Thinking: Participate in strategic planning and decision-making to improve department operations.
  3. Mentorship: Help guide younger doctors and residents in their medical journey.

 

Pinnacle of Success: Chief of Emergency Medicine or Medical Director

The highest level in an ER Physician’s career might involve becoming the Chief of Emergency Medicine or a Medical Director.

These roles involve making key decisions for the overall direction and strategy of the department or hospital.

At this stage, you’ll have a significant impact on the healthcare provided to your community.

 

Emergency Room Physician Salary

Entry-Level Emergency Room Physician

  • Median Salary: $180,000 – $220,000 per year
  • Entry-level Emergency Room Physicians typically have 0-2 years of experience after completing their residency and are often fresh medical school graduates.

 

Mid-Level Emergency Room Physician

  • Median Salary: $220,000 – $280,000 per year
  • Mid-level physicians have 2-5 years of experience and often take on more responsibilities including training of junior staff and interns.

 

Senior Emergency Room Physician

  • Median Salary: $280,000 – $350,000 per year
  • Senior physicians possess 5+ years of experience and are responsible for leading the ER team, making critical decisions, and mentoring junior physicians.

 

Chief of Emergency Medicine / ER Department Director

  • Median Salary: $350,000 – $450,000+ per year
  • These roles come with significant experience and involve administrative leadership, setting department policies, and quality improvement initiatives.

 

Medical Director / VP of Medical Affairs

  • Median Salary: $400,000 – $600,000+ per year
  • These high-level positions require extensive medical experience, leadership skills, and often involve setting medical strategies for a healthcare institution.

 

Emergency Room Physician Work Environment

Emergency Room Physicians typically work in the fast-paced, high-stress environment of a hospital’s emergency room.

They may also find employment in urgent care centers or other medical facilities that provide immediate care.

These physicians are often required to work long and irregular hours, including nights, weekends, and holidays, due to the round-the-clock nature of emergency medicine.

They may also be on-call during certain periods.

The work of an Emergency Room Physician involves collaboration with other healthcare professionals such as nurses, paramedics, and other doctors to provide urgent care to patients.

This role requires strong leadership abilities, the ability to make quick decisions, and high resilience to stress.

The environment is often unpredictable due to the varying nature and severity of cases that come into the emergency room.

Despite the challenging environment, this role offers immense satisfaction as it involves saving lives and providing immediate relief to patients.

 

FAQs About Becoming an Emergency Room Physician

What is needed to become an emergency room physician?

Becoming an emergency room physician requires extensive education and training.

You will need to complete a four-year undergraduate degree, usually in a science-related field, followed by four years of medical school.

After medical school, a residency in emergency medicine, typically lasting three to four years, is required.

The residency provides hands-on experience in a high-pressure emergency room environment.

You will also need to pass the United States Medical Licensing Examination (USMLE) to become a licensed physician.

Key skills for this role include the ability to work under pressure, quick decision-making skills, and excellent communication.

 

How long does it take to become an emergency room physician?

Becoming an emergency room physician can take anywhere from 11 to 16 years, depending on the path you take.

This includes four years for an undergraduate degree, four years of medical school, and a three to four-year residency program.

Some physicians also choose to complete a one or two-year fellowship in a specialized area of emergency medicine.

 

Can I become an emergency room physician without a residency?

No, completing a residency in emergency medicine is a crucial step in becoming an emergency room physician.

The residency provides essential hands-on experience and training in managing a wide range of medical emergencies.

It is also a requirement for board certification in emergency medicine, which is often a prerequisite for employment in this field.

 

Is working as an emergency room physician stressful?

Emergency room physicians often work in a fast-paced, high-pressure environment, which can be stressful.

They need to make quick decisions about patient care, often in life-threatening situations.

The job can also involve long, irregular hours, including nights, weekends, and holidays.

However, many emergency room physicians find the job rewarding and enjoy the challenge and variety of cases they encounter.

 

What are the prospects for emergency room physicians in the next decade?

The demand for emergency room physicians is expected to remain high in the next decade.

Factors such as an aging population and increased access to health insurance are likely to increase the demand for healthcare services, including emergency care.

Additionally, the ongoing COVID-19 pandemic has underscored the critical role of emergency medicine in our healthcare system.

 

Conclusion

There you have it.

Setting forth on the journey to become an emergency room physician is a significant undertaking, yet it’s unquestionably fulfilling.

Equipped with the proper skills, education, and perseverance, you’re on the brink of making a substantial difference in the medical field.

Bear in mind, the journey may be demanding, but the prospects are boundless. Your expertise could save countless lives, transforming healthcare delivery and emergency response.

So, take that first stride. Immerse yourself in knowledge. Connect with professionals in the field. And most importantly, never stop honing your medical skills.

Because the world is waiting for the life-saving solutions you can provide.

And if you’re seeking personalized advice on starting or progressing in your career as an emergency room physician, check out our AI Career Path Advisor.

This complimentary tool is tailored to offer customized guidance and resources to help you effectively navigate your career path.

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