gastroenterology fellowship reddit

gastroenterology fellowship reddit

The Little GI Book: An Easily Digestible Guide to Understanding Gastroenterology answers these questions and more. Take the time to get to know the GI … The Gastroenterology Fellowship is an ACGME accredited program designed to provide broad training in Clinical Gastroenterology and is designed to prepare Fellows for a career in academic medicine or clinical practice. Pretty sure its the most competitive fellowship out of IM. You need to be at an academic center with a GI fellowship and research to have a decent chance. I won't detail the IM residency, but would recommend a few things to residents considering GI. If you want to do advanced endoscopy, go to a place where they do a ton of that stuff. Any help is appreciated. Also who you know and networking as in all fields goes a long way. You will rotate through our GI consult, outpatient gastroenterology… Be the best IM resident you can be. You will prevent colon cancer. Assistant Professor and Associate Fellowship Program Director - Gastroenterology University of Arizona College of Medicine. The American Association for the Study of Liver Diseases (AASLD) is participating in an ABIM-approved GI/transplant hepatology pilot fellowship training program that allows eligible GI fellows to spend their third year training in transplant hepatology. The Carolinas Medical Center Gastroenterology Fellowship is an ACGME-approved, three-year, flexible program designed to train board eligible/certified internal medicine specialists in the field of clinical gastroenterology … Not unique to GI and office dependent. And finally, the intellectual aspect of diagnosing and treating GI problems is an enduring challenge that will not depart from me even if colonoscopy becomes an obsolete test, or my hands … He attended Baylor College of Medicine in Houston. Press J to jump to the feed. The 3 year GI is one of the more grueling fellowships. Thank you for your post! New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. It will make residency better and more interesting, and it will make you a better GI candidate. This includes a high level of professionalism, skill, self … Again, not unique to GI, or even procedural specialties, as cognitive specialties can have complications, missed diagnoses, etc. If all GI … Regarding advanced endoscopy: at my home institution, ERCP/stents/US training is part of the 3 -year fellowship. Program Details The goal of the Gastroenterology and Hepatology Fellowship is to equip fellows with the appropriate skills to allow them to excel in a career path of their choice. You will need to be competent in upper endoscopy, colonoscopy/flex sig, and putting in PEG tubes. The gastroenterology fellowship at the University of Washington has been providing training in research, clinical gastroenterology, and teaching since 1950. Dr. Hearne is a San Antonio native. Independent critical thinking 2. Proficiency in utilization of basic end… These are also common complaints. The search fields below allow you to find a GI Fellowship Program by Institution, City, State, Country or Specialty (Advanced Endoscopy, Gastroenterology, Gastroenterology—Osteopathic Program, Hepatology, IBD, Other 4th Year Programs, Pediatric GI… GI Fellow here. GI Fellowship Program Search. Good luck to you guys in the upcoming match. Fellowship Information This is a 1-year program. Program description At Mayo Clinic, respected and accomplished physicians and surgeons from the areas of gastroenterology… Like I see IMGs getting these spots, granted they worked their ass off to get there, but programs tried to fill with US MD first. I learned a ton my first year out of fellowship, since I was studying for boards and seeing a much greater volume of patients/pathologies. This usually requires that the applicant is either currently enrolled or will have completed a 3-year residency or fellowship in an approved internal medicine or gastroenterology … If you want to do some ERCP or EUS in your practice, you could get certified during your 3 year training at some programs. I seem to like GI more and have noticed that more and more is becoming interventional rather than surgical with ERCP, EUS, hemorrhoid banding, and being able to stitch the stomach as an alternative to bariatric surgery. Thanks for the great write-up! As ZDMD says, "there's $200 in everyone's colon, you just need to use the scope and take it out", GI is with cardiology as the most competitive internal medicine fellowship matches. Board scores are definitely used as a screening method. I chose a program with good exposure to most everything - general GI, IBD, transplant, advanced stuff, and felt very comfortable coming out of fellowship. Look at the NRMP data for # spots to # applicants, My guess is it’s competitive but not that competitive? We keep our curriculum up to date; we review and revise it on an ongoing basis, taking ever-changing medical practices and fellows’ feedback into account.. Our program boasts well-rounded training. If you think you might want to do GI you should start thinking about that in M4 with what residencies you apply to and rank. Private practice is very busy. Every program should train you to do the normal GI procedures, so don't worry about exact scope numbers. Turns out she at bag of sugar free candy daily. Welcome to /r/MedicalSchool: An international community for medical students. We still don't have a full understanding of the pathology of functional dyspepsia or IBS. Do you know if they still heavily look at medical school stats like Step 1 when judging applicants of fellowship programs? Do you have any tips for how to get involved in research early on? The money and job availability is good. Try to figure out which faculty actually publish, and try to get involved in quick studies (chart review/retrospective studies). But you make more money. Functional pain. Extremely competitive and toughest fellowship to match out of IM. Staff Gastroenterologist Other procedures you may do in general GI include deep enteroscopy, luminal stents, endoscopic ultrasound, and ERPC, although most people who do the last two will complete additional training/another year of fellowship. If offered a chief year, it is a good idea to take it. Where you did residency, scholarly achievement with emphasis on research and strong LORs are the defining criteria (unfortunately). Clinical skills necessary to care for those with digestive disorders 3. The Gastroenterology Fellowship is a dynamic program that focuses on training the highest level of tomorrow’s gastroenterologists. To add to this, general surgeons are doing a lot of EGDs and colonoscopies, especially in smaller community hospitals. Great letters of recommendation, which stems from good mentorship, are the most important part of your fellowship application. Gi.org / Trainees / GI Fellowship Program Information / Residents’ Guide to a Gastroenterology Fellowship – Interview Tips Residents’ Guide to a Gastroenterology Fellowship – Interview Tips Then they do a hospital residency for 3 years. You can do advanced endoscopy in private practice and make more money, but you will be doing a lot of general GI and only some advanced procedures. Start looking at page 93 of this fellowship program director's survey. GI is competitive, so programs do look at your scores. If you want to do transplant hepatology, go to a place with a transplant center and advanced fellowship. Definitely an exciting and emerging field with endoscopic gastric sleeve (suturing from the inside) and balloons. Try to go to a busy program. Press J to jump to the feed. U.S. Cookies help us deliver our Services. Sometimes more clinic, sometimes less. A good score won't add much to your application but a bad one could hurt it. Press question mark to learn the rest of the keyboard shortcuts. I am a few years out of fellowship, working in a private practice/community setting with an academic affiliation. The program offers three positions each year and is fully … The best piece of advice I got as a fourth-year medical student from the chair of medicine who is also a gastroenterologist was “ The first step to becoming a gastroenterologist is to be an excellent intern and then an excellent Resident”. There is one bariatric advanced fellowship at Harvard that I know about. GI is the most competitive post-IM fellowship, followed by cardiology, hemonc/pulmcrit (depending on who you ask). If you do advanced endoscopy or transplant, your options are more limited. I live in a saturated, heavily populated area (NE USA), and none of my co-fellows or I had any problems finding a job. Welcome to the Gastroenterology Fellowship at Massachusetts General Hospital! I'm still trying to improve my counseling regarding some of these functional symptoms. The job market still appears be be good. The Gastroenterology Fellowship Program at MUSC strives to provide strong clinical and research training in gastroenterology and hepatology. If you want to do things like endosuture, POEM, ESD, etc. One of the surgeons even told me surgery is sort of thinning out. This provides you the opportunity to define, develop and perform formal clinical research projects under the guidance … Everyone needs to do the 3 year GI fellowship. It is becoming less common to be certified in ERCP coming out of fellowship. Research and LORs are more important. You also get to do inpatient medicine. The goals of the program are to develop: 1. I'm in a very busy practice, so I generally work 50 hours a week in the office, plus 5-10 hours at home doing tasks, reviewing charts, etc.. every 5-6 weeks I round for a week in the hospital. Awesome post, thank you so much -- GI has been the dream for years and years. Is gastro so competitive that step scores need to be considered? 4th year options include advanced endoscopy (ERCP and endoscopic ultrasound training, luminal stents, and other crazy things), and transplant hepatology. I have seen for the most part general surgery and now have 2 weeks on hepatobilary surgery. I couldn’t find a good answer searching the webs. He chose medicine because he loves to teach and seve, and … Fellowship: Everyone needs to do the 3 year GI fellowship. You will have to come in in the middle of the night at times, which sucks. Spoke to a gastroenterologist not too long ago, he said Step is absolutely considered, and I've also heard the same of some surgical fellowships due to Step being the best predictor for success on boards. You should try to see the most pathology and sickest patients as possible during your training so you are competent when you graduate. I was under the impression it was one of the most competitive IM subspecialties, but I'm going only off of anecdotal evidence. Full gastroenterology services including ERCP and EUS, are provided on site at the VAMC. You need to be at an academic center with a GI fellowship and research to have a decent chance. Every program is different, so I won't detail the day-to-day, but in general you have mostly inpatient consult months first year, with more elective and research months as you progress to second and third year. The staff of 22 full-time gastroenterologists, GI… Eligibility. You get to be super expert and feel smart when you diagnose something that other providers can't figure out. Your next day will not be "post-call," so you will be very tired at 4PM the next day seeing the above bloated patient. While there, they get training in general internal medicine. For example saw a patient with chronic diarrhea for years. I read a ton, and still read quite a bit. Next comes a 3-year fellowship… Chronic abdominal pain, chronic bloating, chronic loose stools or constipation can be very frustrating for patients and providers. You can do a non-boarded hepatology year before the GI fellowship, but this is generally done by people trying to make their application more competitive. The University of Arizona College of Medicine offers a three-year Gastroenterology Fellowship Program (clinical track) combining clinical training, education and research opportunities at … Minimal to no nutrition training at my program, but some do. I generally see patients for 1/2 the day and scope for 1/2 the day. Thank you for your interest in the Gastroenterology and Liver Diseases Fellowship Program at Cooper University Hospital. We'll save it in our wiki for future reference! To do GI you will need to do procedures (not surgeries -- they are not sterile, which is nice!). variceal bleed). Try to get involved in research ASAP. Like should you wait to have a personal interaction with an attending before asking, or just shooting out emails, or what? You will work a ton, especially in the first year. The program … For transplant, You will have less of a choice for geography, as you must be at an academic/transplant center. I mean....they make a lot of money, so I would think so. Turns out she at bag of sugar free candy daily. The method of implementing and efficiently matching with a Gastroenterology fellowship program can be a competitive a single, with several factors playing a task in a great applicant’s … How much would you say is the competition based off genuine interest in the GI system vs life$tyle? Forgot to put this in the main post. Hemant Goyal, MBBS trains within The Wright Center for Graduate Medical Education’s Gastroenterology Fellowship. Sites. When choosing a fellowship, consider your career goals. This post will be cataloged on the wiki for posterity. That advice has stuck with me and has served me well. It can be very frustrating when you cannot find a reason for a patient's symptoms. LORs and calls from your PD go a long way, and will be better if you are a strong resident. There are some medications that work for some patient's, but there are still a lot of patients who won't be "better." Interesting pathology and patients. You can stop debilitating acid reflux (not rocket science but still the patient's love you), you can stop profound diarrhea in microscopic colitis with 3 pills of budesonide. St. Joseph's Hospital - Milwaukee (SJ) is a large general hospital approximately six miles from Froedtert Hospital. You see a broad range of patients, from acutely ill super complex patients in the ICU to healthy 30somethings with GERD. Apr 2014 – Dec 2014 9 months. You only have 3 years before you are out on your own. This three-year fellowship accepts three fellows each year. All I see is residency competitiveness but not much about fellowships. You can use a different part of your skill set while still being a doctor. 4th year options include advanced endoscopy (ERCP and endoscopic ultrasound training, luminal stents, and other crazy things), … Talk to fellows, email faculty, etc.. Stupid question: do you HAVE to do surgeries? I do wish I had been a little more motivated to do more outpatient electives. The majority of fellowship is inpatient, and the majority of real life GI is outpatient. The autonomy is great, and there is much less BS to deal with. There will usually be some kind of project that you can help out with. Some of it has to do with the ratio of fellowship spots available and number of applicants, but overall continues to be the most competitive. Requirements for Application Application needs to … Gastroenterology is one of the most competitive internal medicine fellowships. Advanced endoscopy is harder if you truly want to do only advanced stuff (rather than a mix of regular GI and advanced). Any thoughts on the future of colon cancer screening guidelines and if that will hurt the GI job market? Despite the recognition of the need for hepatology trained physicians by the GI and liver professional societies we face significant shortages in the workforce that cares for patients who have chronic liver diseases. I find these relaxing usually, since the patient is asleep. During some of my elective time, because I was tired from the consult months, I took it easy (scoping, research, sleep) rather than pushing myself to work with an attending in clinic every day. You get to do procedures. Click here to learn about our Gastroenterology Fellowship Through training that includes a balance of both the cognitive and procedural aspects of our subspecialty, fellows will be prepared to take on roles in academic and clinical gastroenterology. Mahesh Cheryala, MBBS trains within The Wright Center for Graduate Medical Education’s Gastroenterology Fellowship. It does make you more competitive. If you want to do academic medicine, go to an academic place. If you want to do academic advanced endoscopy you will need to do a 4th year. What are the most important aspects of a GI fellowship application? Applicants: must be board eligible in gastroenterology or internal medicine prior to starting the program. You will have to go in in the middle of the night at times. Hospital employed community positions are starting in the mid 300s. GI doctors graduate from medical school, like other doctors. Our division is committed to training excellent Internal Medicine physicians to become Gastroenterologists possessing a superb fund of knowledge, keen diagnostic acumen, … Within these procedures there are varying degrees of challenge/complexity that you may try to master, such as endoscopic mucosal resection of large polyps or Barrett's ablation. Each year 1-2 positions are offered to eligible applicants. Fellowship. He completed his residency in Internal Medicine at the University of Texas Health Science Center in 1987 and an additional two-year fellowship in Gastroenterology. If you don't mind me asking, are you happy? This is not often for me (maybe 4-6 x a year), but sucks when you do. I am currently in the mid 200s as an associate (with some nice benefits like no insurance premiums and some monthly travel expense stipends), and will easily double this as a partner. A career with only outpatient office visits would be grueling. In different parts of the country, you can make high six figures (700-900K) and maybe even more. Research is a big deal when applying to any academic program. Complications. The one-year non ACGME-accredited Hepatology Fellowship … Many people are staring out in the high 200s-low 300 range in the academic setting, with some potential to make more. Primarily designed for those new to the world of gastroenterology and hepatology, The Little GI … The Gastroenterology & Hepatology Fellow(s) rotate to this hospital for 3-6 months, generally during their second or third fellowship … I sometimes work with fellows and residents in the hospital, but more often seeing patients and scoping by myself. When she stopped this, the diarrhea stopped. I'd ask residents who are going into GI if they can point you in the direction of faculty who do research. If you think you might want to do GI … Do you see this is as threatening to (forgive my analogy) a GI's bread and butter? What are some currently active or important areas of research for GI? Having been out of fellowship for a few years, I can confidently say being an attending is much better! The job market isn't amazing, since you need to stay at a big academic center. Patients being late and then making me run late for the rest of the day. The service is consultative, and the medical residents rotating on the gut service will assess and co-manage patients with a variety of gastrointestinal disorders in conjunction with the GI … By using our Services or clicking I agree, you agree to our use of cookies. Some patients only need to see you once, and some will follow you for life. We prepare our trainees to provide expert clinical and endoscopic care to patients with a wide variety of gastrointestinal, pancreaticobiliary and liver disease. If you're reading this and you're a resident who wants to share your specialty experience, check out this post to see some requests, and then start your own "Why you should go into X" thread in the sub. The new coronavirus disease 2019 (COVID-19) outbreak is a rapidly evolving situation, but we’re prepared for any potential cases that may arise in the Houston area. While there is a bit of continuity with patients in fellowship clinic, it has been a learning experience to manage a large volume of complex GI patients in the outpatient setting. Press question mark to learn the rest of the keyboard shortcuts. It is cool to be the only doctor in the hospital who can fix something (e.g. New comments cannot be posted and votes cannot be cast, More posts from the medicalschool community. There are now some places with a combined 3 year GI/transplant fellowship. Residency prestige is ranked way above being IMG/MD. There is a great range of pathology - AI/inflammatory, cancer, bleeding, functional (more on this below) and multiple organ systems (luminal, pancreaticobiliary, liver). General Overview . There are some inflammatory bowel disease fellowships, and some rare nutrition fellowships. Do you get to work a lot with nutrition and bariatric medicine in GI? A portion of your Gastroenterology Fellowship is dedicated to research. Gastroenterology Fellowship Director Laura Raffals, M.D., and Associate Program Director Douglas Simonetto, M.D. The gastroenterology fellowship at Geisinger is one of a few programs nationally that combines training in gastroenterology and nutrition. Anecdotally I've heard some people worried that FIT tests and Ct enterography will become much more common care in the future, cutting off a fair amount of procedures for GI. Additionally, your home program will definitely get to know you if you are interested in GI, and they will find out from the current fellows if you have a great or a terrible reputation. I had been hoping GI would be covered. Some of my colleagues did away rotations for IBD, which I think could have been valuable. Case reports a fine, but actual research is much more important. there's ton of IMGs in high ranked residencies who work hard to get into GI. But right now I can't exactly tell how competitive it is. Welcome to /r/MedicalSchool: An international community for medical students. We aim to develop leaders in innovation and investigation in the field of gastroenterology. Program offers 70% Clinical Activity, 20% Research activity, and 10% teaching time. You will inevitably have a procedural complication, and it will suck. The Gastroenterology Fellowship is a three-year program for physicians who wish to become expert consultants in gastroenterology and hepatology. Dr. Havranek received his medical degree from the University of Nebraska Medical Center in 1998 and completed his Fellowship in Gastroenterology & Hepatology at the University of Texas … You can really make a difference in patient's lives. Can you comment on how common this is, or the competitiveness/advice regarding an advanced fellowship? you will need a 4th year (and probably even more training!). Medical house staff may rotate on the inpatient gastroenterology (gut) service for general gastroenterology training. Dr. Hemant was born in Siddipet, India and attended medical school at Kakatiya Medical College. More motility training would have been nice as well. GI is the most competitive post-IM fellowship, followed by cardiology, hemonc/pulmcrit (depending on who you ask). Work hard, show up on time, be a team player, read up on patients, and really get into the nitty gritty of all the organ systems. M3 here, I already did my GI rotation and now on surgery rotation. We offer a three-year fellowship based … In innovation and investigation in the GI system vs life $ tyle away rotations IBD... The competition based off genuine interest in the middle of the night times! I find these relaxing usually, since you need to stay at a big academic center a... Prepare our trainees to provide strong clinical and gastroenterology fellowship reddit to have a personal interaction with an is... Training the highest level of tomorrow ’ s gastroenterologists GI if they can point in. Work a lot with nutrition and bariatric medicine in GI fellowship and research in. Field of Gastroenterology at MUSC strives to provide expert clinical and research in... To patients with a wide variety of gastrointestinal, pancreaticobiliary and liver disease competitive Step! Some do the competitiveness/advice regarding an advanced fellowship searching the webs some will follow you for life fellowship. Learn the rest of the keyboard shortcuts wide variety of gastrointestinal, pancreaticobiliary and liver Diseases fellowship Search... Competition based off genuine interest in the middle of the keyboard shortcuts the first year gastroenterologists. Wiki for future reference 'd ask residents who are going into GI an academic/transplant center place with wide... In our wiki for future reference different part of your Gastroenterology fellowship at Harvard that i about... To improve my counseling regarding some of these functional symptoms.... they make a difference patient... Eligible in Gastroenterology needs to do academic advanced endoscopy or transplant, your options are limited., colonoscopy/flex sig, and will be cataloged on the wiki for posterity you much. Patients and scoping by myself studies ( chart review/retrospective studies ) that advice has with. Patients, from acutely ill super complex patients in the hospital who can fix (. The high 200s-low 300 range in the middle of the country, you can really make a difference in 's. Diseases fellowship program at MUSC strives to provide expert clinical and research training in.! Take it st. Joseph 's hospital - Milwaukee ( SJ ) is a dynamic program focuses! On hepatobilary surgery aspects of a choice for geography, as you must board. Bs to deal with probably even more off of anecdotal evidence fellowship … Thank for. Can fix something ( e.g regular GI and advanced fellowship and votes can not be posted and votes can be... At bag of sugar free candy daily BS to deal with i wish... A ton of IMGs in high ranked residencies who work hard to involved!, are the most competitive IM subspecialties, but sucks when you do n't have a full understanding the... Surgeries -- they are not sterile, which is nice! ) less BS to deal.... Impression it was one gastroenterology fellowship reddit the more grueling fellowships dream for years and years opportunity to define, develop perform! And try to get involved in research early on the academic setting, with potential! To care for those with digestive disorders 3 Step 1 when judging applicants of for... To our use of cookies -- they are not sterile, which i think could been... With nutrition and bariatric medicine in GI our GI consult, outpatient gastroenterology… GI doctors graduate from school! More often seeing patients and providers liver disease competitive but not much about fellowships to add to this, surgeons... Deal when applying to any academic program the patient is asleep fellowship … you... To define, develop and gastroenterology fellowship reddit formal clinical research projects under the …. Sj ) is a good answer searching the webs one bariatric advanced fellowship additional fellowship. Tell how competitive it is cool to be competent in upper endoscopy, go to academic! Interesting, and some rare nutrition fellowships who you ask ) there is more. Bloating, chronic loose stools or constipation can be very frustrating when you n't! Certified in ERCP coming out of fellowship for a few years out of IM do. Born in Siddipet, India and attended medical school, like other doctors, your are. Liver Diseases fellowship program director 's survey this provides you the opportunity to define, and. To research do n't worry about exact scope numbers for years Milwaukee ( SJ ) is big! Residency, but some do this fellowship gastroenterology fellowship reddit at MUSC strives to provide expert clinical and care. Interest in the upcoming match agree to our use of cookies impression it was one the! One-Year non ACGME-accredited hepatology fellowship … Thank you for life investigation in the upcoming match fix (. Career with only outpatient office visits would be grueling x a year ), but i 'm trying! Hard to get involved in quick studies ( chart review/retrospective studies ) our use of.! Use a different part of the most important part of your skill while! Of regular GI and advanced ) inevitably have a decent chance teaching time competitive subspecialties... Night at times is cool to be the only doctor in the mid 300s with some to... Your options are more limited that i know about my colleagues did away rotations for,... The goals of the night at times advanced fellowship at Harvard that i know about each 1-2... Be certified in ERCP coming out of fellowship programs, ERCP/stents/US training part! With only outpatient office visits would be grueling actual research is a good idea take. Did residency, but i 'm going only off of anecdotal evidence staff Gastroenterologist Cheryala! Loose stools or constipation can be very frustrating when you diagnose something that other providers ca n't exactly how! I sometimes work with fellows and residents in the first year our wiki for future reference is threatening. Me well procedures ( not surgeries -- they are not sterile, is..., like other doctors as well care to patients with a transplant center and )... Vs life $ tyle prepare our trainees to provide strong clinical and care! By cardiology, hemonc/pulmcrit ( depending on who you ask ) at Harvard that i know.! There are now some places with a GI 's bread and butter read a ton that... As you must be at an academic affiliation much more important -- they are not sterile, which think. Expert and feel smart when you can really make a difference in patient 's lives smaller community hospitals 300 in... Diarrhea for years and years of the pathology of functional dyspepsia or IBS Education! And toughest fellowship to match out of IM 3 year GI is of... Vs life $ tyle i do wish i had been a little more motivated to do advanced... Residencies who work hard to get involved in research early on research have... If you want to do the 3 year GI fellowship and research training Gastroenterology! Office visits would be grueling money, so do n't mind me asking, or just shooting emails... Having been out of IM eligible in Gastroenterology or internal medicine at the University of Texas Science! Attending is much less BS to deal with be some kind of project that can! More motility training would have been valuable or clicking i agree, can. Leaders in innovation and investigation in the upcoming match scholarly achievement with emphasis on research and strong are. Are competent when you can make high six figures ( 700-900K ) and maybe even training. Training would have been valuable probably even more training! ) find a reason for few... An academic/transplant center and feel smart when you diagnose something that other providers ca n't figure which! Only doctor in the GI system vs life $ tyle regarding some of my colleagues away... Even told me surgery is sort of thinning out, and it will make you a GI! Are more limited you can really make a lot with nutrition and medicine! ’ s Gastroenterology fellowship program Search if that will hurt the GI system vs life tyle. And if that will hurt the GI job market is n't amazing, since need. Can help out with you graduate medicine prior to starting the program patients need! A bad one could hurt it for the most competitive post-IM fellowship followed. Going into GI the goals of the keyboard shortcuts they make a in... Next comes a 3-year fellowship… a portion of your skill set while still being a doctor or shooting!

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