© Gunther Eysenbach 1998

Unauthorised redistribution without consent of the editor is not allowed. Vervielfältigung ohne Erlaubnis des Herausgebers nicht gestattet.
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Eysenbach, G. (ed.):
Medicine and Medical Education in Europe - The Eurodoctor,
Stuttgart-New York: Thieme 1998,
ISBN 3-13-115221-4

Medicine and Medical Education in Europe

Table of contents

 

1 Medicine in Europe

1.1 Europe and the European Union

1.2 Freedom of mobility for doctors in Europe

1.2.1 Working as a doctor in the EU

1.2.2 Formal requirements needed to practise as a doctor in any state in the EU

1.2.3 Minimum training requirements in the EU leading to basic medical qualification

1.2.4 Medical specialities recognised in EU countries, specialist training

1.2.5 Mimimum training requirements for a general practitioner in the EU

1.2.6 Actual mobility of doctors

1.3 European medical bodies and associations

1.3.1 Standing Committee of European Doctors (Comité Permanent - CP)

1.3.2 European Forum of Medical Associations and WHO (EFMA)

1.3.3 European Medical Association (EMA)

1.3.4 European Union of Medical Specialists (Union Européenne des Médecins Spécialistes - UEMS)

1.3.5 European Union of General Practitioners (Union Europeéne de Medicine Ordinaire - UEMO)

1.3.6 European Association of Senior Hospital Physicians (AEMH)

1.3.7 European Federation of Salaried Doctors (Fédération Européenne des Médecins Salariés - FEMS)

1.3.8 Conference Internationale des Ordres (CIO)

1.3.9 Permanent Working Group of European Junior Hospital Doctors (PWG)

1.3.10 WHO Regional Office for Europe

1.3.11 Association for Medical Education in Europe (AMEE)

1.3.12 World Federation for Medical Education (WFME)

1.3.13 Association of Medical Schools in Europe (AMSE)

1.3.14 International Federation of Medical Students' Associations (IFMSA)

1.3.15 European Medical Student Association (EMSA)

1.3.16 Standing Committee of the Hospitals of the European Union (Hospitals for Europe - HOPE)

1.4 Exchange programmes for European doctors

1.4.1 HOPE Exchange Programme For Hospital Professionals

1.4.2 European Centres of Excellence Exchange Scheme

1.4.3 SOCRATES/ERASMUS

1.5 Medical Manpower in Europe

1.5.1 The Big Bang

1.5.2 Surplus or deficit - employment or unemployment?

1.5.3 Immigration of doctors from Eastern European countries

1.5.4 Summary

2 Health Care Systems in Europe

2.1 Introduction

2.2 History of health systems in Europe

2.3 Medicine and health

2.4 Generalists and specialists

2.5 Financing health care systems

2.6 Health provision

2.6.1 Levels of provision

2.7 Overview of country health systems

2.7.1 Insurance based health care

2.7.2 National health services

2.7.3 Belgium

2.7.4 Denmark

2.7.5 France

2.7.6 Germany

2.7.7 Greece

2.7.8 Ireland

2.7.9 Italy

2.7.10 Luxembourg

2.7.11 The Netherlands

2.7.12 Portugal

2.7.13 Spain

2.7.14 United Kingdom

2.7.15 Commentary

3 Working abroad as a doctor

3.1.1 General registration

3.1.2 Specialisation

3.1.3 Language requirements

3.1.4 Problems

3.2 Finding Work

3.2.1 Finding contacts

3.2.2 Job applications

3.3 Setting up practice

3.4 Practising medicine

3.4.1 Generalists and specialists

3.4.2 Codes of conduct

3.4.3 Investigations, diagnoses and treatments

3.4.4 Complementary medicine

3.4.5 Library services

3.5 Living abroad

3.5.1 Tax

3.5.2 Car

3.5.3 Health

3.5.4 Language

3.6 Sources of information

3.6.1 Embassies

3.6.2 The European Commission

3.6.3 Medical organisations

3.6.4 Commercial guides

3.6.5 Expatriate services

3.7 Culture shock

3.8 Coming home: "reverse culture shock"

3.9 Useful addresses

4 Postgraduate and Continuing Medical Education

4.1 Introduction

4.1.1 Stages and duration of training

4.2 Postgraduate medical education

4.2.1 Differences and common ground

4.2.1.1 The structure of postgraduate medical education in Europe

4.3 Continuing medical education

4.3.1 Definition, History, Declarations and Recommendations

4.3.2 The range of CME systems in European countries

5 The European Hospital doctor

5.1 Hospitals in Europe - differences

5.2 Status of junior doctors in hospitals

5.3 Labour conditions in European public hospitals

6 Austria

6.1 Factsheet

6.2 General Information

6.3 Population

6.4 Education

6.4.1 Historical Development of Higher Education in Austria

6.4.2 Structure of the higher education system

6.4.3 Access and Selection

6.5 Health

6.5.1 Health care system

6.5.2 Medical manpower

6.5.3 Ethical and legal codes for doctors

6.6 Postgraduate and Continuing Medical Education

6.6.1 Postgraduate specialist training (Turnus zum Facharzt)

6.6.2 Training opportunities in Public Health and International Health

6.6.3 Continuing Medical Education

6.7 Working possibilities for Foreign Medical Graduates

6.7.1 Working Possibilities

6.7.2 Formalities

6.7.3 Working conditions

6.8 Addresses

6.8.1 General Information

6.8.2 National Health Services

6.8.3 Professional Organisations

6.8.4 Getting a job

6.8.5 Medical Schools

6.8.6 Major Hospitals

7 Belgium

7.1 Factsheet

7.2 General Information

7.3 People

7.4 Education

7.4.1 Historical Development of higher education in Belgium

7.4.2 Structure of the higher education system

7.4.3 Access and selection

7.5 Health

7.5.1 Public health

7.5.2 Health care system

7.5.3 Medical manpower

7.5.4 Ethical and legal codes

7.6 Postgraduate/ Continuing Medical Education

7.6.1 Training in general practice

7.6.2 Specialist training

7.6.3 Further postgraduate training opportunities

7.6.4 Continuing medical education

7.7 Working possibilities for foreign medical graduates

7.8 Addresses

7.8.1 General Information

7.8.2 National Health Services

7.8.3 Professional Organisations

7.8.4 Getting a job

7.8.5 Medical Schools

7.8.6 Major Hospitals

7.8.7 Authorisation to practise

8 Czech Republic

8.1 Factsheet

8.2 General country information

8.3 People

8.4 Education

8.4.1 Historical Development of Higher Education in the Czech Republic

8.4.2 Structure of the higher education system

8.4.3 Access and selection

8.5 Health

8.5.1 Public health

8.5.2 Health care system

8.5.3 Medical Manpower

8.5.4 Ethical and legal codes

8.6 Postgraduate and Continuing Medical Education

8.6.1 Postgraduate medical education in Communist times

8.6.2 Postgraduate medical education today

8.6.3 Continuing medical education

8.7 Addresses

8.7.1 General Information

8.7.2 National Health Services

8.7.3 Professional Organisations

8.7.4 Postgraduate Medical School

8.7.5 Schools of Public Health

8.7.6 Major Hospitals

9 Denmark

9.1 Factsheet

9.2 General information

9.3 People

9.4 Education system

9.4.1 Structure of the higher education system in Denmark

9.4.2 Access and selection

9.5 Health

9.5.1 Public Health

9.5.2 Health care system

9.5.3 Medical Manpower

9.6 Postgraduate and Continuing Medical Education

9.6.1 Pre-registration training (turnus)

9.6.2 General structure and recent reforms of specialist training

9.6.3 Career pathway to general practice

9.6.4 Training in hospital specialities

9.6.5 Further postgraduate training opportunities

9.6.6 Continuing Medical Education in Denmark

9.7 Working possibilities for foreign medical graduates

9.8 Addresses

9.8.1 General Information

9.8.2 National Health Services

9.8.3 Professional Organisations

9.8.4 Getting a job

9.8.5 Medical Schools

9.8.6 Schools of Public Health

9.8.7 Major Hospitals

10 Finland

10.1 Factsheet

10.2 General Information

10.3 People

10.4 Education

10.4.1 Historical Development of Higher Education in Finland

10.4.2 Structure of the higher education system

10.4.3 Access and selection

10.5 Health

10.5.1 Public health

10.5.2 Health Care System

10.5.3 Medical manpower

10.6 Ethical and legal codes

10.7 Postgraduate and Continuing Medical Education

10.7.1 The former pre-registration year

10.7.2 Training in General Practice

10.7.3 Organisation of specialist training

10.7.4 Further postgraduate (research) training opportunities

10.7.5 Continuing Medical Education

10.8 Working possibilities for foreign medical graduates

10.9 Addresses

10.9.1 General Information

10.9.2 National Health Services

10.9.3 Professional Organisations

10.9.4 Body conferring authorisations

10.9.5 Getting a job

10.9.6 Medical Schools

10.9.7 Postgraduate Research Programmes

10.9.8 Major Hospitals

11 France

11.1 Factsheet

11.2 General Information

11.3 People

11.4 Health

11.4.1 Public Health

11.4.2 Health Care System

11.4.3 Medical Manpower

11.4.4 Ethical and legal codes

11.5 Education

11.6 Postgraduate and continuing medical education

11.6.1 Training in general medicine

11.6.2 Training as specialist

11.6.3 Specialist training in the surgical specialities

11.6.4 Specialist training in the medical specialities

11.6.5 Possible reforms

11.6.6 Further postgraduate training opportunities in International Health

11.6.7 Continuing medical education

11.7 Working possibilities

11.8 Adresses

11.8.1 General Information

11.8.2 National Health Services

11.8.3 Professional Organisations

11.8.4 Concours

11.8.5 Getting a job

11.8.6 Medical Schools

12 Germany

12.1 Factsheet

12.2 General Information

12.3 People

12.4 Education

12.4.1 Historical Development of Higher Education in Germany

12.4.2 Structure of the educational system

12.4.2.1 Primary and secondary education

12.4.3 Structure of the higher education system

12.4.4 Access and Selection

12.4.5 Finances

12.5 Health

12.5.1 Public Health

12.5.2 The Health Care System

12.5.3 Medical Manpower

12.6 Postgraduate and Continuing Medical Education

12.6.1 Pre-registration period (Arzt im Praktikum)

12.6.2 Choosing a speciality, career opportunities

12.6.3 Principles of postgraduate education and speciality training

12.6.4 Training in general practice

12.6.5 Training in Internal Medicine

12.6.6 Training in General surgery

12.6.7 Further postgraduate training opportunities in International Health

12.6.8 Continuing Medical Education

12.7 Working possibilities for foreign medical graduates

12.7.1 Formalities for foreign medical graduates

12.7.1.1 Formalities for nationals from EU/EEA member states

12.7.1.2 Formalities for non-EU/EEA nationals

12.7.2 Other Formalities for foreign medical graduates

12.7.3 Job application

12.8 Addresses

12.8.1 General Information

12.8.2 National Health Services

12.8.3 Licensing bodies

12.8.4 Professional Organisations

12.8.5 List of the Associations of Compulsory-Health-Insurance Physicians

12.8.6 Getting a job

12.8.7 Medical Schools

12.8.8 Major Hospitals

12.8.9 Other useful addresses

13 Greece

13.1 Factsheet

13.2 General information

13.2.1 People

13.3 Education

13.3.1 Structure of higher education

13.3.2 Access and selection

13.4 Health

13.4.1 Public health

13.4.2 Health care system

13.4.3 Medical manpower

13.4.4 Ethical, professional and legal codes

13.5 Postgraduate and Continuing Medical Education

13.5.1 Postgraduate Medical Education

13.5.2 Training for General Practitioners

13.5.3 Training in Internal Medicine

13.5.4 Training in General Surgery

13.5.5 Continuing Medical Education

13.6 Working possibilities for foreign medical graduates

13.7 Addresses

13.7.1 General Information

13.7.2 National Health Services

13.7.3 Professional Organisations

13.7.4 Competent authority

13.7.5 Getting a job

13.7.6 Medical Schools

13.7.7 Major Hospitals

14 Hungary

14.1 Factsheet

14.2 General information

14.3 People

14.4 Education

14.4.1 Historical Development of Higher Education in Hungary

14.4.2 Structure of the higher education system

14.5 Health

14.5.1 Public Health

14.5.2 Health Care System

14.5.3 Medical Manpower

14.6 Postgraduate and Continuing Medical Education.

14.6.1 The Postgraduate Medical University

14.6.2 Structure of specialist training

14.6.3 Continuing Medical Education

14.6.4 Training in General Practice

14.7 Working possibilities for foreign medical graduates

14.8 Addresses

14.8.1 General Information

14.8.2 National Health Services

14.8.3 Professional Organisations

14.8.4 Getting a job

14.8.5 Medical Schools

14.8.6 Major Hospitals

15 Ireland

15.1 Factsheet

15.2 General Information

15.3 People

15.4 Education

15.4.1 Historical Development of Higher Education in Ireland

15.4.2 Structure of the higher education system in Ireland

15.4.3 Access and selection

15.5 Health

15.5.1 Health care system

15.5.2 Medical manpower

15.5.3 Ethical and legal codes

15.6 Postgraduate and Continuing Medical Education

15.6.1 The pre-registration year (internship)

15.6.2 Structure of postgraduate training

15.6.3 General Practitioner

15.6.4 Physician (Internal Medicine)

15.6.5 General Surgery

15.6.6 Radiology

15.6.7 Continuing Medical Education

15.7 Working Possibilities for Foreign Medical Graduates

15.8 Addresses

15.8.1 General Information

15.8.2 National Health Services

15.8.3 Professional Organisations

15.8.4 Getting a job

15.8.5 Medical Schools

15.8.6 Major Hospitals

16 Italy

16.1 Factsheet

16.2 General information

16.3 People

16.4 Education

16.4.1 Historical development of Higher Education

16.4.2 Structure of the higher education system

16.4.3 Access and selection

16.5 Health

16.5.1 Public Health

16.5.2 Health care system

16.5.3 Medical Manpower

16.5.4 Ethical and legal codes

16.6 Postgraduate and Continuing Medical Education

16.6.1 Pre-registration period (Tirocinio)

16.6.2 Training in General Practice

16.6.3 Structure of specialist training

16.6.4 Continuing medical education

16.7 Working possibilities for foreign medical graduates

16.8 Addresses

16.8.1 General Information

16.8.2 National Health Services

16.8.3 Professional Organisations

16.8.4 Getting a job

16.8.5 Speciality Schools

16.8.6 Major Hospitals

17 Luxembourg

17.1 Factsheet

17.2 General information

17.3 People

17.4 Education

17.5 Health

17.5.1 Public Health

17.5.2 Health Care System

17.6 Postgraduate and Continuing Medical Education

17.7 Working possibilities for foreign medical graduates

17.8 Addresses

17.8.1 General Information

17.8.2 National Health Services

17.8.3 Professional Organisations

17.8.4 Getting a job

17.8.5 Medical Schools

17.8.6 Major Hospitals

18 The Netherlands

18.1 Factsheet

18.2 General information

18.3 People

18.4 Education

18.4.1 Historical development of higher education

18.4.2 Structure of the higher education system

18.4.3 Access and selection

18.5 Health

18.5.1 Public health

18.5.2 Health care system

18.5.3 Medical manpower planning

18.5.4 Social security

18.5.5 Ethical and legal codes

18.5.5.1 General provisions

18.5.5.2 Euthanasia in the Netherlands

18.6 Postgraduate and Continuing Medical Education

18.6.1 The structure of postgraduate training for physicians

18.6.2 Training of general practitioners

18.6.3 Training of medical specialists

18.6.4 Training of public health doctors

18.6.5 Training of nursing-home doctors

18.6.6 Masters Degrees, Courses about PBL

18.6.7 Continuing medical education

18.7 Working possibilities for foreign medical graduates

18.7.1 Un-/underemployment rates

18.7.2 Foreign applications

18.7.3 Some statistics

18.7.4 Formalities for the admission of physicians with a foreign diploma

18.7.5 Job application

18.7.6 Job profile

18.7.7 Alternative jobs

18.7.8 Research posts

18.8 Addresses

18.8.1 General Information

18.8.2 National Health Services

18.8.3 Professional Organisations

18.8.4 Getting a job

18.8.5 Medical Schools

18.8.6 School of Public Health

18.8.7 Major Hospitals

19 Norway

19.1 Factsheet

19.2 General Information

19.3 People

19.4 Education

19.4.1 General structure

19.4.2 Higher education

19.5 Health

19.5.1 Public health

19.5.2 Health care system

19.5.3 Medical manpower

19.5.4 Professional codes

19.6 Postgraduate and Continuing Medical Education

19.6.1 The pre-registration period (Turnustjeneste)

19.6.2 General structure of specialist training

19.6.3 Specialist training

19.6.4 Training in hospital specialities

19.6.5 GP Specialist training

19.6.6 Continuing Medical Education

19.6.6.1 General structure of CME

19.6.6.2 CME and recertification for specialist GPs

19.7 Working possibilities for foreign medical graduates

19.7.1 Formalities for foreign medical graduates

19.7.2 Job application

19.7.3 Job prospects

19.7.4 Salary and working hours

19.8 Addresses

19.8.1 General Information

19.8.2 National Health Services

19.8.3 Professional Organisations

19.8.4 Getting a job

19.8.5 Medical Schools

19.8.6 Major Hospitals

20 Poland

20.1 Factsheet

20.2 General Information

20.3 People

20.4 Education

20.4.1 Historical Development of Higher Education in Poland

20.4.2 Structure of the higher education system

20.4.3 Access and selection

20.5 Health

20.5.1 Public health

20.5.2 Health care system

20.5.3 Medical manpower

20.5.4 Ethical and legal codes

20.6 Postgraduate and Continuing Medical Education

20.6.1 The preregistration year after qualification (staz podyplomowy)

20.6.2 Structure of postgraduate training

20.6.3 Specialisation

20.6.4 Scientific career pathway

20.6.5 Continuing Medical Education

20.7 Working possibilities for foreign medical graduates

20.8 Addresses

20.8.1 General Information

20.8.2 National Health Services

20.8.3 Professional Organisations

20.8.4 Getting a job

20.8.5 Medical Schools

20.8.6 Postgraduate Medical Education

20.8.7 Major Hospitals

21 Portugal

21.1 Factsheet

21.2 General Information

21.3 People

21.4 Education

21.4.1 Historical Development of Higher Education in Portugal

21.4.2 Structure of the National Educational System

21.4.3 Higher education

21.4.3.1 Courses and Degrees

21.4.3.2 Students

21.4.4 Access and Selection

21.5 Health

21.5.1 Health Care System

21.5.2 Medical Manpower

21.5.3 Ethical codes for health care professionals

21.6 Postgraduate and Continuing Medical Education

21.6.1 The pre-registration period after qualification (Internato Geral)

21.6.2 Speciality Training (Internato Complementar)

21.6.2.1 Legal framework

21.6.2.2 Fields, Programmes and Training Institutions

21.6.2.3 Admission to Speciality Training

21.6.2.4 Training Programmes

21.6.2.5 Accreditation of training institutions

21.6.2.6 Assessment of specialist trainees

21.6.3 Career Opportunities

21.6.4 Job Profiles and Salaries

21.6.5 Further training possibilities in International Health

21.6.6 Continuing Medical Education

21.7 Working Possibilities for Foreign Medical Graduates

21.7.1 Registration Formalities for Foreign Medical Graduates

21.7.1.1 Physicians from EU countries

21.7.1.2 Physicians from non-EU countries

21.7.2 Registration in the Speciality Colleges of the Ordem dos Médicos.

21.7.3 Application for Employment

21.7.4 Voluntary Work

21.8 Addresses

21.8.1 General Information

21.8.2 National Health Services

21.8.3 Professional Organisations

21.8.4 Medical Schools

22 Spain

22.1 Factsheet

22.2 General Information

22.3 People

22.4 Education

22.4.1 Structure of higher education in Spain

22.4.2 University Education

22.4.3 Access and Selection

22.4.4 Finances

22.5 Health

22.5.1 Public Health

22.5.2 Health Care System

22.5.3 Ethical and legal codes

22.5.4 Medical Manpower

22.6 Postgraduate and Continuing Medical Education

22.6.1 The MIR (Médico Interno Residente) exam

22.6.2 Choosing a speciality

22.6.3 Training as General Practitioner (Medicina Familiar y Comunitaria or Medicina General)

22.6.4 Specialist training

22.6.4.1 Specialist training in internal medicine

22.6.4.2 Specialist training in general surgery

22.6.4.3 Specialist training in traumatology

22.6.5 Further training possibilities in International Health

22.6.6 Continuing Medical Education

22.7 Working Posibilities for foreign medical graduates.

22.7.1 Prospects

22.7.2 Registration for foreign physicians

22.7.3 Salary

22.7.4 Research posts.

22.8 Addresses

22.8.1 General Information

22.8.2 National Health Services

22.8.3 Professional Organisations

22.8.4 Getting a job

22.8.5 Medical Schools

22.8.6 Major Hospitals

23 Sweden

23.1 Factsheet

23.2 General information

23.3 People

23.4 Education

23.5 Health

23.5.1 Public Health

23.5.2 Health care system

23.5.3 Medical Manpower

23.6 Postgraduate Medical Training and Working in Sweden

23.6.1 Pre-registration Clinical Training (AT: Allmäntjänstgöring)

23.6.2 Medical Specialist Training (ST: Specialistutbildningstjänst)

23.6.2.1 Example: Anaesthesiology training at Karolinska Hospital

23.6.3 Training in General Practice

23.6.4 Research and graduate studies at the Karolinska Institute

23.6.5 Continuing Medical Education

23.6.6 Further training possibilities in International Health

23.7 Working possibilities for foreign medical graduates

23.8 Addresses

23.8.1 General Information

23.8.2 National Health Services

23.8.3 Professional Organisations

23.8.4 Getting a job

23.8.5 Medical Schools

23.8.6 Major Hospitals

24 Switzerland

24.1 Factsheet

24.2 General Information

24.3 People

24.4 Education

24.4.1 Historical Development of Higher Education in Switzerland

24.4.2 Structure of the educational system

24.5 Health

24.5.1 Public Health

24.5.2 Health Care System

24.5.3 Medical Manpower

24.6 Postgraduate Medical Education

24.6.1 Overview of postgraduate medical training

24.6.2 Principles of postgraduate training

24.6.3 Training in General practice

24.6.4 Speciality training

24.6.5 Research programmes

24.6.6 Continuing Medical Education

24.6.7 Further training possibilities in International Health

24.7 Working possibilities for foreign medical graduates

24.7.1 Practice Permit

24.8 Addresses

24.8.1 General Information

24.8.2 National Health Services

24.8.3 Professional Organisations

24.8.4 Getting a job

24.8.5 Medical Schools

24.8.6 National bodies involved in health education policy making:

24.8.7 University (teaching) Hospitals

24.8.8 Other Useful Addresses

25 United Kingdom

25.1 Factsheet

25.2 General Information

25.3 People

25.4 Education

25.5 Health

25.5.1 Public Health

25.5.2 Health care system

25.5.2.1 The NHS

25.5.3 Funding and Expenditure

25.5.3.1 Access and procedure

25.5.3.2 Doctors’ pay

25.5.4 Medical manpower

25.5.4.1 Medical workforce

25.5.4.2 Medical manpower planning

25.6 Postgraduate Medical Education

25.6.1 Introduction

25.6.2 Structure of Postgraduate Specialist Training

25.6.2.1 The Pre-registration year as House Officer (HO)

25.6.2.2 Senior House Officer (SHO) - basic specialist training

25.6.2.3 Specialist Registrar (SpR) - higher specialist training

25.6.2.4 Consultant

25.6.2.5 Other Hospital Grades (non-Training)

25.6.2.6 Research and academic postgraduate degrees

25.6.2.7 Flexible Training

25.6.3 Training for General Practice

25.6.4 Choosing a Speciality: Career Opportunities

25.6.5 Further training possibilities in International Health

25.6.6 Continuing Medical Education

25.7 Working possibilities for Foreign Medical Graduates

25.7.1 General remarks

25.7.2 Full Registration: EU/EEA Doctors

25.7.3 Registration for non-EU/EEA ("overseas") Doctors

25.7.4 Registration for Pre-Registration House Officer Posts

25.7.5 Other Formalities (work permit etc.)

25.7.6 Finding a Post

25.7.7 Contracts and Working Conditions

25.8 Addresses

25.8.1 General Information

25.8.2 National Health Services

25.8.3 Professional Organisations

25.8.4 Royal Colleges

25.8.5 National Advice Centre on Postgraduate Medical Education

25.8.6 Postgraduate Deans

25.8.7 Regional Advisers in General Practice

25.8.8 Getting a job

25.8.9 Medical Defence Societies

25.8.10 Medical Schools

25.8.11 Major Hospitals

 

 


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