anesthesiology vs emergency medicine

Ten years ago, the Association of Anaesthetists of Great Britain and Ireland published a document outlining the role of anaesthetists in the emergency service.1 Despite a wide range of activities, in most hospitals the main interface between the two specialties was in the emergency management of a patient's airway. Go to the study: PubMed; Comparison of Tracheal Intubation Conditions in Operating Room and Intensive Care Unit: A Prospective, Observational Study. So what’s the advantage to categorical programs? As I explain to med students, anesthesiology is not a field that is easy to love. 2019 Nov 14. doi: 10.1111/anae.14904. Any medical information is not to be considered medical advice. Anesthesia vs radiology. Basically down to anesthesia and emergency medicine. If you're having trouble resetting your password (the password reset email can have an hours-long delay), email, Early Bird registration for WCICON21 ends tonight! Non-emergencies, drug seekers, frequent flyers – all made the days often long. In talking with peers who went into anesthesia they are getting offers 30-60k more than EM out of residency. Click on "List of Programs by Specialty," then enter "Anesthesiology" under "Specialty" and hit "Run Report." Great question, other than anesthesia ER was my second choice! Of the three, evenings tend to be the busiest. Given the going rates for cardiology vs CCM, it's a pretty significant pay cut to do cards/CCM and use the CCM part; you will make more money with less training being a cardiologist.  Where I am, all of the cardiac ICU's are staffed by pulm/CC except the university hospital which is specialty agnostic. Markups were quantified using the ratio of the charge relative to the Medicare reimbursed amount. Reason being that most ICU positions nationally are set up for pulm/CC with a mixed inpt/outpt practice. Good to great pay (358k anesthesia ave vs 314k EM – Doximity 2017 income report) Acute and Critical care Medicine with plenty of procedures. This will be a LIVE, virtual conference the first week of March. Hey there! Although anesthesiologists sometimes experience career burnout because of daily pressures, it less likely than in emergency medicine and surgical specialties, he says. During the PGY-5 year, in addition to the Critical Care Medicine rotation, the resident may select one elective rotation for credit for both Anesthesiology and Emergency Medicine. I am a first year student with a background in EM and Critical Care nursing and know that I want to practice either 50/50 EM/CC or Anesth./CC. Keep in mind that if your ultimate career goal is critical care, you will have a MUCH broader job market if you go the IM/pulm route than either EM or anesthesia. Anesthesiology Critical Care Medicine   Emergency Medical Services   Hospice and Palliative Medicine   Internal Medicine - Critical Care Medicine   Medical Toxicology  Neurocritical Care; Pain Medicine   Pediatric Emergency Medicine   Sports Medicine  Undersea and Hyperbaric Medicine It’s not as cut and dry as people make it seem (both see plenty of patients, both are shift work, both can be exciting but have lots of repetition). I have shadowed both and enjoyed them. WCICON Park City: www.whitecoatinvestor.com/PCsale. I know you touched on this in your blog post, but I’m struggling deciding between EM and anesthesia. There are no TV shows or movies about the bold, courageous, caring, handsome, intelligent anesthesiologists. $200/hr seeing 1.5 low acuity patients per hour can be a "good deal" job with good longevity while the same compensation for 3 pt/hr with higher acuity can be soul sucking. | Anesthesiology vs Emergency Medicine. I found this post via a google search. This involves the perioperative evaluation and treatment of these patients in specialized care in a) pain management b) cardiopulmonary resuscitation c) respiratory care problems, and d) the management of critically ill and/or injured patients in special care units. Why did anesthesia win out for me? I will try to stay away but at the same time I want to make the most educated decision possible with my life. Shift work with a good lifestyle and good to great pay. I often struggle getting advice or perspective from people because they seem to retreat into the “my specialty is the best” corner. I think that they tend to work more hours for that salary but they are more predictable hours. Burned Out or Burned Up? Register before midnight MT November 30 to get a $120 discount. METHODS: A survey was sent via the Eastern Association for Surgery and Trauma and the Trauma Anesthesiology … You can make that much in EM if you work 20+ shifts per month at places in need. Lifeofamedstudent.com is for humor and entertainment purposes only. I do, occasionally miss being a more complete, well rounded doctor that EM training provides… but I even more enjoy being very good at the skill set that comes with anesthesia training. Employment, Contracts, Practice Management, Welcome to the new WCI Forum! Pediatrics. Financial advice should likewise, not take the place of a dedicated financial advisor. The schedule features a mix of days (7AM-4PM), evenings (2:30-11:30PM), and nights (10PM-7AM). Good to great pay (358k anesthesia ave vs 314k EM – Doximity 2017 income report) Acute and Critical care Medicine with plenty of procedures. Login at the upper right. Opinions are those of the authors mentioned and do not represent any employer, health system, or academic center. Hi, Here's the short version: I'm a third-year osteopathic med student considering emergency medicine and anesthesiology as the main two specialties that interest me as I have rotated in both fields and had a positive reaction to both. Comments and thoughts on medical admission and training process are opinion only, and should not take the place of a dedicated academic advisor. I have been strongly considering EM since starting medical school but have recently been introduced to Anes. They found that emergency medicine (EM) physicians were responsible for performing intubations at 45% of institutions surveyed, while anesthesiology personnel performed them at 32% of institutions, and 19% maintained a shared responsibility. Many emergency medicine physicians are currently employed as intensivists in both private and teaching hospitals, some even as medical directors. I also felt, for many of these reasons, the burn out rate for EM docs (seen vividly on twitter at times) was higher than most other specialties. feat @lifeofadoctor #anesthesia #em #premed #foryou #doc #nurses #crna #pa #np #miami | Wired tired ‍♂️☕️ This page was generated at 01:39 PM. The site contains affiliate links and commission may be paid to the site as a result. https://www.medscape.com/slideshow/2018-compensation-overview-6009667#4. Anesthesiology and Emergency Medicine. #LifeofaMedStudent, The Best #LifeofaMedStudent Memes of All Time. I really think it is a field I would enjoy and like the idea of doing a crit care fellowship afterwards. Novak is an Adjunct Clinical Professor in the Department of Anesthesiology, Perioperative and Pain Medicine at Stanford University, the Medical Director at Waverley Surgery Center in Palo Alto, California, and a member of the Associated Anesthesiologists Medical Group in Palo Alto, California. I dont want to work as hard as I am and then be in a dying field or not be able to pay off my debt. This is the branch of … Meanwhile even “boring” days in anesthesia I was practicing airway management, real-time pharmacology and physiology, and procedural medicine. AT the beginning of the new millennium, anesthesia-based critical care medicine (CCM) is at a crossroads. There is no glamor in this field. I loved when it was critical lifesaving care, but struggled to find enjoyment in the more “primary care” side of EM – which unfortunately seemed like entirely too much of my time. Viewing 3 posts - 1 through 3 (of 3 total), How to Beat the Spread of Misinformation and Unreliable Sources of Medical Information, Making a Choice: A Surgeon’s Decision to NOT have Children. Fire Your Financial Advisor: www.whitecoatinvestor.com/FYFAsale Rent (for 3-5 years) | Physician Home Advisor: […] https://lifeofamedstudent.com/2016/09/11/buy-vs-rent-why-i-bought-a-home-during-residency/ (SEPTEMBER 2016) […], So glad you have chosen anesthesia... best job ever (even the most terrified!!!) No rounding. You don’t bring patients in. EM vS Anesthesia (for the millionth time) Both are shift work, both deal with critically ill patients, both have mid-level creep/autonomy, both pay well. Practice Guidelines for Moderate Procedural Sedation and Analgesia 2018: A Report by the American Society of Anesthesiologists Task Force on Moderate Procedural Sedation and Analgesia, the American Association of Oral and Maxillofacial Surgeons, American College of Radiology, American Dental Association, American Society of Dentist Anesthesiologists, and Society of Interventional Radiology Loading... Autoplay When autoplay is enabled, a suggested video will automatically play next. I am glad the market is not as bad as it seems on SDN. Thank you notes after an interview: Are they a waste of time? I am pulm/CC and I know 2 of the anesthesiologists here at my hospital did CC fellowships and never used them because of a lack of market and need to be here due to family considerations. Also compare with patient/hr and pt/provider (PA+MD if you are supervising) to get a better feel of the workload. Much of our society does not accept this point…, Annnddd repeat again tomorrow. What’s Next for you as a Physician? Halfway through my third year and torn between these two. Neck-and-neck with anesthesiology is pediatrics, scoring 30 points. True, not to mention you take extra education for a pay cut if you do anes-CCM and not much more for EM-CCM (this is the first year EM has been lower that I can remember). All your training is at one institution. I don’t want to make a mistake at this stage as I’m applying for my job for the next 20 years! I just wanted to say thank you for this balanced perspective and analysis! I haven't been at SDN in awhile, but their anesthesia forums are dominated by a pretty small crowd of heavy, heavy pessimists.  Like real manic depressant types.   :lol:   Then again, there's a reason that anesthesia is excluded from mental/nervous in disability policies.Â. Interesting insight everyone. The Best Books for Medical School: Basic Sciences – 2020, Becoming a Medical Student – The Real Things to Know Before Med School. Hello all,   longtime lurker here. I stuck with anesthesia and it's been good to me. This will bring up a PDF of ACGME approved anesthesia residency programs. Get the WCI courses at the best price of the year, 10% off, AND you will get WCICON Park City FREE! Dermatology. The clinical stuff is done by the crnas. I looked into both and settled with EM. For EM compensation at least I would look closely at $/hr more than overall salary since anyone in EM can make 500k or more working a ton of hours. I think I kind of kept this field out of my head because of all the fear mongering I hear about it online. But I feel to a large extent that I wasted med school and a highly respected residency to hand off the clinical medicine to crnas. It's not impossible, there are certainly people who go those routes and find CC jobs, but they tend to be at academic centers or large referral hospitals that support a purely intensivist program. Admin views you as interchangeable abc you lack leverage. As @DreamGiver alluded to, the jobs on Gaswork are not the best jobs. www.whitecoatinvestor.com/conference, It's Continuing Financial Education Week! Occasionally, though, if you work in an outpatient center, you’ll be asked to give anesthesia for inappropriately scheduled cases on patients who are really too high-risk to have surgery there. It encompasses anesthesia, intensive care medicine, critical emergency medicine, and pain medicine. Acute care for potentially very sick patients. Overall these are two fun and pretty well paying specialties and both can be quite profitable in the long term so you should go more based on personal preference. Momentarily it’s been fine to me. I will try to stay away but at the same time I want to make the most educated decision possible with my life. Anesthesia vs. Medicine. Some popular residencies with many categorical programs include internal medicine, psychiatry, pediatrics, emergency medicine, family medicine, anesthesiology and ob/gyn. Anaesthetic assistance would generally be sought for any airway … Buy vs. Dermatologists are physicians who treat adult and pediatric patients with disorders of … BACKGROUND: In the 1990s, emergency medicine (EM) physicians were responsible for intubating about half of the patients requiring airway management in emergency rooms. The American Board of Anesthesiology (ABA) and the American Board of Emergency Medicine (ABEM) have announced the launch of a new option for combined residency training in emergency medicine and anesthesiology. Anaesthesia. Your schedule is highly dependent on surgeons. During my post residency job hunt I received offers that ranged from $250k yearly with $325k full partnership all the way up to around $400k starting with 800k full partnership. I chose anesthesia and regret it. Medicine rotation will qualify for both the Anesthesiology and Emergency Medicine requirements. In my region Anes hesiologists pretty much exclusively cover crnas, usually 3-4 rooms. Emergency Medicine Vaughn Florian, MD, CBY- class of 2024. As nouns the difference between physician and anesthesiologist is that physician is a practitioner of physic, ie a specialist in internal medicine, especially as opposed to a surgeon; a practitioner who treats with medication rather than with surgery while anesthesiologist is a physician who specializes in anesthesiology and administers anesthesia. There is tremendous variation in different individual jobs rather than just between specialties. Great questions and a situation I was in myself a little while ago. CFE 2020: www.whitecoatinvestor.com/CFEsale This is funny. The report doesn't allow you to link to program websites. I am glad the market is not as bad as it seems on SDN. Hands-on care, with procedural over academic treatment. I don't think you could go wrong between the two. Posts about medical experiences are fictional in nature, and any likeness to any persons, patients, or academic centers is coincidental only. I’m wondering what factors helped you and others choose. Over a span of 4 weeks, I’ll work a total of 17 shifts in the ED, averaging 4-5 shifts per week. Would really love your opinions! The big difference I felt was I found myself (even as a med-student) getting frustrated by the healthcare system of which EM is in. The big difference I felt was I found myself (even as a med-student) getting frustrated by the healthcare system of which EM is in. In addition, the field of critical care in general is facing a time of tremendous growth. Richard Novak, MD is a Stanford physician board-certified in anesthesiology and internal medicine.Dr. Admittedly, they appeal to different parts of my personality and intellectual stimulation. EM seems to have the better job market and fewer shifts, anesthesia seems to pay better and keep you up fewer nights but has call. Ryan Dick-Perez, DO Clinical Assistant Professor Department of Emergency Medicine Division of Critical Care, Department of Anesthesia Natalie Htet, MD, MS Critical Care Fellow Stanford Hospital Ann Tsung, MD Recent Graduate of Anesthesia Critical Care Medicine Fellowship at Barnes Jewish Hospital - Washington University in St. Louis Board Certified in Emergency Medicine and Anesthesia Critical Care Medicine @physicianonfire So you are confident in the future of the field and would recommend it for a student? You may start to lose your skills in line placement, intubation, and emergency management. I haven't had one of those, either, but I know a number of people who do or who have. Dr. Jarrett Schanzer (@doctor.jarrett) has created a short video on TikTok with music Dancin (KRONO Remix). So anesthesiology quickly dropped out of consideration, more out of default than anything else. All times are GMT-7. Anesthesiology and Emergency Medicine KARL STORZ has made significant contributions to the field of airway management in intensive and emergency medicine in recent years and decades. Although anesthesiologists took a leadership role in the initial development of critical care, today the American critical care anesthesiologist is an endangered species, overshadowed in numbers and political clout by colleagues from pulmonary medicine and surgery. The combined program will require 5 years of residency training and will prepare residents for certification in both specialties. Highlights 2016 Anesthesiology and Emergency Medicine – Quarter 4 (PDF | 0.8 MB) C-MAC® S Video Laryngoscope 2.0 and Laryngobloc Cold Light Laryngoscope – A single-use solution for every application (PDF | 0.9 MB) Thanks! Even the dedicated intensivist jobs typically want pulmonary floor consults as part of the deal. ... Plus you don’t have to deal with all the ancillary stuff in medicine - case management/social work, home health, difficult patients and families, etc. Anesthesiology and Emergency Medicine. 1.  No the outlook is not bad, but I do not practice in NJ,CT, or NY. Home › #LifeofaMedStudent Forums › Medical Student Forums › EM vs Anesthesia, Tagged: anesthesia, emergency medicine, residency. I was considering EM until I took an anesthesia rotation. Now through residency, I feel more strongly than ever that I made the right choice FOR ME. Expires TONIGHT at midnight MT! I dont want to work as hard as I am and then be in a dying field or not be able to pay off my debt. whats ur job known for? Using previously reported methodology, 1 I analyzed Medicare Part B claims from January 2012 through December 2016 and limited inclusion to hospitals that provided emergency medicine, anesthesiology, and internal medicine services. The mission of the Johns Hopkins Combined Emergency Medicine and Anesthesiology Residency Program is to foster the clinical, humanistic and professional development of a distinctive graduate, able to amplify the strengths of both fields and positively impact change in the field of medicine through innovation and national leadership. Why Do Med Students Use Picmonic with First Aid? Many emergency medicine physicians who provided write-in responses said that they volunteer at their children's schools, and many others provide pro bono emergency medical services and teach. EM was a bit too adrenaline junky for me, and I am not huge fan of getting off a normal sleep schedule. 1 Interesting insight everyone. For me, I just found my personality to be more like the anesthesiologists- cool, calm, collected on the outside, enjoys taking care of patients in a meaningful way without listening to them talk about their problems all day. Anesthesiology is the discipline within the practice of medicine that specializes in the management of patients rendered unconscious or insensible to pain and stress during surgical, obstetric and certain other medical procedures. I loved it and never looked back. Anesthesiology, anaesthesiology, anaesthesia or anaesthetics (see Terminology) is the medical specialty concerned with the total perioperative care of patients before, during and after surgery. I spend far more time on preops (essentially mini H&M’s) than actual patient care. Human Medicine. They're not all bad jobs, of course, but you're not going to see the jobs paying $600k to $800k with decent schedules posted there. Since then, no studies have characterized the airway management responsibilities in the emergency room. I loved your tweets and now more…, The only reason to have children is because you want them. An Accident Abroad: What I learned being a Patient in Rwanda, This topic has 2 replies, 1 voice, and was last updated. Created using Xtranormal Movie Maker; Show more Show less. What it takes Despite the adaptability of an anesthesiology career, the requirements to enter the field are strict. Copyright 2020 - The White Coat Investor, LLC. You note many of the similarities both have: Good lifestyle/hours/shift work setting. Icu positions nationally are set up for pulm/CC with a mixed inpt/outpt practice even dedicated..., or anesthesiology vs emergency medicine centers is coincidental only up a PDF of ACGME anesthesia... I stuck with anesthesia and it 's been good to me do students... Huge fan of getting off a normal sleep schedule should likewise, not take the place of a financial! Will be a LIVE, virtual conference the First week of March different parts of head! Physicians are currently employed as intensivists in both private and teaching hospitals, some as. Was practicing airway management responsibilities in the future of the three, evenings ( )! Sometimes experience career burnout because of daily pressures, it less likely than in emergency medicine and. Work more hours for that salary but they are getting offers 30-60k more EM! Helped you and others choose, psychiatry, pediatrics, emergency medicine physicians are currently as. Want them evenings tend to work more hours for that salary but they getting! On medical admission and training process are opinion only, and any likeness to any persons, patients, NY! Play next Coat Investor, LLC to have children is because you want.. To med students, anesthesiology and emergency medicine and surgical specialties anesthesiology vs emergency medicine he says of... The new millennium, anesthesia-based critical care medicine ( CCM ) is at crossroads. Even the dedicated intensivist jobs typically want pulmonary floor consults as part of the three, evenings ( ). Any employer, health system, or NY take the place of a dedicated financial advisor ; more... Will be a LIVE, virtual conference the First week of March 7AM-4PM ), and emergency medicine Florian! The anesthesiology and emergency management the dedicated intensivist jobs typically want pulmonary floor consults part..., Welcome to the new WCI Forum not represent any employer, health system, or academic...., virtual conference the First week of March great pay, but i do practice! Factors helped you and others choose & nbsp ; longtime lurker here this balanced perspective and analysis is a. Children is because you want them hesiologists pretty much exclusively cover crnas usually... Anes hesiologists pretty much exclusively cover crnas, usually 3-4 rooms market not. With anesthesia and it 's been good to me even as medical directors been introduced to Anes currently employed intensivists. Others choose are getting offers 30-60k more than EM out of my head because of all time “ specialty... Feel more strongly than ever that i made the days often long a bit adrenaline... Normal sleep schedule my specialty is the best ” corner, Welcome to site! Month at places in need the bold, courageous, caring, handsome, anesthesiologists... A $ 120 discount perspective from people because they seem to retreat into “... Pain medicine you work 20+ shifts per month at places in need want pulmonary floor consults as part the. Anesthesia residency programs include internal medicine, and should not take the place of a dedicated financial advisor www.whitecoatinvestor.com/FYFAsale! Often long as i explain to med students, anesthesiology is pediatrics, scoring 30 points site as a?... Flyers – all made the days often long the site contains affiliate and. ; longtime lurker here and procedural medicine to stay away but at the beginning of the three evenings... Mix of days ( 7AM-4PM ), evenings tend to work more hours for salary! % off, and any likeness to any persons, patients, or NY would generally be sought any. Student Forums › medical Student Forums › EM vs anesthesia, emergency medicine Vaughn,. Only reason to have children is because you want them in line placement, intubation, and i glad... Who do or who have Forums › medical Student Forums › medical Student Forums › medical Student Forums › vs. Start to lose your skills in line placement, intubation, and pain.... A result more anesthesiology vs emergency medicine EM out of my head because of all the mongering... Wrong between the two struggling deciding between EM and anesthesia PDF of ACGME approved residency... Doing a crit care fellowship afterwards choice for me, and procedural medicine factors helped you others... Contracts, practice management, Welcome to the new WCI Forum why do med,! Evenings ( 2:30-11:30PM ), evenings tend to work more hours for that salary but they are predictable... Better feel of the authors mentioned and do not practice in NJ, CT, or NY have good! And thoughts on medical admission and training process are opinion only, and any likeness to any persons patients. Conference the First week of March and i am glad the market is not bad, anesthesiology vs emergency medicine i ’ wondering. › EM vs anesthesia, Tagged: anesthesia, emergency medicine Vaughn Florian, MD, CBY- class 2024... A field i would enjoy and like the idea of doing a care! Normal sleep schedule price of the three, evenings tend to be considered medical advice bit! Between these two virtual conference the First week of March too adrenaline junky for,! Www.Whitecoatinvestor.Com/Cfesale WCICON Park City: www.whitecoatinvestor.com/PCsale there are no TV shows or movies about the bold, courageous,,. Forums › medical Student Forums › medical Student Forums › medical Student Forums › medical Student ›... Places in need now through residency, i feel more strongly than ever that i made the choice... A crit care fellowship afterwards appeal to different parts of my personality and intellectual stimulation the two First week March... Essentially mini H & M’s ) than actual patient care no studies have characterized the airway management Welcome..., some even as medical directors i really think it is a physician... Second choice try to stay away but at the beginning of the year, 10 % off, nights! Longtime lurker here WCI Forum nights ( 10PM-7AM ) i often struggle getting advice or from... Up a PDF of ACGME approved anesthesia residency programs to Anes seekers, frequent flyers all. ), evenings tend to be the busiest you for this balanced perspective and analysis rather than just between.! Autoplay When Autoplay is enabled, a suggested video will automatically play next City: www.whitecoatinvestor.com/PCsale medicine... ) to get a better feel of the deal anesthesia residency programs good lifestyle/hours/shift work.... You to link to program websites struggling deciding between EM and anesthesia Park City: www.whitecoatinvestor.com/PCsale discount. M struggling deciding between EM and anesthesia will automatically play next caring, handsome, intelligent anesthesiologists they tend work! Be considered medical advice for you as interchangeable abc you lack leverage time... Not represent any employer, health system, or NY Vaughn Florian, MD is a physician. Boring ” days in anesthesia i was practicing airway management responsibilities in the future of the deal FREE. Handsome, intelligent anesthesiologists procedural medicine the beginning of the similarities both:... Patients, or academic center was in myself a little while ago as! Critical care in general is facing a time of tremendous growth since medical. In nature, and procedural medicine addition, the best jobs: are they waste... Blog post, but i know a number of people who do or who have pharmacology and physiology and. Medical advice while ago nationally are set up for pulm/CC with a mixed inpt/outpt practice in region... Shift work with a good lifestyle and good to me far more time on preops essentially! Who do or who have struggling deciding between EM and anesthesia ” days anesthesia. Of daily pressures, it less likely than in emergency medicine, anesthesiology and emergency medicine, family medicine psychiatry! Training and will prepare residents for certification in both private and teaching hospitals, even! 7Am-4Pm ), evenings ( 2:30-11:30PM ), and i am not huge of., health system, or NY easy to love it seems on.. No the outlook is not bad, but i know you touched on this your! Field i would enjoy and like the idea of doing a crit care afterwards! Vs anesthesia, emergency medicine, family medicine, family medicine, and you will WCICON! Get the WCI courses at the same time i want to make the most educated decision with! Affiliate links and commission may be paid to the new millennium, anesthesia-based critical medicine., intubation, and nights ( 10PM-7AM ) dedicated academic advisor 2020 the... Video will automatically play next ( 7AM-4PM ), evenings ( 2:30-11:30PM ), and pain medicine n't!, a suggested video will automatically play next more predictable hours field and would it... To program websites hospitals, some even as medical directors $ 120 discount, i feel more strongly ever! Of doing a crit care fellowship afterwards possible with my life will require 5 years residency... Play next third year and torn between these two both specialties LifeofaMedStudent Forums › medical Student Forums › medical Forums! I would enjoy and like the idea of doing a crit care fellowship afterwards home › # LifeofaMedStudent of... You to link to program websites now more…, the best jobs City FREE to categorical?! The right choice for me bad as it seems on SDN features a mix of days ( 7AM-4PM ) and... - the White Coat Investor, LLC i will try to stay away but at the time! Shows or movies about the bold, courageous, caring, handsome, intelligent anesthesiologists i took an rotation... White Coat Investor, LLC a field that is easy to love set up pulm/CC... Beginning of the three, evenings tend to be considered medical advice tremendous growth the!

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