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    Lewis Associates e-Newsletter
    Volume 6 Issue 8
    August 2007

    Published by Lewis Associates. Dr. Cynthia Lewis, PhD., Editor
    Email imaclewis@lewisassoc.com with your comments. Enjoy!

    What's inside:
    Welcome to Success Stories Newsletter!

    How to Communicate With Us

    Class of 2008

    Track Record

    Be Competitive

    Important News: MCAT sites and problems

    Useful Links: Ranking of states for healthcare quality…find your state!

    Alumni Updates, Photos, and More: June Yoshii, Janelle Pieros, Olga Rosito, and Dr. Kathy Niknejad

    Success Story of the Month: Lauren Sefton, George Washington University, Entering Class of 2007

    Question of the Month: Should I retake the MCAT?

    Our Services


    Welcome to Lewis Associates!

    We are settled into our temporary office while our permanent office is built on the Central Coast of California. The construction crew is working beyond expectations. We are ahead of schedule.

    This time of the year is exceedingly busy, with all of the application cycle "stuff to do" and tests to take (MCAT, DAT, GRE, PCAT, etc.). Contact us to find out how we can support YOUR application or help you plan for a future application to be successful.

    July 28, 2007 - Construction crew completed insulation, is installing dry wall and now is staining and painting interior and exterior. Preparing dry wall to bend into place for barrel vaulted ceilings.

    NEW Mailing Address

    1885 Laguna del Campo, Templeton, CA 93465

    NEW Phone

    NEW Fax
    805 226-9227

    Other changes
    Lewis Associates now absorbs Long Distance Charges

    All appointments/phone conferences will be made from our office to you. Meagan, our new Administrative Assistant, will call YOU at your appointment time, and transfer you to Dr. Lewis.

    Faxing documents to Dr. Lewis, Lewis Associates 805-226-9227
    When faxing documents during office hours 8am to 3pm, (PST), you must first call the office 805-227-9669 so the fax can be switched on. During non-office hours, the fax is automatically connected.
        *8am-3pm PST CALL BEFORE FAXING

    Overnight/Express Mail Packages
    At this time Lewis Associates is only able to receive expedited mail from the United States Post Office, no special Ground Services like UPS/FEDEX/DHL

    When sending an expedited package, please use usps.com. Click on mailing tools, then mailing products & services. The standard overnight pricing begins at $14.40. Please remember to give this information to your Letter of Recommendation writers!

    Where are you in your journey to a health profession?

    In high school? (yes, we advise high school applicants, particularly, those interested in BA-MD programs)

    Just starting college?
    This is a scary time.

    Moving into your difficult upper division sciences as a junior?

    Re-entering as an "older" non-traditional student?

    We help prepare those of you submitting applications for medical and dental residency programs too!

    Whatever niche you fit, we advise students just like you.

    Class of 2008:
    If you haven't yet started getting your letters of recommendation/evaluation or writing your application personal statement, then you are way...BEHIND!

    Are you REALLY ready to apply this year?
    How do you know?
    Use our Personal Assessment--and you will be given your personal strategy and path to your future!

    Many whom I advise may not yet be ready and need to develop some aspect of their background to become competitive. Best to apply when you are ready, be competitive, and do it ONLY ONCE!

    Let's work together to make that one time application successful…earlier is better so we can develop your strategy and address all those difficult problems…months or even years prior to application. Why not set yourself up for success, rather than toy with the proposition of failure?

    Thanks from an Ex-Prosecuting Attorney, now medical student
    Background: John was an Assistant State’s Attorney (prosecutor) in Chicago, Illinois, when he contacted me in 2004. Now in medical school, he says: "I am really enjoying med school, and I am thankful to Dr. Lewis for her help. Her methodical, disciplined approach to the med school application process, as well as her insight into the transition to med school were right on target."

    John Fiszer, University Of Illinois at Chicago College of Medicine

    What's New?

    FREE teleconferencing and videoconferencing.
    You need to register for free AOL Instant Messaging, and will get free audio and/or video contact with us!

    Track Record
    CLASS OF 2007...now up to 94% acceptance to medical, dental and MS/MPH programs plus 2/2 applicants accepted into residency programs of their choice.
    92% of our Class of 2006 applicants were accepted! (and 2 more were waitlisted)
    100% of our Class of 2005 applicants were accepted!
    100% of our Class of 2004 applicants were accepted!

    Be Competitive
    In order to be a competitive Class of 2008, 2009, or 2010 applicant, you need to submit a quality application as evaluated by your clinical, service and other experiences and your GPA/MCAT/DAT/GRE, etc. profile--in a timely fashion. This requires a well thought-out strategy to carry you through the difficult year-long application process. If you use advising with Dr. Lewis, you will find that we begin preparation early in the year BEFORE submission of your application!

    EARLY is always better, removes much pressure, and allows time to solve unforeseen problems.

    What are your chances?

    If you want to change your career or reach your present career goal, but do not know how to begin, or how to jump over all those hurdles, Lewis Associates will advise and implement strategies to change your life.

    Getting Started
    Read about your Personal Assessment on our website, then phone or email us to get started! We spend on average 7 hours developing an effective strategy of taking you from where you are to where you want to be.

    You may be like our other Lewis Associates Advisees--highly motivated and intelligent, but needing focus, guidance and specific technical expertise. Dr. Lewis solves problems for her Advisees and finds opportunities for them. Maybe you wish to use our hourly advising to solve one specific problem.

    Dr. Lewis is a trained biologist, having taught and directed her own research programs for many years at two universities. She earned two postdoctoral fellowships (one at NIH), received the 1990 NACADA Outstanding Institutional Advising Program in the U.S. and directed her own Health Careers Opportunity Program grant for 6 years, bringing $1 million to her university.

    If you are serious about making your dreams to become a physician, dentist, physician assistant, veterinarian, optometrist, podiatrist, naturopathic physician, or pharmacist a reality--Lewis Associates can help you. We have made the difference for almost 800 alumni now practicing in medicine during the last 22 years.

    Dr. Lewis teaches Professionalism, Leadership, and Quality, and sets high standards for her Advisees.

    Lewis Associates will save you money and heartache on your preparation and application process.

    Contact the health career experts! For more information email imaclewis@lewisassoc.com or call 805-226-9669 and ask to set up your first appointment.

    n e w s   &   l i n k s



MCAT news: September 2007 scores
2007 MCAT update
The test was administered on 12 dates between January and July. It will be administered 11 more times in August and September. Statistics about the first half year:

  • Students took the MCAT 38,700 times between January and July.

  • Including check-in, the length of the testing day for the average student was six hours, almost three hours shorter than it was under paper delivery.

  • Just as they did in the past, students with disabilities received suitable testing accommodations.

  • Fewer than 90 of the first 38,700 testings were interrupted by technical problems that were preventable (e.g., registration errors, server failures). Additionally, 35 students were unable to test due to inclement weather. All of these students were rescheduled and tested or have reservations to test.

  • Students submitted fewer complaints about excessive noise, heat and other bothersome testing conditions than in the past. With 200 complaints filed thus far, test center complaints are down by 80% compared to this time last year. AAMC staff has responded to all of the students' complaints, making determinations about the probable impact of these circumstances on students' scores, retesting students when needed, and refunding testing fees. (This process is described more fully below.)
  • The time needed to report students' scores was cut in half from 60 to 30 days.

  • So far, students have registered to take upwards of 34,000 tests in August and September. Some of these students are testing for the first time in 2007; others are attempting to improve their scores in a second or third administration of the test.

  • As we get close to the final testing dates in 2007 some students are unable to register for their first-choice testing locations and dates and are registering for second and third choice testing sites and dates. While the September dates are almost full, there are still many testing appointments open in early August across the country.

There are 2 ways that students can register complaints about conditions of their test administration:

(1) Students who feel that testing conditions may have disadvantaged them on the test day are invited to file a test center complaint (called Center Problem Reports or 'CPRs') before they leave the center. The test center administrators will submit the CPRs to Prometric and AAMC. These reports are used for general monitoring of test center conditions and as background for further investigation. Please file these reports as they are vital to correcting procedural, room, equipment and any other issues.

(2) If you decide after you leave the testing center but before you receive your scores, that your testing conditions were problematic, you should write to AAMC about your complaints. Instructions for students who want to file complaints to the AAMC are provided in the MCAT Essentials document and on the MCAT Website.

AAMC and Prometric staffs review complaints. Students are rescheduled/retested when the conditions are deemed likely to have effected test scores. AAMC also prepares letters for the medical schools to which students apply that describe the testing conditions and their likely impact on student performance.

All MCAT Prometric test sites are NOT created equal (and other MCAT problems)
Computer malfunctions, unusable dry erase markers (bring your own!), small computer screens that make the user scroll between the passage, questions and answers!, 7 hour delays to start the exam (think about taking extra food, water, and a pillow?). 

One of my Advisees found that there was no word search function and that the strike out function required a different side of the mouse than she was used to at an Atlanta test site. 

Most sites are fine, but there are some horror stories out there from the first year of computer-based MCATs!  Here is one of them:

At the only testing center in our area, the individuals running last week's MCAT did not show up until 8:00 AM, even though the test takers were told to show up at 7:30 AM.  Thus, there were not only the usual noises associated with verifying identity and with testing people at different times, but the Prometric personnel kept opening and shutting the door, loudly calling the names of people who had not shown up for the exam, and finally starting individuals on tests other than the MCAT.  In the afternoon session, they turned away an individual who had registered for the afternoon session and had an AAMC printout from 2:45 on the previous day showing his 1:30 testing time. They told him that they had sent him an e-mail the day before telling him that they had changed his time to 8:00 AM, and then gave his seat to someone taking a Praxis exam.  When the student told his Advisor, the Advisor called the local testing center.  The person to whom she spoke was curt, unprofessional, and dismissive of the student's concerns.

September 2007 MCAT scores
All Osteopathic and most allopathic medical schools will be accepting the September MCAT scores, however, there are a very few schools which will not.  They will be posted on the MCAT website soon.  I am aware of the U of Oklahoma and Virginia Commonwealth not accepting September scores.

Criminal background checks (Source: Jayme Bograd, AAMC)
August 2005, the Association of American Medical Colleges (AAMC) recommended that all US medical schools procure a national background check on applicants upon their initial, conditional acceptance to medical school. The rationale for performing criminal background checks on accepted medical school applicants is based on a number of issues, including in part the need to enhance the safety and well-being of patients and, in so doing, to bolster the public's continuing trust in the medical profession, and to ascertain the ability of accepted applicants to eventually become licensed physicians, many other schools are conducting criminal background checks outside of this pilot process; I re-iterate this only because students who experience multiple, different processes may be confused.

When will the check be conducted?
A background check will be triggered at one of two points in the admissions process:

1) Acceptance: at the point of acceptance, each applicant to a participating school will be checked once the applicant's consent has been obtained, and the school that has accepted the applicant will receive the report as soon as it becomes available.

2) School request: Schools will have the option to have a subset of their applicants checked beginning in May.  This additional process was developed in order to ensure that, as the date of matriculation approaches, medical schools do not need to wait for a check to be conducted in the event that the applicant is accepted. Medical schools will not receive a report for these applicants until (or if) an acceptance is offered.

For this reason, receipt of an email requesting consent for a CBC to be conducted should not be construed by an applicant as an indication that he or she has been accepted to a medical school.

CBC Cost
Applicants will not be charged an additional fee for a CBC unless the applicant pre-orders a report (see below).

Pre-order Checks
Applicants who submit an AMCAS application to a participating medical school are provided with instructions, at the point of submission, regarding how to pre-order a background report from our selected vendor, Certiphi Screening, Inc.

Applicants who pre-order a report will be charged an agreed-upon rate that will vary, applicant to applicant, based on information such as previous addresses to be searched.

Web site
You can find more about this at http://www.aamc.org/students/amcas/faq/background.htm.

L I N K S :

WHO Rankings

Michael Moore's new movie Sicko highlighted the World Health Organization's ranking of the best health care systems in the world.

Health system performance scorecard for the US…locate your state!
California ranks #39!  Maybe Lewis Associates should move!

Hawaii and Iowa ranked No. 1 and 2, respectively, whereas Mississippi and Oklahoma tied for last.

Cuban medical school--FREE
8 Americans have graduated from Cuba. Very interesting interviews about their preparation, awareness of various differences in populations, desire to serve, and no debt.

Study on personality traits of incoming medical students
Results of a 9 year multi-site study reveals distinct personality differences between male and female medical students. As increasing numbers of women are entering medical school, these findings may have implications for curriculum, teaching and assessment.

America's Health Rankings


Find these and other useful links on Lewisassoc.com's Links Page.

a l u m n i   u p d a t e s

Alumni in China and Costa Rica

June Yoshii, Enterning Class of 2007

June Yoshii is accepted to several medical schools, and is also waitlisted at 2 more. Down to the wire! She took time off to visit China this summer. Her note:
"Hi Dr Lewis,
I had a so much fun in China. It was great. The best part of my vacation was when I got home and checked my email I was #28 in the waitlist for Iowa. Then When I called last Thursday I was #21. It gives me hope that before August 1 I might get an acceptance. I attached few pictures of China. During my vacation I promised myself to be completely disconnected with my life here and it was wonderful.

I sent you a picture of a river near Guilin. The place is like a paradise. Apparently this is the scenery of most of the paintings that come from China.We took a 4 hour boat ride on the river and it was a breath-taking experience."
Take care,

June Yoshii on the Great Wall of China
June Yoshii at the Great Wall

Janelle Pieros, Class of 2007 Entering A. T. Still University at Mesa, Arizona (Their first class!)

July 15th from Janelle Pieros in Costa Rica:
"Hello family and friends, Pura Vida is what all the ticos (Costa Rican people) say, meaning awesome or sweet for us So Cal people. The ticos have a very optimistic view of life and they are so friendly. I'm having a wonderful time and have seen the Lord do some amazing work here. I'm so blessed to be here! Already a week has passed since we were first in San Jose. There, I worked with the medical team in a village called Quitirissi. Two general physicians from Costa Rica, 4 nurses and a nurse practitioner, along with translators, a married couple and myself helped treat the people in that village. Our clinic was an empty classroom we used at a school. Most patients, young and old, had minor illnesses like stomach pain due to gastritis, the cold, headaches and skin allergies. We gave out the proper meds, vitamins and recommended proper nutrition and hygiene. The school was in such a remote place in the hills that many patients walked 30 minutes to get there. In the 5 days that we were there, we probably saw over 100 patients."

And, upon her return on July 25:
"Dear Dr. Lewis, thank you for your continued support over the last 2 years. I know I couldn't have done it without your help and God's blessings. Thank you for supporting my Costa Rica trip. It was an experience of a lifetime! I will definitely keep in touch as I start my new adventure at A. T. Still University--Mesa, Arizona. Blessings to you always."
Janelle Pieros


Olga Rosito

From Olga Rosito, in a doctoral program in clinical psychology, working at the Palo Alto VA Hospital, July 20, 2007:
"Dr. Lewis,
I just started this week in my internship at the VA - everything is going great, I am keeping in touch with Jenny and Matilde (Mentors in clinical research) and now we can have lunches together at the VA. I have one more year of classes (next year), then a year for optional clinical/research training, fifth year is dissertation and defense and I will be done. Then I will need to get into a postdoc to accrue enough clinical hours for a licensing exam. I am hoping to stay at VA throughout this process although it may become extremely competitive for a geropsych position."

Dr. Kathy Niknejad

It is interesting how my alumni are now networking and mentoring each other...my older ones mentoring newbies!Case in point from Dr. Kathy Niknejad on July 13, 2007, one of 5 of my alumni accepted to Harvard Medical School in 1991:
"Hi. I just met Steven Williams who is a urology resident here at Harvard and we both found out we went to SDSU. he told me about your new position and I wanted to write and say hello. I ended up finishing HMS and doing residency here Brigham and Women's Hospital for urology and surgery, and I am on staff here, too. Hope you are well. How are your daughters?"

July 18, 2007:
"I am doing really well. I got married to another doctor I met during internship. His name is Chris Gilligan and he is wonderful. We have 3 little boys, Jacob, Benjamin and Noah. Urology has been great. I chose it because I loved surgery and the surgeries in urology are very satisfying. There is a lot of variety, as well. There is a huge need for women as there are a lot of female patients. I see 50:50 men to women ratio. I do and see everything. Its very nice when woman look for a urologist who is woman and find me through the internet or other searches. It makes me feel more useful. I work 75% so I spend a lot of time with my children and took 4-10 months off after each baby. I have been very lucky to fit in family with my career.

It was so nice to find out Stephen was one of your students. I will think about other alumni and email you. Thank you for everything."

Watch for the Success Stories coming for these alumni!

s u c c e s s   s t o r i e s
by Lauren Sefton

Lauren Sefton , George Washington University, Entering Class of 2007
Lauren Sefton at the Great Wall

July 24, 2007

My decision to go to medical school seems less shocking in retrospect.  I came from an affluent family.  Both of my parents were college educated—my father practices law and my mother worked for years as a mental health counselor.  I graduated from the University of California Santa Cruz with highest honors.  I did research.  I volunteered.  I found time for extracurricular activities.  Still, the sixteen-year-old version of me is in shock—that I decided to apply to medical school and that I was accepted. 

At sixteen, I dropped out of high school and ran away from my family’s home in Jacksonville, Florida. My parents were embroiled in divorce proceedings.  My mother’s struggle with bipolar disorder had destabilized our family’s daily existence; my younger sister’s grades were failing and my older brother left college.  We had neither the time nor the energy to help one another, so responsibility and compassion were the last things on our minds.  Viewed from my friends’ couches, the ideal future where I painted and wrote insightful poetry gave way to a listless recognition that life had it in for me.

Around this time, my parents made their last great combined decision on the course of my life.  They sent me to boarding school.  They did not ask if I wanted to go.  They did not give me time to pack.  They simply put me on a plane to Northern California with their blessing.  It seemed that life definitely had it in for me. 

Two years away from one’s family does odd things to a “troubled” teenager.  Two years of uninterrupted schoolwork, volunteer trips, and hikes through the mountains around Redding, California had me rethinking goals and values.  This is not when I decided to become a doctor, but I did vow to do more than write insightful poems.  When I graduated, I had reoriented myself in relation to the world, and realized that life was not in fact out to get me.  While many people have painful adolescences, most don’t have the opportunity to move to the mountains and reinvent themselves.  I began college in gratitude, with fierce determination to learn and to look outside my own problems for meaning.

In my third year of college, I met Dr. Lewis.  By this time, I was most of the way through a double major in Art and Neuroscience.  I was engrossed in school and research and volunteering at free medical sessions for low-income workers. I was leaning toward medicine because it seemed so inclusive—scientific learning, social activism, and individual care combined in one profession.

Dr. Lewis went though my history and future plans in our first phone conversation.  As we wrapped up, she asked if there was anything else I wanted her to know.  I remember stumbling through a vague but heartfelt explanation of my motivation.  “I just wanted you to know that I want to do something important with my life.  I want to make a difference.  I want to help others and, I guess, just, do something good.”   She understood.  “O. K.,” she said, with perfect comprehension and, perhaps more importantly, with razor focus.

The years I spent applying to medical school are the years in which I really decided to become a doctor. I moved to Washington D.C. for a post-baccalaureate fellowship at the National Institutes of Health, and Dr. Lewis urged me to work with physicians there.  So I experienced medicine firsthand, and my general motivation became powerful and specific. I shadowed a neurosurgeon at the University of Maryland and met patients whose resilience broadened my academic perspective.  My mother’s battle with her own mind became heroic to me, a motivator in my life rather than a hindrance.  I retroactively clarified my struggles as a teen.  In an urban free clinic, I saw doctors whose energy kept them going late into the night. By treating individuals, they were improving the quality of life for an entire neighborhood. 

I had the courage to meet strangers and engage in their lives, and I gained insight by writing essays about these experiences and talking them over with Dr. Lewis.  To her, this process actually seemed normal and exciting rather than overwhelming or intimidating.  I finally saw my potential as a physician in a focused way.  The difficulties I overcame early in life, my academic interests, and my desire to “just, do something good,” integrated naturally into clinical volunteer work.  In interviews, I had access to stories from my own life.  I wanted to talk to more patients, get to know more doctors, and learn all I could about the diseases they were treating. 

When people ask me why I want to be a doctor, I now think of a woman with aphasia who greeted me with lucid joy, a doctor from El Salvador who said he has “no regrets,” even at 2am with a patient screaming at him, and my mother who is alive because of medical research and dedicated physicians.  I think of the time I spent applying to medical school and how I changed a little with every essay, and of that original, stuttering conversation with Dr. Lewis.  In the end, addressing weaknesses in my application led to some of my most valuable experiences.  I hope that other applicants can pause on occasion to enjoy the discovery and self-reflection inherent in this difficult, sometimes annoying, potentially rewarding process.

I start medical school at George Washington University next month and am looking forward to another round of inevitable growth and change. 

Email to Dr. Lewis if you wish to communicate about medical schools or other issues or to contact those profiled in Success Stories: imaclewis@lewisassoc.com

q u e s t i o n   o f  t h e  m o n t h
by Dr. Cynthia Lewis, PhD

Question from an Advisor: I just spoke with a student who has a PS:11, VR:10, BS:7. The writing sample was an 'R'. My impression is that the 7 in the biological sciences section is going to be a gigantic obstacle for him; he is pretty adamant about not re-taking the MCAT. He wants to apply and take his chances, what do you think his chances will be?

This is really "How to evaluate MCAT scores?" and "Whether or not to retake the exam?" 2 questions

If we assume high science and overall GPA, reasonable understanding of the profession based on a reading of the application essay and experiences section, this applicant has chances at some places, but not at others. Osteopathic medical schools will treat him/her seriously if the experiential components of the application are strong: clinical understanding, service, leadership.

Many allopathic schools will not treat the applicant seriously based on their sense that at least a 9 must be earned in BS to handle their difficult curriculum. If the 7 were in the PS section, this may also be true.

If the low score were in VR, many applicants (generally those where English is a second language or the student is disadvantaged educationally, socially or financially and did not read much growing up) who are accepted to medical school with a 7 VR complete school successfully (there are stats on this). There are some schools that will consider this applicant seriously based on disadvantaged status.

A low science score is problematic (either PS or BS). For allopathic schools the lowest score for many would be an 8...but of course the key to evaluating such scores is based on the specific student and the specific school. Only averages are published!

Should the applicant retake the MCAT?
The applicant must evaluate: WHY the low score? For example: did not complete all the courses which the MCAT covers prior to MCAT study, or did not study many hours or effectively...or?

Does he/she believe they could improve given more time and more effective study? If yes, then retake it; if not (I did my best!), then don't!

  1. There are those few medical schools that will absolutely reject an application without reviewing secondary applications and letters of recommendation if any section other MCAT is lower than 7.
  2. If a low verbal score is seen, and that applicant is not rejected based on the score, then a review of the transcript is performed. Members of the admissions committee look for English Composition courses completed and review the grades. They also look for Literature, History, Philosophy, Theology/Religion, Sociology, Classical Studies, etc., coursework. High grades in these areas indicate one's verbal reasoning and writing skills.
  3. If a low score is in Physical Sciences, then a review of all Physical Sciences coursework is done. This is also true if the score for Biological Sciences is low. However, this is only true if the applicant has been rejected solely on the MCAT score.
  4. Some schools may even take into consideration the applicant's background (personal statement, demographic information, etc.).

There really is no way to predict outcomes, as each school reviews applications differently and each school reviews the applications on an individual basis.

High MCAT scores with one of the sections having a score of 7 or less poses unique problems. My experience is that if the sciences were low, the chances are
not good. Many complete secondary applications, but are not interviewed. Those interviewed applicants in this profile may be placed on hold, and then waitlisted.

If, in the end, the applicant does not want to re-take the MCAT, it is a calculated risk. S/he should accept the fact that there is a probability of about 50% that a re-application will be necessary.

We will feature an important question each month. Please submit one that interests you for Dr. Lewis to answer. Send your questions to imaclewis@lewisassoc.com with 'Newsletter Question' in the subject line.

lewis associates advising services

Lewis Associates specializes in personal, effective and professional premedical advising and placement for traditional and non-traditional applicants. Often, non-traditional students are older than 21 years of age, career changers, international applicants or second-round applicants for admission to health professions school.

Lewis Associates' services meet the needs of all types of students from pre-applicants to applicants, including hourly advising support for specific needs. Click here.


"It's never too late to be who you might have been."

If this is how YOU feel, then, maybe Lewis Associates is the place for you. Lewis Associates provides Mentoring and Coaching through the rigorous and often circuitous pre-health preparation and application process. Other consultants may support programs like Law and Business or graduate school -- not Lewis Associates. We are the experts in Health Professions based on 23 years of a successful track record.

Call or email today to set your first appointment!

805.226.9669 imaclewis@lewisassoc.com

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