CPD Handbook

CPD Handbook

Message from the Chair

Dear Fellows,

The 2020 revised RANZCO CPD Handbook builds on the current comprehensive RANZCO CPD program, with notable improvements in the online CPD information included in the RANZCO CPD Home, and online learning portal which provides a resource of information and links to online training, office record review, audits and peer practice review as well as information on COVID-19.  There is now a CPD diary app, for which members can enter their CPD, record evidence of the task, and enter a reflection all in real time. RANZCO supports the further development of interactive web-based education.

The RANZCO clinical audit tool, along with the Fight Retinal Blindness! and ANZSRS audits have been well utilised by members and continue, with updated large numbers of cases enhancing real world evidence and scientific research.

RANZCO CPD is accredited by the Australian Medical Council (AMC), which has seen the progressive development of CPD guidelines via the Professional Performance Framework. This involves strengthening CPD with the requirement of a professional development plan, active assurance of safe practice, strengthening assessment of complaints, providing support for practitioners and fostering a positive culture of medicine. CPD guidelines are to include components of education, performance review/reflection, and outcome measures. RANZCO is currently awaiting plans for future implementation of the Professional Performance Framework, by the AMC and the Medical Council of New Zealand (MCNZ).

CPD compliance is a requisite of the RANZCO code of conduct, and the Australian Health Practitioner Regulation Agency (AHPRA), and MCNZ requirement for mandatory registration standard. A RANZCO CPD Certificate of Completion is required as a registration standard. Other registration standards include Criminal History, Recency of Practice and Professional Indemnity. Full RANZCO CPD completion and will now be required for all members including overseas Fellows.

RANZCO supports Fellows through online and telephone support and members of the CPD committee are available to provide assistance with CPD compliance. RANZCO CPD committee welcomes feedback and suggestions.

I would like to thank the outgoing CPD Chair Dr Sukhpal Singh Sandhu and the former and current CPD committee members for their significant work in developing and maintaining the RANZCO CPD standards.


Thank you to the RANZCO Board, Federal QEC, RANZCO Education and IT team for their support.


A/Prof Lawrence Lee

Chair, Continuing Professional Development Committee

CPD Committee
(as at May 2021)

A/PROF LAWRENCE LEE
Chair

DR JOHN MCCOOMBES
State CPD Representative,Queensland
DR NIGEL MORLET
State CPD Representative, Western Australia
DR PETER HINCHCLIFFE
State CPD Representative, New South Wales
DR JESSE GALE
State CPD Representative, New Zealand
MR JOUMAN TABBOUCHE
Education Coordinator

CONTACT
The Royal Australian and New Zealand College of Ophthalmologists
94 - 98 Chalmers Street, Surry Hills, NSW 2010
Telephone: +61 2 9690 1001
Email: cpd@ranzco.edu

RANZCO CPD Framework

Established in 2006, the College’s CPD framework will continue in 2020. The framework is designed to help Fellows adopt a structured approach to planning their CPD. Fellows have the opportunity to gain points in three CPD categories - ‘Clinical Expertise’, ‘Risk Management and Clinical Governance’ and ‘Professional Values’ - reflecting the seven key roles and attributes of a specialist ophthalmologist. Fellows also have the opportunity to demonstrate two levels of learning achieved through their CPD activities. It is recommended that Fellows complete activities from all three CPD categories. 

 7 KEY ROLES/ATTRIBUTES OF A SPECIALIST OPHTHALMOLOGIST

3 CPD CATEGORIES

Level 1 

Level 2

Medical Expert

CATEGORY 1: Clinical Expertise

Level 1

Level 2

Communicator, Leader

CATEGORY 2: Risk Management and Clinical Governance

Level 1

Level 2

Collaborator, Health Advocate, Scholar, Professional

CATEGORY 3: Professional Values

Level 1

Level 2

 

CATEGORY 1 - CLINICAL EXPERTISE

‘Clinical Expertise’ recognises a specialist ophthalmologist’s need to maintain their skills and knowledge to provide effective patient-centred care. It aligns with the role of an ophthalmologist as a medical expert and clinical decision maker. Examples of activities in this category include attendance at conferences and meetings, reading journals, undertaking journal-based assessments, and participating in audit activities.

CATEGORY 3 - PROFESSIONAL VALUES

‘Professional Values’ acknowledges that ophthalmologists are committed to the eye health and well-being of individuals and society. ‘Professional values’ aligns with the roles of an ophthalmologist as collaborator, health advocate, scholar and professional. Examples of activities in this category include teaching, authoring a book, participation 
in college committees, and participation in volunteer aid projects.

CATEGORY 2 - RISK MANAGEMENT AND CLINICAL GOVERNANCE


‘Risk Management and Clinical Governance’ acknowledges that there are aspects of an ophthalmologist's medical practice outside of clinical expertise that may contribute to less than optimum patient outcomes. Activities in this category are intended to identify and minimize this risk through improvements in the ophthalmologist’s role as communicator and manager.

The ophthalmologist's contribution to improved clinical governance can minimize risk at the systemic level. Examples of activities in this category include attending risk management conferences, medico-legal courses, communication workshops and practice management training.

LEVEL 1 ACTIVITIES


These learning activities focus on increasing knowledge and skills and include the more traditional, passive activities such as lectures, conferences and journal reading. The level of demand on the participant is considered to be relatively low.

LEVEL 2 ACTIVITIES

These activities focus on implementing or facilitating changes in practice and health outcomes. Key factors are collection of data related to a particular question/issue. Generally, it is expected that involvement in these activities will ensure that the participant can apply to concepts that they learn to their practice. These activities.


RANZCO CPD Program
CPD IS A REQUIREMENT OF REGISTRATION AND FELLOWSHIP

Continuing Professional Development (CPD) refers to the ongoing maintenance and development of knowledge, skills and attitudes related to clinical expertise as well as the non-clinical skills that ophthalmologists need, such as risk management, clinical governance and professional values. This continuous cycle of learning enables an ophthalmologist to constantly improve as a practising professional, therefore benefiting patients and the community as a whole. CPD aims to advance the individual ophthalmologist’s knowledge, skills, competence and behavioural awareness for the benefit of patients and to encourage a culture of life-long learning that promotes collaboration, peer review and reflective practice. All practising Fellows of the College (engaged in medicine, surgery, medico legal services and/or teaching) are required to participate in the CPD program to retain registration in both Australia and New Zealand.

In April 2012, the Federal QEC agreed that “all RANZCO Fellows who practice as ophthalmologists in Australia and New Zealand must participate in the College's CPD program.” It is also a requirement of AHPRA: “Medical practitioners who are engaged in any form of medical practice are required to participate regularly in continuing professional development (CPD) that is relevant to their scope of practice in order to maintain, develop, update and enhance their knowledge, skills and performance to ensure that they deliver appropriate and safe care.” To meet this registration standard, you must fulfil the requirements as set-out by AHPRA. The MCNZ stated, “To maintain the right to be issued with a practising certificate, doctors must meet recertification and continual professional development (CPD) requirements.”

The College's annual CPD program commences each year from 01 January and ends on 31 December. Fellows must submit a return annually by 31 January via the College's online CPD Diary system. New Fellows are automatically enrolled in the College's CPD program.

All Fellows, including part-time Fellows, are required to complete the full CPD requirement of the College, which is a minimum of 80 points, including 30 points under Clinical Expertise Level 2.

Adjustments to the annual CPD requirement may be granted to Fellows in certain circumstances, e.g. prolonged illness or maternity leave. Fellows seeking an adjustment to their annual CPD requirement must complete the ‘CPD Adjustment Application Form’ that is submitted to the CPD committee for review and consideration.

Full retired Fellows are not required to participate in the CPD program to maintain Fellowship.

Overseas Fellows

Fellows who are registered with AHPRA and live and work overseas (outside Australia and New Zealand) or are a newly appointed Fellow of RANZCO and are undertaking Fellowship overseas are required to participate in the RANZCO CPD program or a CPD program of an equivalent medical college approved by RANZCO and must meet the requirements of their chosen program.

Such Fellows must apply to the College for recognition of the chosen equivalent program, and approved Fellows must provide documentary evidence of meeting the requirements of the approved program as well as RANZCO's CPD Program by 31 January each year to maintain CPD compliance with AHPRA and RANZCO.

Dual Fellowship

A Fellow who believes that their scope of practice is more aligned to another College in which they have dual Fellowship may apply to the College for special consideration to participate in the other College's CPD program to meet the RANZCO’s CPD requirement.

Approved Fellows must provide documentation evidence of meeting the requirements of the approved CPD program by January 31 each year.  

ANNUAL REQUIREMENT 

As of 1 January 2017, all Fellows, including full-time and part-time* Fellows registered with AHPRA or MCNZ, must complete a minimum of 80 points including 30 points from the category 'Clinical Expertise', Level '2'. 

Fully Retired Fellows** are not required to be CPD compliant to maintain their RANZCO Fellowship.

Extended Leave: Fellows who take extended leave from practice (including due to illness or maternity leave) are required to notify the College. Fellows seeking an adjustment to their annual CPD requirement must complete the CPD Adjustment Application Form. Your application will be submitted to the CPD committee for review and consideration.

* Part-time is defined as working no more than 2 sessions per week or undertaking locums for no more than 6 weeks per annum.
** Fully retired Fellows are those who are no longer in practice or on the medical register. 

RECORDING CPD POINTS

All Fellows must record and submit their CPD points via the College's online CPD Diary System at www.ranzco.edu or via the RANZCO CPD Diary app which is available from the Apple App store and Google Play store      . Fellows who do not have internet access can contact the College to submit their returns on paper recording forms.

COMPLIANCE 

Fellows who anticipate difficulty in meeting their annual requirement should contact their State CPD Representative as early as practicable before the end of the calendar year.

A Fellow who fails to comply with the College's CPD requirement will ultimately be referred to the RANZCO Council. A copy of the College's policy relating to Fellows who fail to meet the College's CPD requirement, as well as all policies pertaining to CPD, are available from the “Policies” section of the College's website under “About RANZCO” > “Our Organisation” > “Policies” > “Fellowship Policies”. The “RANZCO Code of Conduct” is also accessible through this webpage.

CERTIFICATE OF CPD COMPLIANCE      

Fellows who meet the College's minimum annual CPD requirement will be eligible to receive a certificate. The CPD certificate is emailed to Fellows after the close of the CPD diary and can also be downloaded directly from the CPD diary.

Fellows who have updated their personal online CPD Diary will be able to download a letter of good standing confirming their Fellowship with the College, that they are in good financial standing and participating in the current years CPD cycle.

VERIFICATION REQUIREMENT

The College does not routinely require Fellows to submit evidence to the CPD Secretariat to support their claims. Fellows are, however, expected to maintain documentary evidence of their CPD activities. At the end of each CPD reporting report, the College will conduct a random CPD verification audit of five percent of its Fellows. Members selected for audit will be notified in writing and asked to provide documentation to support their claim. The documentation requirements for the CPD verification audit can be found under 'Verification Documentation Requirement'.

AHPRA also conducts independent yearly audits and can call upon Fellows to verify their CPD claims. AHPRA requirements state that records must be kept for 3 years.

Professional Development Plan

Elements of a Professional Development Plan

As of the 2022 CPD year, all Fellows participating in the CPD program are required to complete a professional development plan for the CPD year to satisfy registration requirements. It is recommended to complete the PDP at the beginning of the CPD year and a copy must be kept for audit purposes.

Identify Learning Needs

  What knowledge, skills or attributes do I need to develop to meet the demands of my current work and career aspirations? 

Plan Activity

  Which activities would help me to meet the identified development needs?

  How does an identified development need align with the College's CPD categories and levels?

Reflect on learning Achieved and Impact

  What did I learn?

  How did this learning change my practice?

  How did this learning improve patient?

A copy of the Professional Development Plan template can be downloaded from the RANZCO website.

Categories and Activities
Category 1: Clinical Expertise

Point Allocation

The table below lists approved activities and their point allocations. For other approved activities that do not fit into the general activity titles listed below, members can select ‘other activities not listed’ and allocate 1 CPD point per hour. Fellows also have the option of completing a reflection activity for each reporting activity. By answering the three reflection questions, Fellows will gain an additional 5 CPD points. 

LEVEL 1 ACTIVITY

CPD POINTS

Attending meetings/conferences/webinars/courses/workshops *

1 point per hour, maximum 7 points per day

Completing journal or online based assessment tests

1 point per hour

Directed journal reading, including journal club

1 point per hour

Case conferencing

1 point per hour

Journal subscriptions, including CEO

2 points per journal, maximum 10 points per year

Other activities not listed

1 point per hour

 

LEVEL 2 ACTIVITY

CPD POINTS

Completing clinical audit/peer review meeting (recommended) and implementing practice changes **

30 points per audit

Completing external audit program, e.g. ANZGIG MAST, Forged meets Field, FRB!, Australian Corneal Graft Registry (must attain and analyse own data, not annual data provided by the chosen program)

30 points per audit

RANZCO Clinical Audit Tool (RCAT)

30 points per audit

Completing Office Record review (ORR)

10 points per ORR

Undertaking peer review practice visit (host or visitor)

30 points

Submit/peer review medico-legal report

10 points per report

Participating in audit/peer review meeting

1 point per hour

RACE examiner reflection ***

10 points per question, maximum 30 points per year

Other activities not listed

1 point per hour

a list of conferences and meetings are available from the College's event calendar, via the website. 
** clinical audit a group or hospital practice
*** RACE reflection template and instructions are available from the College's website

Additional Level 1 points can be claimed if the activity includes a diversity element, i.e. if peer review involves two parties from different locations (rural and metro), age brackets (Younger Fellow and Senior Fellow) or genders. The reflection component must include notes on how the diversity element has impacted on the overall review process and outcomes.

Fellows may undertake audit activity as a group provided:

  • Their individual results are available as part of the group results
  • There is an audit meeting for discussion of results, feedback, so each Fellow can formulate a plan for improvements.

Category 2: Risk Management and Clinical Governance
Point Allocation

The table below lists approved activities and their point allocations. For other approved activities that do not fit into the general activity titles listed below, members can select ‘other activities not listed’ and allocate 1 CPD point per hour. Fellows also have the option of completing a reflection activity for each reporting activity. By answering the three reflection questions, Fellows will gain an additional 5 CPD points.

LEVEL 1 ACTIVITY

CPD POINTS

Attending meetings/conferences/courses/workshops *

1 point per hour, maximum 7 points per day

Completing journal or online based assessment tests

1 point per hour

Directed journal reading, including journal club

1 point per hour

Journal subscriptions

2 points per journal, maximum 10 points per year

Serving in relevant committee e.g. hospital risk management, new technology assessment

10 points per year

Undertaking relevant higher degree

10 points per year

Activities to enhance cultural competence

1 point per hour

Other activities not listed

1 point per hour

 

LEVEL 2 ACTIVITY

CPD POINTS

Attending meetings/conferences/courses/workshops **

      ‧  Interactive e.g. Cognitive Institute
      ‧  Morbidity and mortality meetings

1 point per hour, maximum 7 points per day

Participating in quality assurance activities/meetings

1 point per hour

Participation in clinical governance and quality assurance activities including external quality health accreditation, morbidity/mortality meetings and clinical management committee meetings e.g. Quality Health New Zealand accreditation.

5 points per hour, 25 points per year

Other activities not listed

1 point per hour

a list of approved conferences, meetings is available from the College's website.

Category 3: Professional Values
Point Allocation

The table below lists approved activities and their point allocations. For other approved activities that do not fit into the general activity titles listed below, members can select ‘other activities not listed’ and allocate 1 CPD point per hour. Fellows also have the option of completing a reflection activity for each reporting activity. By answering the three reflection questions, Fellows will gain an additional 5 CPD points. 

Planning CPD helps you think more strategically about how to meet your learning needs in relation to your current roles and career aspirations. It also assists you to manage your time more effectively. This is particularly important given the College's requirement of reporting CPD annually. 

LEVEL 1 ACTIVITY

CPD POINTS

Participating in College activities, e.g. serving as a member of College Committees, supervising trainees

10 points per year for each activity

Participating in other relevant committees, e.g. AMA

10 points per year

Participating in “Train the trainer” training

10 points per year

Teaching College trainees, medical optometry and nursing students

1 point per hour, max 30 points per year

Developing educational resources, e.g. writing or editing Office Record Review protocols, online ethics courses, Focal Points test questions

1 point per hour

Mentoring College trainees

5 point per year

Participating in voluntary aid projects

20 points per year

Meetings/conferences/courses/workshop - non-clinical, e.g. medical defence

1 point per hour, maximum 7 points per day

Taking journal-based assessment tests

1 point per hour

Directed journal reading including journal club

1 point per hour

Journal subscriptions

2 points per journal, maximum 10 points per year

Undertaking relevant postgraduate studies

20 points per year

Conducting research

1 point per hour, maximum 7 points per day

 

LEVEL 2 ACTIVITY

CPD POINTS

Conducting training audit

10 points per year

Completing International development activity report

5 points per report, maximum 15 points per year

Attending interactive meetings, conferences, workshops, e.g. Cognitive Institute 

1 point per hour, maximum 7 points per day

Presenting poster/paper at scientific meeting

10 points

Author of paper published in referred scientific journal

20 points

Author of book chapter/book, editor of book

30 points

Reviewer of manuscript, journal articles, books, theses

1 point per hour

RANZCO examiner activities *

up to 40 points

Other activities not listed

1 point per hour

RANZCO examiners only - further information can be found under ‘CPD for RANZCO Examiners’

Clinical Expertise Level 2 Activities

All full-time and part-time Fellows are required to complete a minimum of 30 points under ‘Category 1: Clinical Expertise, Level 2’. Fellows can fulfil the requirements of earning at least 30 points under Level 2 in the area of Clinical Expertise by completing the following types of activities: 

Surgical Audit

Surgical audits and peer reviews are important strategies in improving standards in medical and surgical care. Fellows can claim 30 points after they’ve conducted a surgical audit, analysed the results and implemented identified practice improvements. Further information regarding surgical audits can be accessed by clicking here.

Office Record Review (ORR)

An ORR is a retrospective audit of a patient's medical records pertaining to history, examination, investigation, diagnosis and management of a specific condition. It is a form of documentation audit introduced by the CPD Committee to assist Fellows who are not operating to fulfil their CPD requirements. Fellows can claim 10 points for each ORR. There is a list of 27 excel templates that can be downloaded from the website. Each template pertains to an ophthalmic diagnosis with a specific definition and time frame requirement. Further information regarding office record reviews can be accessed through the website. 

Peer Review Practice Visit

Ophthalmologists may undertake a peer review practice visit as an alternative to a formal audit of surgical or medical care. Fellows can claim 30 points as either a host or a visitor. Further information, guides and templates regarding peer review practice visits can be access through the website.

Medico-Legal Reports

Fellows who specialize in medico-legal services may submit and/or peer review medico-legal reports to fulfil the requirement and can claim 10 points per report. These reports should be de-identified due to confidentiality.

Audit/Peer Review Meeting

A formal meeting should have a chair and a written record. Suggestions for an effective meeting a detailed in the ‘Guide to Surgical Audit and Peer Review’. A meeting template is also available. Fellows can claim 1 point per hour for participating in a Peer Review Meeting. 

General Audit Guide
How to Structure an Audit

The Medical Board of Australia (MBA) and the Medical Council of New Zealand (MCNZ) requirements indicate that all Fellows are to complete yearly quality assurance and reflective activities as part of their annual CPD. These activities fall under the RANZCO CPD category Clinical Expertise Level 2. 

Many Fellows will choose to conduct an audit on a specific aspect of their practice or patient care to satisfy this requirement of CPD. This can include the structure of care, process of care or the outcome of care.  

There are 5 stages when conducting an audit:



Stage 1: Determine the Scope/Topic

Stage one involves the preparation of your audit. You will need to select a topic, preferably one that you may deem a high priority for your practice or patients. This could involve areas where there is a high volume of work, high costs or high risk of care, or an area that has been identified as a priority by patients. In stage one you will also need to identify your available resources. For example, there may be existing guidelines that define desired standards for the topic you have chosen. 

Stage 2: Select Standards

In stage two, you will need to define the standards and criteria of your audit that are in line with current practice. When developing or selecting these standards, it should be expressed as a clear evidence-based statement. You should refer to literature that is in line with current practices and guidelines. There are three options to pick from when selection standards:

Ideal Standard: the standard of care that should be given under ideal conditions with no constraints.

Minimum Standard: the lowest acceptable standard of performance. Primarily used when distinguishing between acceptable and unacceptable practice.

Optimum Standard: the standard lying between ideal and minimum and represents the standard achievable under normal conditions. 

Stage 3: Collect Data

Stage three involves collecting and analysing data. Identify the type of data that needs to be collected, how it will be collected and in what form. Data can be obtained via electronic records, manually, or by both means. Collected data should be analysed and compared with the selected standards from stage two. Determine if your data has met the standards, and if not, determine the potential reasons why or how these standards were not met. To help you collect quality data, consider the following:

  • What information do you need to answer your topic question?
  • From who, where and how will you collect this data?
  • Should you collect this data prospectively or retrospectively?
  • Is data collected absolutely essential and relevant?

Stage 4: Present and Interpret Results with Peer Review

After you have collected and compared your data against your chosen standards, present and interpret your audit results with peers and discuss your outcomes. Peer review is an integral component of audit. Peers are other ophthalmologists with comparable training and experience. It is also helpful to include other members of the team during the review, for example, a trainee or nursing staff. The review should be conducted in an atmosphere of trust, confidentiality and taken as an opportunity for growth and improvement. Peer review is not an opportunity to blame or brag. 

Stage 5: Make Changes and Monitor Progress

Stage five involves the implementation of the required changes that were discovered during stages three and four. To complete the audit cycle in its entirety, follow up is required to determine if the actions that have been taken have been effective or to uncover if further improvements are required.

CPD for RANZCO Examiners

RANZCO exam related activities can be claimed according to the table below up to a maximum of 40 points per CPD year in the Professional Values category as a Level 2 activity.

ACTIVITY

POINTS

Attendance at annual Examiners Meeting (minimum attendance at 1/2 day meeting)

5

Clinical exam (e.g. RACE, OBCK)

10 *

Examiner in charge

10

Subject leader

5

Preparation of examinations (questions/answers)

10 *

Marking exam papers (per exam)

10 *

Censor in Chief and Chairs

40

per exam.
When updating your CPD diary, please select ‘RANZCO Examiner Activities’ and list each activity and the number of points you are claiming per activity.

Verification Documentation Requirement

Category 1: Clinical Expertise - Level 1 Activities

Fellows should retain the following documentation and submit, if required to verify:


1. A photocopy of your diary entry, receipt, confirmation or an equivalent notice of meetings or conferences that you attended showing:

  • date, time, location and duration
  • name of organisation
  • name/purpose of meeting

2. Recording journal readings:

  • photocopy the table of contents and tick those read in detail

Category 1: Clinical Expertise - Level 2 Activities

Fellows should retain the following documentation and submit, if required to verify:

  • audit topic, scope, summary and conclusions
  • duration and date of completion of audit
  • peer review - name of peers or committee and date of review

Note: All patient identifiers must be removed when supplying documented evidence.

Category 2: Clinical Governance and Risk Management

Fellows should retain the following documentation and submit, if required to verify:

1. A photocopy of your diary entry, confirmation receipt or an equivalent notice of meetings or conferences that you attended showing:

  • date, time, location and duration
  • name of organisation
  • name/purpose of meeting

Category 3: Professional Values

Teaching, training and examination

Fellows should retain the following documentation and submit, if required to verify:

  • brief description of teaching topics
  • dates, location, duration and participants involved
  • details of examinations attended, brief description of topics, participants and dates
  • copies of letters of invitation or letters of appreciation etc.
  • presentations - copy of the presentation or program, notes, date, time and location of presentation

Research and publication

Fellows should retain the following documentation and submit, if required to verify:

  • publications - provide details of the published work, e.g. photocopy of article reference etc.
  • research - details of projects and organisations conducting the research

Recognition of Education Activities for CPD

Providers seeking accreditation of educational activities must apply to the CPD Committee well in advance, preferably 6 weeks prior.

Applications will be assessed based on the following criteria:

  • demonstrate that a learning needs assessment was performed 
  • comply with Medicines Australia Code of Conduct where appropriate
  • involve ophthalmologist in the planning of the educational activity
  • state aims and measure learning outcomes
  • contain an outline of the subject to be presented
  • supply supporting education materials
  • state how the activity contributes to improving patient health outcomes
  • conduct activity in settings that are conducive to effective learning
  • encourage active learning process if appropriate
  • supply the names of credentials of the presenters
  • state assessment methods
  • state evaluation methods
  • acknowledge and declare conflicting commercial interest


Approved providers are required to provide the College with a list of our members who attend their activity, together with a copy/summary of the evaluation report.

The application form is available on the RANZCO website under Forms and Applications


Contact for enquiry and application:

cpd@ranzco.edu




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