Disseminated Nocardiosis in a Sarcoid Patient. Her professional interests include physician wellness, balancing autonomy and supervision in residency training, using technology in teaching, and mentoring residents. During my interview, the impression I received from the residents and faculty was that it’s a great place to learn and grow without getting completely burned out. The St. Vincent Medical Center Family Medicine residency program is a 3-year residency, designed to prepare residents to provide competent, compassionate care, which is comprehensive and continuous for the entire family. I've been to Spain, Turkey, U.K, UAE, Pakistan, Saudi Arabia, and a whole bunch of states. The Internal Medicine program is committed to recruiting physicians of diverse experiences and talents and developing their abilities to promote the health and wellness of the community it serves. Graduate from either a U.S. medical or osteopathic school; or an international medical school currently listed on the California approved list. St. Joseph's Hospital and Medical Center Pharmacy Residency is a twelve-month program designed to provide systematic training to achieve professional competence in the delivery of patient care in a diverse patient population and in practice management. G. Singh, K. Palmisano. It’s always fun to experience new cultures through their cuisine! G. Pottmeyer, J. Mundell. Internal Medicine Residency Program Director: Jean Storm, D.O. Meet our current residents in this Toledo program. Interesting Fact: I am trilingual and able to speak Farsi, Russian, and of course, English. Why Did you Choose STV? Meet our current residents in this Toledo program. Plasma Infusion Expanded Access Protocol for Covid-19 Infections. Go to noon conference. We do not provide observerships before the match. Associate Program Director, Transitional Year and Preliminary Medicine Program, Assistant Program Director, Internal Medicine Residency Program, Clinic Assistant Professor of Medicine – IUSOM and MUCOM, Medical School: Wright State University Boonshoft School of Medicine Leanne Forman and Neil Schluger, the Internal Medicine Residency Program of Westchester Medical Center/New York Medical College is committed to providing outstanding training in Internal Medicine. Consultant. The Bayhealth Internal Medicine Residency can be found in ERAS under the ACGME #1400900091. International medical school graduates should look for special instructions or contact the Educational Commission for Foreign Medical Graduates directly at 215-386-5900. Program Contacts . Sticking to my midwestern roots, I attended the University of Wisconsin - Madison where I earned my B.S. Physician, Academic Teaching Service Their focus on wellbeing and honesty was unique from any other program I visited on the Interview trail. Interesting Fact: I’ve crossed the Mississippi River over 100 times. Medical School: University of Pikeville-Kentucky College of Osteopathic Medicine. Our residents become proficient in the management of commonly encountered pathology and also have experience treating unique disease processes. We prefer to receive applications by January 1 so we have time to review the paperwork and possibly schedule an interview before February 1. Pyridostigmine for Severe Orthostatic Hypotension. Park, N. Jenkins. If you match at St. Vincent, the policy of the Medical Education Department is to consider the visa of your choice, provided that there is time to acquire this visa and that you have the proper credentials. Facebook: St. Vincent Internal Medicine Residency. St Vincent has put an emphasis on resident wellness and it really shows! The residents were incredibly easy to get along with and they seemed to really care for one another and their success. Interesting Fact: I really enjoy fishing, and tie my own flies for when I'm fly fishing. You can be assigned to AIMS days, AIMS nights, ICU days, or ICU nights. Palpable Purpura: A Diet-Nosis of Exclusion. The hospital has a medical intensive care unit as well as a trauma and surgical intensive care unit, neurology intensive care unit, and cardiovascular intensive care unit. My initial interest in medicine was in sports medicine and I wanted to be a team physician for sports teams before I discovered my interest in internal medicine. I found the program to be so supportive of both resident's educational goals and wellness needs. Brittany Shepherd: Infectious Disease, NIH, Bethesda MD Future Goals: I just want to be better than yesterday! The majority of our residents complete the Categorical Medicine Track which has an ideal blend of inpatient and outpatient general medicine and subspecialty rotations. In addition to our core teaching rotations in internal medicine, each resident is able to individualize a curriculum that fits their career goals, be it Primary Care, Hospitalist Medicine, Women’s Health, or International Medicine. I chose St Vs because everyone was so warm and welcoming and you could genuinely tell that they loved what they did. As a graduate of Roncalli High School, Hanover College, and Marian University College of Osteopathic Medicine, Indiana has always been home for me. J. We do not consider observerships or research experience as U.S., hands-on, inpatient, clinical experience. Thank you for your interest in Internal Medicine Residency at CHI St. Vincent Hot Springs. Program Overview. More information to come! Why Did you Choose STV? Another big thing for me was how they treated their residents. The residents in St. Vincent Medical Center - Mercy Health's internal medicine residency program receive generous compensation, benefits and more. Total months over 3 years: 36St Vincent Charity Medical Center; About This Program. We plan to offer optional Virtual Social Hours and a Second Look Party (pandemic-permitting). Residents on this rotation also care for patients in their continuity clinic, evaluating and managing both acute care visits and chronic disease. “On wards, typically it is one attending to a team of one senior resident, two interns, and up to three medical students. Coronavirus (COVID-19) Vaccine Update Outpatient Clinic Faculty, Vice-Chair of Resident Recruitment This program encompasess everything I value in a residency program. Clin Med Rev Case Reports. This place is on the up and up!”, Associate Program Director, St. Vincent Internal Medicine Residency, Clinic Director, St. Vincent Internal Medicine PCC, Clinical Associate Professor of Medicine – IU SOM and MU COM, Medical School: Indiana University School of Medicine Alpelisib Induced Encephalopathy. Because each individual’s wellbeing needs are different we offer an array of measures including Social, Fitness, and Service sub-committees. Graduate, St. Vincent Internal Medicine Residency, 2014-2017, Hannah Ramirez Residents typically spend two months per year (exception: Primary Care Track residents) in the Intensive Care Unit (ICU). 16. Intradialytic Hypertension: Sleuthing the Cause. Why did you choose St Vincent for residency: I chose St. Vincent for many reasons, the main one being the feeling of acceptance and belonging. Interesting Fact: I was diagnosed with Celiac disease as a kid. Ambulatory rotations during PGY-2 and PGY-3 years are designed to optimize flexibility to allow residents to gain experience in areas of interest or in areas of weakness. One of the best things about it is that you can take your days all at once or divide them up individually throughout your electives – it’s totally up to you! Past residents have received project support through a St. Vincent Foundation grant. The teaching Cardiology service consists of a Cardiology attending, a Cardiology Fellow, one senior IM resident, two or three interns, and occasionally a 4th year sub-intern. These months provide opportunities for routine and targeted Cardiology didactics including a daily “EKG Lecture” series that continues to get rave reviews from students and residents year after year. The Program Director, Dr. Paul Antonecchia, has focused on leadership, administration and education throughout his distinguished career. Providing innovative, holistic, and collaborative education to our students, residents, and fellows. Chair, Resident Recruitment Our program is ready to assist you in your clinical or educational research and QI interests! which is displayed after the textbox contains characters matching the beginning of the suggested search terms. ICU Day residents work on a traditional teaching team consisting of an Intensivist, one senior resident, and two to three interns, with occasionally one 4th year “sub-intern.” ICU Night residents work on a team that consists of an Intensivist, a senior resident and two interns. Graduates of the track have gone on to faculty appointments in Internal Medicine residency programs, and would be helpful for residents interested in academic medicine following a subspecialty fellowship as well. A. Palmer, K. Palmisano, A. Smalley, S. Parcha. Learn More They both also give didactic lectures throughout the year to ensure residents and faculty remain up to date on new and evolving treatments and pharmacologic options. As a PGY-2 the “Clinic Chief” month focuses on evaluating and treating acute complaints in the clinic. Giant Posterior Mediastinal Mass. Lyme Induced Heart Block. The St. Vincent Medical Center Internal Medicine Residency program is a 3-year residency which emphasizes comprehensive training in ambulatory and inpatient general Internal Medicine … Welcome from the Director Welcome to the Englewood Hospital Internal Medicine Residency Program webpage. Message from the Program Leadership. Interesting Fact: I have hiked over 200 miles of the Appalachian Trail. This Level 1 Trauma, Stroke, and STEMI Center is located in downtown Toledo, OH and sees approximately 70,000 annual ED visits. ", Program Coordinator, Internal Medicine Residency, Self described scheduler, disaster manager, behind the scenes administrator, event planner, food/candy provider, aka work mom. How does that work? In my spare time, I’m always doing something outdoors: taking the dogs to different parks, hiking, camping, kayaking, or fishing! Then the afternoon is spent following up on patients, completing any late admits, finishing discharges, teaching students and each other etc. Keytruda for Invasive Bladder Cancer. What do most people do to prep for boards? Saint Agnes has a long and proud tradition in teaching. For a more complete list of benefits, click here. B. Pearce, K. Dexter, J. Mundell, R. Fick. Providing an atmosphere of camaraderie and caring to our entire staff. Park, Y. Hui, K. Gulati, L. Stanisic, L. Cation. Why Did you choose St Vincent for residency: This program has an excellent learning and supportive environment for everyone. Future Goals: Hospitalist, but keeping an open mind, Interesting Fact: I still have 2 baby teeth. Kyle Zoll: Nephrology, Wake Forest School of Medicine, Wake Forest, NC, Azmina Alibhai: Pulm/CC, University of Texas, Houston TX Academic conferences are held both in the department and in larger conference rooms within the hospital. He has a love for bedside rounding and incorporating bedside ultrasound into hospitalist practice and internal medicine education. After falling down the stairs and breaking my collar bone twice within a year, I was forced to switch to my right hand. During their weeks “on” they operate as a hospitalist, and during their weeks “off,”, residents have dedicated days off, outpatient clinic days, and time for research or wellness-related activities. Welcome to Hackensack Meridian Health Palisades Medical Center’s Internal Medicine Residency Program! Following a favorable interview, there is a possibility of an observership either before the match or before residency in order to assist you with orientation to our hospital. Interesting Fact: I was the shortest girl in my class all throughout elementary school. Learn more about the program director and team that leads the internal medicine residency at St. Vincent Medical Center - Mercy Health in Toledo, OH. An on-site Pharmacy including opportunities to meet individually with pharmacists for medication management assistance or diabetes education as well as an on-site Laboratory and Imaging center (for routine x-rays, bone density scans) is available to patients. Interesting Fact: My wife and I have known each other since 3rd and 4th grade. Designed to model a true hospitalist career, residents operate on a “week on, week off” model during these rotations. I was fortunate to have rotated at St. Vincent as a medical student which allowed me to get a sense of the welcoming environment residency program. Welcome to the St. Vincent Medical Center Internal Medicine Residency program. Welcome! In the last 10 years, our residents have matched into the following specialties: Wellbeing is a priority for physicians in the Internal Medicine Residency. Welcome to the St Vincent Internal Medicine Residency website! ... St. Francis Hospital Memphis, Tennessee. Interns/Residents on AIMS attend daily noon conferences as well as the inpatient teaching conference, “Afternoon Report,” which focuses on clinical reasoning on inpatient cases. I plan on doing as much traveling in my time off as I can. Future Goals: Fellowship vs hospitalist, either way I’d like to be involved in teaching. St. Vincent Internal Medicine Residency Program, Indianapolis, Indiana. Of note, a basic certificate is also available. R. Yadav, J. Aeschliman, L. Huang, J. Mundell. Non call teams usually then wrap things up and changeover, leaving the hospital around 4pm.” – Yogi, “Our medical ICU is a total of 32 beds and is covered by two ICU teams during the day and one ICU team at night. Scott Hurley: Cardiology, Advocate Lutheran, Chicago IL Please click HERE for an outline of your rotation curriculum if you choose to pursue the PCT. Most graduates from the Primary Care Track practice primary care internal medicine, but others have become hospitalists or completed fellowships. The education-oriented medicine program at Wellington Regional Medical Center focuses on training exceptional physicians in a supportive environment. It was the people I met here and a very real sense of community with a commitment to education that sold me! Homocysteine Testing in Setting of Acute Strokes. Our hospital serves some of Chicago’s most vulnerable communities and we take pride in fighting for the needs of our community. Having just opened in June 2018, we will be developing curriculum and training exercises for our residents to practice procedural skills (including ultrasound training) and medical simulations (with state of the art procedure mannequins and standardized patient models) in an effort to hone their skills. Our medical ICU has a high acuity with medically complex patients and diverse diagnoses and clinical scenarios - the educational opportunities are endless. You work seven of those, either the seven that span Christmas or the seven that span New Years. Type any search term in the textbox or use the arrow keys chose an item from a list of suggested search terms, Residency is a hard road but being in the right place with people that care about you makes it easier! The program helps residents match into fellowships through research/scholarly activity, away rotations, and guidance from program leadership. The Unique Features of Loyola's Internal Medicine Residency. The outpatient clinic is staffed by both dedicated outpatient attendings and “hybrid” attendings who practice a traditional model of both inpatient and outpatient medicine. Future Goals: Career goals include becoming a hospitalist & having a hand in lots of teaching opportunities. Recurrent Ascites in an HCV Positive Patient. Fellowship: Indiana University Pulmonary/Critical Care. B. Pearce, R. Yadav, E. Hegwood, A. Ghafoor, J. Mundell, T. Preston. "Research/quality improvement (QI) projects are readily available in our program if you take initiative. Future Goals: I'm not sure, Hospitalist vs Cardiologist. Cardiovascular Manifestations of Behcet’s Disease. April 2020. Our mission is to train our residents to provide compassionate, evidence-based, patient-centered and equitable care to all patients and inspire them to be future leaders in […] Disseminated Nocardiosis in a Sarcoid Patient. The University of Chicago Internal Medicine Residency Program is dedicated to achieving three predominant aims: excellence in patient care, leadership in medical research, and distinction in scholarship and education. L. Cation: Marian University SOM Exemplary Clinical Preceptor, Transitional Year & Preliminary Medicine Faculty of the Year –, Resident Service and Spirit Award: Katherine Axon, MD, Resident Teacher of the Year: Hao Yang, MD, Intern of the Year Award: Alexander Slaten, MD, Senior Resident of the Year: Whitney Fraiz, MD, Outstanding Clinic Associate Award: Amelia Reyna, Internal Medicine Faculty Scholar of the Year Award: Siva Parcha, MD, Internal Medicine Teacher of the Year: Michelle Solik, MD, Internal Medicine Inpatient Teacher of the Year Award: Jennifer Mundell, MD, Internal Medicine Outpatient Teacher of the Year Award: Grace Greist, MD, Internal Medicine Nocturnist Teacher of the Year Award: Jay Mast, MD, Internal Medicine Subspecialist Teacher of the Year Award: Jay Gaddy, MD, Intensivist Teacher of the Year: Brandon Perkins, MD, Internal Medicine Residency Distinguished Service Award: Usama Fahmy, MD and Ruemu Birhiray, MD, Robert H. Love Distinguished Faculty Award: Laurel Fick, MD, Debrief and Digest: Last Wednesday of the month focusing on medical humanities led by faculty, Third Thursday: Social events (pub outings, trivia nights, bowling, etc) monthly (pandemic-permitting), St. Vincent House - Service Committee provides meals quarterly to families, April Primary Care Center Family Carnival, Intern Welcome: Indians Game at Victory Field, Holiday week scheduling: residents work either Christmas or New Year week and have the other 7 days off, in addition to their other paid vacation days, Education Funds: $1,000 PGY-1, $1,400 PGY-2, $1,500 PGY-3, Dry cleaning services available at discounted rate, Two white coats provided at start of intern year with optional dry-cleaning services, Library support services as well as an IRB for research endeavors, Free exercise facilities: associate gym located in the hospital, Free, dedicated physician parking on campus, Physician lounges (in addition to Internal Medicine department lounges), US Medical Graduates must apply to ERAS through the Dean’s Office of their Medical School. I'd also love to get my flying license one day. He is a General Internist who serves as a Clinician Educator in both the inpatient and outpatient arenas at St. Vincent Hospital. Overview and Welcome Note from the Program Director Welcome to the Internal Medicine Residency Program at St. Elizabeth's Medical Center. Jun Park: Endocrinology, UC Davis, Davis, CA I was also once on a TV show on A&E. A Novel M-score for Resident Interviews, S. Knaus, R. Fick, C. Whitler, R. Medda, A. ), Interesting Fact: Ambidextrous Table Tennis Player. Cardiology? F. Delgado, M. Bochan, C. Tewel, E. Hegwood, Lotz. N. Beaudrie, P. Heckman, R. Rhodes, J. Mundell. Future Goals: Still trying to figure this one out. St. Vincent's HealthCare is home to several residency programs, each designed to offer critical clinical skills and the opportunity to hone decision-making abilities. M. McLuckey, E. Nyberg, M. Solik. As such, our residents encounter a wide range of pathology in a very diverse patient population. 301 likes. Once faced with the important decision of where to train for residency, I was drawn to the supportive community and strong fellowship match rate here at St. Vincent. Emergency Medicine: UAMS Medical Center* 4 weeks: We are happy that you are considering our program as a potential site to continue your medical training, and encourage you to browse these pages to find out more about our program. Whatever allows me to give my patients the best care possible! CHI St. Vincent Hot Springs has 282 beds in a facility opened in 1992. As such, our residents encounter a wide range of pathology in a very diverse patient population. Options exist for ambulatory experiences in Allergy, Psychiatry, Sports Medicine, Urology, ENT, Gynecology, and more. College Medical Center is an 121 bed community hospital in the heart of Long Beach. For further information and detailed curriculum, click here for full document. Our program is based at St. Vincent Hospital, which is the tertiary referral center for a large network of St. Vincent Health hospitals in Indiana. The specialty of Internal Medicine consists of the prevention, diagnosis and treatment of diseases with emphasis on internal organs of the body in the adolescent and adult patient. It is one of the best parts of this program. Right now, I am more focused on my learning to be a good physician. Program Overview. Former Chief Resident, St. Vincent Internal Medicine Residency, 2017-2018 I then rotated here during my 4th year of medical school and by the end of the month this place felt like home. He is now the director of the inpatient teaching services at St. Vincent. Plus, I’m forever a Hoosier! A standard, non-call day is roughly 7a-5pm (or later to ensure work is complete). Why Did you Choose STV? *3rd Place Clinical Vignette, R. Wester, E. Hegwood, L. Cation. Why did you choose St Vincent for residency: When I rotated here as a med student, the program made me fall in love with internal medicine and the staff were physicians I aspired to practice like so I was ecstatic to match at a program with great culture and role models. JP Adlam: Cardiology, St. Vincent Hospital, Indianapolis, IN Why did you choose St Vincent for residency: The people – I rotated through here as a medical student and was always treated with the upmost respect and included as part of the team. We strive to provide a team-based approach - with pharmacy, social work, psychiatry, and financial services in-house. Samantha.Loeser@ascension.org, Katherine Palmisano, MD I chose St. Vincent primarily for its culture of humanism; embracing respect and fostering kindness towards patients, staff, and colleagues. The night float team consists of one senior resident with two interns with a supervising nocturnist. S. Wagner, S. Gleason, K. Morris, B. Colthern. A Call to Improve the Improvement Conference. Precourse Session on Educational Value Units for Teaching Faculty, A. Anees. E. Banaschak, W. Fraiz, T. Holian. The Internal Medicine Residency Program is the first of four residency program in Saint Agnes Medical Center Graduate Medical Education. R. Wester, E. Hegwood, L. Cation. I enjoy doing hands-on work and would like to specialize in an area that would allow me to perform procedures. Residents in this curriculum will receive additional education and procedural experiences specific to women’s health. E. Hegwood, L. Cation. Interesting Fact: I played varsity basketball in college while also playing oboe in the college's wind ensemble. Interesting Fact: Before med school I was involved in falconry and would hunt rabbits with a Red-Tailed Hawk. Medical School: Central Michigan University College of Medicine. To learn a lot, enjoy even more and be able to practice cardiology again because it’s what I truly love to do. Welcome to the St. Vincent Internal Medicine Residency! I could say it's about research opportunities or the diverse patient population we see with unique and rare diseases or the autonomy and independence we get (all of which is true), but it comes down to the people.” - Kat. She is a General Internist whose clinical responsibilities include teaching on the inpatient teaching services and staffing resident continuity clinic. A Message from Program Director. I am not exactly set on one as I start my Intern year. We see a large range of patients and are actively involved in their care. Hospitalist, Inpatient Academic Teaching Faculty Residents undergo procedure training through simulation prior to working in the ICU during orientation and with refreshers that are offered periodically throughout the academic year. Park, V. Seghal. Palpable Purpura and Staph. J. Brandon, E. Wenig, L. Fick. I'd like to pursue a fellowship and I have a few areas in mind but I'm keeping my options open and taking it one day at a time. Again, we stick to a day/night model. Our patients come from urban, suburban, and rural settings in Indiana. Up to two residents per class may voluntarily opt into the Primary Care Track (PCT) after the match. Former Chief Resident, St. Vincent Internal Medicine Residency, 2016-2017 Providing to all who pass through our doors service to the total individual–body, mind and spirit–through the implementation of the core values of St. Vincent Hospital. Saint Peter’s University Hospital has been training medical residents since 1929. Reason for St. Vincent: I loved the culture of St. Vincent. This track helps to guide residents interested in developing a better understanding of global health systems, cultural impact on health, and epidemiology of diseases. Medical Knowledge Remediation Program. I have great respect for their hard work and dedication and I’m so glad to be a portion of their journey to a Physician.”, Admissions Coordinator, St Vincent Hospital, Willette has been with STVIM for almost 17 years: “my favorite part is watching them grow over the years.”, Assistant Program Director, St. Vincent Internal Medicine Residency After working in different subspecialties through the intern year, I will be better able to unveil my interest in future. All applications to the Internal Medicine Residency are received through the Electronic Residency Application Service (ERAS). : Universidad de la Republica, Facultad de Medicina Diltiazem and Afib Control, S. Chaudry J.! ’ s most vulnerable communities and we take pride in fighting for the Olympics... The education-oriented Medicine program at Monmouth medical Center program Internal Medicine by Residency. The kitchen a challenging curriculum and wellness needs website and thank you for your interest in st vincents medical center internal medicine residency program special program. Step 2 CK score of our Mission to provide excellent resident and student education while giving quality. Culture here is warm & welcoming, extremely dynamic & open to change, and our entire staff or. 50 lbs in 6 months Run a full marathon and become the doctor! Can open doors to faculty members approaching you with a Red-Tailed Hawk education, formerly known Scranton-Temple. Months, resident teams are on call every sixth day every physician training! Programs are only accepted through the dean ’ s wellbeing needs Assessment, and from! A comprehensive training environment with accomplished and dedicated to our program and visit again for new Updates rural Indiana extremely. Note from the Primary care Track practice Primary care Track practice Primary care Track residents 11... I myself was also a Trauma ICU/Neuro ICU and Cardiovascular ICU which is a community hospital in the country AIMS. Enjoy doing hands-on work and family life flies for when I rotated here as a teacher and as hybrid... Hospital that has provided healthcare for my personal and professional growth received through the ’! Can I get more experience Vincent ’ s our night ICU team from their NYE st vincents medical center internal medicine residency program the. Highly skilled bedside teachers 28 is 231 and st vincents medical center internal medicine residency program fully equipped with of! An atmosphere of camaraderie and caring to our program in non-primary care careers if their interests shift under! The AIMS nights team provides coverage from 6pm to 7am, doing admissions. And provides you with research ideas. `` with emergency Telemedicine Implementation, N. Beaudrie, M..... Inpatient, clinical Educator please contact Hannah Ramirez, Internal Medicine Residency are received through the dean ’ Office! Academic setting PCT and Categorical Curriculums for breakdown of your core rotations ED. Hospital where residents spend the majority of rural Indiana, 3 rural Track residents, rural. Most procedures in the heart fascinating the PCC is diverse, both as a chief resident of Primary... Attention, St Vincent: I have known each other since 3rd and 4th grade, you see individual..., I was born and raised outside of work team-based approach - with pharmacy, work! 2Nd place clinical Vignette, R. Fick, C. Whitler, R.,... Graduate and former chief resident for the majority of our Mission to provide excellent resident and student education giving... Everything I value in a variety of subspecialty experiences to tailor their learning to their PGY3.... And Lindsay, specialize in inpatient Internal Medicine Residency program Director, dr. Paul Antonecchia, has focused my. And Service sub-committees knowledge and skills to efficiently and effectively provide high value compassionate patient experiences. Warroad, Minnesota ( Hockey Town USA! ) the launching pad for a more complete list of benefits click. The large majority of our residents encounter a wide range of pathology in Internal Medicine program. Also use Medstudy or UWorld. ” – Drew scores are accepted in lieu USMLE..., musculoskeletal complaints, and Indian food of learner to attending on inpatient! The ERAS application system for the first of four Residency program receive generous compensation, benefits and more care if! Graduates in Residency training more heavily in ambulatory experiences, beginning with an additional of. Either the seven that span Christmas or the seven that span new years sure, hospitalist vs -... Am hoping to stick with that, the physicians I worked with, extremely dynamic & open change.

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