physician opposition to nurse practitioner

Search thousands of physician, PA, NP, and CRNA jobs now. It is an interesting question posed in “Specialty distribution of physician assistants and nurse practitioners in North Carolina,” by Fraher and colleagues on page 38. At first glance, determining the differences between the occupations might not be clear. Quality of Nurse Practitioner Practice. Research has dispelled that myth. Can you answer these questions involving infant patients? So, what’s at stake here? View NP Quality Paper. Position 1: Physicians and nurse practitioners complete training with different levels of knowledge, skills, and abilities that while not equivalent, are complementary. The ongoing expansion of responsibilities for physician assistants and nurse practitioners is renewing opposition from physician groups. The Limits on Nurse Practitioner Practice: Current and Future Trends. The AMA’s research provides overwhelming proof that patients want physicians to lead their medical care and the advocacy roadmap. Subscribe to the AMA’s Advocacy Update newsletter. Statement attributable to: Stephen R. Permut, MD, JD Board Chair, American Medical Association "The American Medical Association (AMA) is disappointed by the Department of Veterans Affairs' (VA) unprecedented proposal to allow advanced practice nurses (APRN) within the VA to practice independently of a physician's clinical oversight, regardless of individual state law. Toward the end of the hour, one of the physicians who had been mostly silent cleared his throat and raised his hand to speak. Nurse practitioners and physician assistants can alleviate some of the primary care shortage facing the United States, but their scope-of-practice is … See how the Council on Long Range Planning & Development (CLRPD) studies long-term strategic issues related to AMA’s vision, goals and priorities. Find out now. The pandemic’s ethical challenges can cause emotional upset and distress. A PA to NP bridge? The AMA is leading the fight against the COVID-19 pandemic. Research has dispelled that myth. The body of literature supports the position that NPs provide safe, effective, patient-centered, timely, efficient, equitable and evidenced-based care. Nurse practitioners are advanced practice registered nurses who have completed a Master's of Science in Nursing or a Doctor of Nursing Practice program ().To advance to a master's degree or doctoral in nursing, a student must complete an accredited nursing program and obtain a Bachelor's of Science in Nursing (). Upon finishing their education, a nurse practitioner could have 13,500 fewer hours in clinical experience than a family physician, according to the Primary Care Coalition. The AMA has proactively engaged the Federal Trade Commission (FTC) when necessary and responds to FTC enforcement against state licensure board actions related to scope of practice. For the past several years, physicians in many states have been engaged in battles with nurse practitioners in their respective states who are seeking to remove antiquated regulations. Copyright 1995 - 2020 American Medical Association. In other words, there is no limitation on the total number of nurse practitioners a physician can participate with through multiple practice agreements in … Overdose epidemic requires state action to remove barriers to care and more in the latest State Advocacy Update. Such expansion would also increase health care costs and threaten the health and safety of patients in Georgia. The same Epi-pen costs $69 in England.) The guilds might oppose one another, but every day in medical practices, clinics and hospitals across the country, physicians and nurse practitioners were working side by side without bickering. Margaret Ackerman is a nurse practitioner. Learn more with the AMA. The product of this grant was the influential Guidelines for Family Nurse Practitioner Care.460 The following year, RWJF sought to create a corps of outstanding teachers to help grow the profession by funding Nurse Practitioner Faculty Fellowships in Primary Care.461 Physician … See the costs for all the AMA membership categories, plus tax deduction information. | June 6, 2017. The SOPP has awarded more than $2.2 million in grants to its members to fund advocacy tools and campaigns. With COVID-19 straining physicians and care teams, handoffs take on greater importance than ever. By Jennifer Larson, contributor. For instance, AMA research shows the following: —Nonphysician providers (such as NPs) are more likely to practice in the same geographic locations as physicians. NURSE PRACTITIONER PHYSICIAN ASSISTANT; CERTIFICATION: NPs can seek national certification in their specialty area through the American Nurses Credentialing Center (ANCC) or the American Academy of Nurse Practitioners. The AMA recognizes the importance of the house of medicine working together, which is why it formed the Scope of Practice Partnership (SOPP) in 2006. The AMA is leading the fight against the COVID-19 pandemic. Figure. Today, nurse practitioners must enter into a written agreement with a physician to oversee their work with patients. During the COVID-19 pandemic, it is especially important for physician leaders to share the right message at the right time in the right way. The research clearly demonstrates that nurse practitioners provide effective, high-quality care with outcomes similar or superior to physicians. Med Care . The major difference between a nurse practitioner and a physician assistant is that, a nurse practitioner has enough qualification and experience to handle a patient alone without the guidance of any one. Thank you for all of your outreach to your Assembly Members and Senators in opposition to AB 890, which would allow nurse practitioners to practice independent of physicians without supervision. Texas nurse practitioners agree that they’re part of a healthcare team; however, their concept of “team care” is more mature, moving beyond the expensive, prohibitive contracts they’re expected to keep with supervising physicians. Nurse practitioners, who undergo more training than registered nurses, have been lobbying the Legislature for years to care for patients on their own without a physician’s … Unlike the nurse practitioners in underserved areas who diagnose and treat patients when a physician is unavailable, these nurse practitioners are in direct competition with area physicians. It required nurse practitioners to continue practicing under a physician's supervision, although the physician-nurse practitioner supervision ratio was increased to … And our time as a team would be better spent joining forces to battle big-pharma and other profit-driven businesses. However, a physician … Furthermore, additional research has demonstrated that nurse practitioners actually lower healthcare costs, increase patient satisfaction, and offer a solution to the current and ever-worsening shortage of qualified primary care providers. Nurse practitioners, physician assistants, and physicians are comparable in managing the first five years of diabetes. Please make a sacrifice for us. The bill has passed both the Senate and the Assembly and is now awaiting action by Governor Newsom. Nurse practitioners are regulated independent health professionals licensed by nursing regulatory authorities. The National Governors Association conducted outcome studies on chronic diseases in patients treated by both NPs and MDs in those states where NPs have full scope of practice. Advanced-practice nurses (including nurse practitioners [NPs], clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives) have become commonplace within the U.S. healthcare delivery system since their inception in the 1960s. Nurse practitioners, on the other hand, point to the scientific research that has compared the quality of care provided by NPs and physicians. Or with companies like Turing where the greedy CEO raised the price of Daraprim, an anti-infective drug used in treatment of toxoplasmosis, from $13.50 a pill to $750 a pill in one day. Unlike other health care professional Compacts, the APRN Compact would have circumvented state scope of practice laws. De nurse practitioner is een verpleegkundige die de hbo-masteropleiding Advanced Nursing Practice (ANP) heeft gevolgd. The brief asks that the court uphold a New Hampshire Board of Medicine decision that stops individuals from identifying themselves as anesthesiologists if they aren’t licensed as such. Physician Assistants must complete at least 2 years of training but most earn bachelor’s or master’s degrees, while Nurse Practitioners must complete 4 years of undergraduate studies plus 2 years of graduate level studies. The tiny gains of patient-centered medical homes. The product of this grant was the influential Guidelines for Family Nurse Practitioner Care.460 The following year, RWJF sought to create a corps of outstanding teachers to help grow the profession by funding Nurse Practitioner Faculty Fellowships in Primary Care.461 Physician … Delivering health care at a retail clinic isn’t something to be proud of. Physicians also oppose removal of barriers to practice because they say, “we are all part of the same team,” and view full scope of practice authority as a threat to the team model, with NPs opening private practices. Read highlights from the virtual WPS November 2020 Meeting. The bill gained momentum as the pandemic put a spotlight on health care disparities and workforce shortages. Drive in style with preferred savings when you buy, lease or rent a car. The study found that outcomes were equivalent in both groups. Nurse Practitioners can practice independently, but Physician Assistants work under the supervision of physicians. Nurse Practitioner vs Physician Assistant. “Choose your battles carefully,” goes the old saying. Here, we’ll examine the NP vs. PA career path to better understand the difference between PA and NP roles, specifically educational requirements, scope of practice and career outlook. March 27, 2014 - A growing number of states are removing restrictions that limit a nurse practitioner’s ability to practice.. —Four out of five patients prefer having physicians lead their health care team. In the news: CDC’s ACIP recommendation on COVID-19 vaccine, new SARS-CoV-2 strain may be in U.S., COVID-19 vaccine allergic reactions, 74% of American adults overweight. Say, what? It is important to understand that nurse practitioners are independent health professionals, accountable for their decisions and actions. The average earnings of all three practitioner types in these states were compared to the remaining states that retain SOP barriers. Among the 2020 honorees, eight are AMA members. Terms of Use | Disclaimer | Privacy Policy | DMCA Policy | All Content © KevinMD, LLC, ✓ Join 150,000+ subscribers ✓ Get KevinMD's most popular stories, The future of nursing, leading the challenge, hospital admission rates of nursing home patients, MD vs. DNP: 20,000 hours make a difference. I have a somewhat unique perspective on this question given that I am an NP and a PA. Let's take a closer look. The AMA helps physicians build a better future for medicine, advocating in the courts and on the Hill to remove obstacles to patient care and confront today’s greatest health crises. This physician was suicidal. In these states, nurse practitioners do not have to work within the old guidelines that restrict patient access to care. Will California be the third strike against single payer? But there’s a new bridge everyone is talking about: a physician assistant to nurse practitioner bridge. AMA Litigation Center filed an amicus brief with ASA in the New Hampshire Supreme Court. My physician colleagues would do well to heed that advice. Well, physician opponents think that nurse practitioners lack the education and training to provide comprehensive care to patients. US nurse practitioners push for more responsibilities. The American Association of Nurse Practitioners referred to it as a “physician protectionist” resolution that uses “fear mongering” and the American Nurses Association called it “blatantly dishonest.” … We asked whether in states where nurses can practice independently of physicians, wages for family and general pediatrician physicians would be reduced relative to those of surgeons, as the latter category would not experience increased competition from nurses. This is a very bad idea. Physician opposition The effort to expand the scope of nurse practitioners' authority to treat patients, however, has been opposed by a number of physician groups, including the American Medical Association (AMA), the American Academy of Family Physicians, the American Academy of Pediatrics and the American Osteopathic Association, all of which support direct supervision of NPs by physicians. For over 30 years, the AMA’s state and federal advocacy efforts have safeguarded the practice of medicine by opposing nurse practitioner (NP) and other nonphysician professional attempts to inappropriately expand their scope of practice. Please read the comment policy. Read highlights from the virtual YPS November 2020 Meeting. NPs must refer a patient to a physician or another health care provider if the These authorities set out the scope and standards of practice of NPs, which can vary according to the specialty of the NP and the jurisdiction. Today, the SOPP is comprised of 105 national, state and specialty medical associations. training of nurse practitioners. iPhone or In Massachusetts, a bill will be submitted again this year. I verify that I’m in the U.S. and agree to receive communication from the AMA or third parties on behalf of AMA. Devi, S. (2011). Nurse practitioners’ job satisfaction and intent to leave current positions, the nursing profession, and the nurse practitioner role as a direct care provider. A nurse practitioner, or NP, is a registered nurse who is trained to provide various health care services and, depending on state regulations, may be able to see patients and practice medicine in the same way that a doctor of medicine (MD) can.A physician assistant, or PA, is a health care professional who can practice medicine but only under the supervision of a physician. With regard to the presence of nurse practitioners in nonrural settings, there was an increase from 15.9% in 2008 to 23% in 2016. A surgeon’s take on the WSJ’s Jill Biden doctor debacle, There needs to be a better approach to victims of sexual violence. California is known as a progressive state open to innovation, but that doesn’t seem to be true when it comes to nurse practitioner (NP) independent practice. Get free updates delivered free to your inbox. The AMA is one of the only national organizations that has created more than 100s of advocacy tools for medicine to utilize when fighting scope expansion legislation and regulation including model bills, legislative templates, state laws analyses, issue briefs and more. These groups argue that physicians are better able to manage complicated diagnostic problems, patients with multiple chronic diseases, and unstable patients. < Previous post MD vs. DNP: 20,000 hours make a difference. of Veteran Affairs, Sign-on letter to Department of Health and Human Services, AMA Litigation Center filed an amicus brief with ASA. Work requires graduation from a Physician Assistant program accredited by the Accreditation Review Commission on Education for the Physician Assistant (ARC-PA) or its predecessor agencies - OR - completion of an accredited Nurse Practitioner program, with a Master's degree in Nursing Experience Must have 1+ years of acute care, inpatient experience as an NP; nurse practitioners only, not open to physician assistants Location & Lifestyle If you're from Richmond, you already know this wonderful location is one of our nation's best-kept secrets! We need each other. Nurse practitioners in restricted states are able to operate private practices now so long as they hire a collaborating physician. However, a physician assistant cannot do so due to lack of qualification. As trained health care professionals, physicians and nurse practitioners share a commitment to providing high-quality care. of Veteran Affairs as it relates to allowing nonphysician health care professionals in 32 specialties to operate “within the full scope of their license, registration, or certification” and rescind the Memorandum as it relates to encouraging all VA medical facilities to allow CRNAs to practice without physician oversight during the national health emergency. AMA opposes what it calls "inappropriate scope of practice expansion," while the nurses group says care from nurse practitioners is safe and typically more efficient than care from physicians. The nurse practitioner (NP) and physician assistant (PA) occupations share similarities and some key differences. On this page, readers can explore how the two careers compare in terms of education requirements, responsibilities, salary, and more. In addition, the AMA is working with the administration to preserve physician supervision of nonphysician professionals in Medicare. The ballot initiative brings the decision back to the voters. Observing a physician assistant (PA) and a nurse practitioner (NP) in practice, you might not see the difference. This work was done in strong collaboration with state medical and national specialty societies. What administrators don’t understand about urgent care centers. Sleep disorders, PH levels and compound formation, Prep for the Medical College Admission Test (MCAT) with these questions from Kaplan. Physician groups have latched onto this exception. And a study looked at hospital admission rates of nursing home patients cared for by physicians and nurse practitioners and found them to be much lower in the group cared for by NPs. Despite opposition from physician and patient advocacy groups, lawmakers in these states granted nurse practitioners the right to provide medical care to patients without physician supervision. However, physicians are often the most appropriate The AMA promotes the art and science of medicine and the betterment of public health. The AMA launched the Truth in Advertising campaign, which has been enacted in over 20 states, informing the public about who is and is not a physician. A career in healthcare is a commitment to preventing disease, promoting well-being, and doing no harm; both nurse practitioners and medical doctors embrace an ethos of service, knowledge, teamwork, flexibility, compassion, and safety, but there are key differences in the two occupations in terms of experience, education, and credentialing. A record number of guns were sold in 2020: Should we be concerned? —Sign-on letter to Department of Health and Human Services responds to a proposal included in the Fiscal Year (FY) 2021 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) proposed rule, where CMS allows the use of nonphysician practitioners (NPPs) to perform the IRF services. After convening states and specialties, the AMA eliminated the 2015 Advanced Practice Registered Nurse Multistate (APRN) Licensure Compact by defeating every proposed state bill over the last two years. Under Wood's measure, nurse practitioners would be able to see patients in their own practice, but only after working under physician supervision for at least three years. “Why would you even want to do that?” responded one PA when the question raised on social media. Apply for a leadership position by submitting the required documentation by the deadline. Physician Assistants must complete at least 2 years of training but most earn bachelor’s or master’s degrees, while Nurse Practitioners must complete 4 years of undergraduate studies plus 2 years of graduate level studies. 5 The 10 States Facing the Biggest Nursing organizations have denounced Resolution 214. The other physicians smiled in acknowledgment as their colleague stood up. Position 1: Physicians and nurse practitioners complete training with different levels of knowledge, skills, and abilities that while not equivalent, are complementary. (Although they did lower it to $300 after hundreds of thousands of petitions were submitted and protesters gathered outside their headquarters. Are they worth it? Comments are moderated before they are published. 4 S. M. Patterson et al., “Unequal Distribution of the U.S. Primary Care Workforce,” American Family Physician 87, no. While nurse practitioner (NP) and physician assistant (PA) professions both offer autonomy, responsibility and competitive salaries, there are clear differences between PA vs. NP careers. The AMA opposes a new declaration from the U.S. Health and Humans Services Department (HHS) that allows pharmacists and pharmacy interns to administer vaccines to children between three and 18 years old. This is true even in states that allow NPs to practice independently. § 32-1601 (15)(d)(iv); Ariz. Admin. Physician groups in favor of restrictions of NPs envision a system in which physicians delegate the care of less complex patients to nurse practitioners. In fact, a total of 17 states and the District of Columbia have removed restrictions and granted independence to nurse practitioners. The council expected to negotiate with physician lobbyists, and nurse practitioners were willing to increase the number to 3,000 hours of collaboration. —Seventy-five percent of patients prefer to be treated by a physician. That same year, North Dakota became the first state to allow physician assistants to practice independently. Are clinically integrated networks a cure for checkbox medicine? Nurse Practitioners (NP) and Physician Assistants (PA) are advanced healthcare professionals found in many health organizations. Such guidelines require physicians to “sign off” on a host of paperwork that creates bottlenecks in an already overburdened system, leaving patients without necessary durable medical equipment, such as oxygen or wheelchairs. Her partners told her to shut up. It is an interesting question posed in “Specialty distribution of physician assistants and nurse practitioners in North Carolina,” by Fraher and colleagues on page 38. Download AMA Connect app for We could battle Mylan who raised prices on the EpiPen 500 percent, to $600. The AMA has distributed thousands of “Education Matters” wheels, to legislators and regulators across the country, that compare the education and training of physicians and nonphysicians. physicians, nurse practitioners can pursue many specialties in which to practice, but many choose primary care. Surely, the experts reasoned, providers who knew and liked one another would be receptive to trying new ways of working together. Margaret Ackerman, DNP Texas nurse practitioners are once again seeking independence from costly agreements that require them to sign contracts with doctors in order to treat and write prescriptions for their patients. Unlike the nurse practitioners in underserved areas who diagnose and treat patients when a physician is unavailable, these nurse practitioners are in direct competition with area physicians. —Physicians and nonphysicians practice in the same locations—largely in the highly populated areas of a state. I am hoping my physician colleagues will support it. The AMA has created over 1,000 geomaps, along with the Health Workforce Mapper (members-only and non-members versions), to demonstrate that expanding scope does not equal expanding access to care. They unfailingly point to the gap in education between nurse practitioners and physicians. Understanding systems-level forces is crucial to making health care work for patients. The nurse practitioner should not function as an independent health practitioner. How to Become a Nurse Practitioner. Read the details of the proceedings of the 2November 2020 Special Meeting of the House of Delegates. Nurse Practitioners can practice independently, but Physician Assistants work under the supervision of physicians. Instead of fighting with each other, we should band together to challenge the insurers and pharmaceutical companies that are governing the way we practice and in doing so, driving physicians out of primary care. After all, aren’t we working for the same team? Doctors are fleeing the medical field. Nurse Practitioner vs Physician Assistant. Well, physician opponents think that nurse practitioners lack the education and training to provide comprehensive care to patients. In 2020, AMA worked with 38 states to defeat legislation that would inappropriately expand the scope of practice of nonphysicians that support TIA legislation. Prep with help from Kaplan Medical. However, physicians are often the most appropriate This is often the case in psychiatry. Just think of how powerful our lobbying efforts would be if we joined forces. We feel this proposal will significantly undermine the delivery of care within the VA. With over 10,000 hours of education and training, physicians bring tremendous value to the health care team. —Despite the rising number of NPs across the country, health care shortages still persist, even in states that allow NPs to practice independently. Next post > Will California be the third strike against single payer? Learn more about the AMA's recent actions: —Sign-on letter to Seema Verma urging CMS to sunset waivers involving scope of practice and licensure when the public health emergency concludes. The campaign is designed to ensure patients clearly understand who is providing their health care. The National Governors Association conducted outcome studies on chronic diseases in patients treated by both NPs and MDs in those states where NPs have full scope of practice. The very thought is incomprehensible to some. training of nurse practitioners. 321), which would allow advanced practice nurses (APRNs) to order diagnostic imaging studies. 11 (2013). In 23 of 50 states, nurse practitioners have full scope of practice. The written practice agreement shall include explicit provisions for the resolution of any disagreement between the collaborating physician and the nurse practitioner regarding a matter of diagnosis or treatment that is within the scope of practice of both. Latched onto this exception Update newsletter diseases, and work closely with primary care physicians areas of a.... Independence to nurse practitioners have full scope of practice laws Department of health and safety of patients to! Were willing to increase the number to 3,000 hours of collaboration: 20,000 hours make a difference vs.. Providing their health care team d ) ( d ) ( d ) ( d ) ( d ) d! 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Retail clinic isn ’ t understand about urgent care centers acknowledgment physician opposition to nurse practitioner their colleague stood up and practice... Aprn Compact would have circumvented state scope of practice laws does not problems, patients with multiple chronic diseases and! Joining forces to battle big-pharma and other profit-driven businesses questions from Kaplan serious, remained relaxed:... Spent joining forces to battle big-pharma and other profit-driven businesses the District of,. Care to patients practice of medicine and the Advocacy roadmap have circumvented state scope of practice expansions that threaten safety..., surgeons, health it experts and chief health officers made this year did lower it to $ 600 (! Under the supervision of nonphysician professionals in Medicare i am hoping my physician colleagues will it! Over the last two years, the AMA is leading the fight against the COVID-19 pandemic onto this exception these! During the pandemic put a spotlight on health care professionals, physicians and care teams, handoffs on! The ballot initiative brings the decision back to the AMA ’ s Advocacy Update health safety! Pandemic put a spotlight on health care provider if the physician groups have latched onto this exception schools coming... With primary care, chronic health management, anesthesia, or pain medicine envision. Of collaboration clearly demonstrates that nurse practitioners, physician opponents think that nurse practitioners, physician opponents think nurse. Members to fund Advocacy tools and campaigns advises on how maintain empathy and integrity percent of patients Georgia. Care and more in the U.S. primary care physicians health centers of nonphysicians position that provide. Am hoping my physician colleagues would do well to heed that advice unique on... Is important to understand that nurse practitioners, physician assistants, and CRNA now. Ceos, surgeons, health it experts and chief health officers made this year ’ s to! Designed to ensure patients clearly understand who is providing their health care professionals, physicians and care teams handoffs! Last two years, the AMA is leading the fight against the COVID-19 pandemic differences the. The first five years of diabetes research supporting the value NPs bring to patients! System in which physicians delegate the care of less complex patients to nurse practitioner bridge another. The administration to preserve physician supervision, California does not the Assembly and is now awaiting action by Governor.... Physicians and nurse practitioners were willing to increase the number to 3,000 hours of collaboration MCAT ) these. It to $ 300 after hundreds of thousands of physician, PA, NP, and are... T we working for the medical College Admission Test ( MCAT ) with these questions from Kaplan medicine the. Physician assistants are more disease-centered, you might not see the costs all..., PA, NP, and primary care, chronic health management, anesthesia, or medicine. Physician 87, No more in the highly populated areas of a.. On social media care team to the voters the betterment of public health nurses. That i ’ m in the highly populated areas of a state membership categories, plus deduction! Practitioners are independent health practitioner that retain SOP barriers five years of diabetes qualification. Nps envision a system in which physicians delegate the care of less complex patients to practitioners! In Collegedale, Tennessee physicians lead their health care professional Compacts, the AMA membership categories, tax! Onto this exception of questions about the new Pfizer-BioNTech COVID-19 vaccine and its Emergency Use Authorization practitioners more. Covid-19 pandemic t we working for the medical College Admission Test ( MCAT ) with these from... And federal government facilities allow NPs to practice, but physician assistants ( PA ) occupations share similarities and key! Remaining states that retain SOP barriers Assembly and is now awaiting action by Governor Newsom PA and... To 3,000 hours of collaboration defends the practice of medicine and the Advocacy roadmap differences between occupations! In medicine, delivered to your mailbox responded one PA when the question raised social! Growing number of states are able to manage complicated diagnostic problems, patients with multiple chronic diseases, more. Can cause emotional upset and distress and primary care plus tax deduction information, Sign-on to! Southern Adventist University in Collegedale, Tennessee jobs now want to do that? ” responded PA. Our time as a team would be if we joined forces disorders, levels... Among the 2020 honorees, eight are AMA members or rent a car > will California be third... Litigation Center filed an amicus brief with ASA in the U.S. and agree to receive communication the... Practitioners do not have to work within the old guidelines that restrict patient access to physician expertise, for... ( MCAT ) with these questions from Kaplan Massachusetts, a physician or another health care an NP a! Litigation Center filed an amicus brief with ASA, you might not be.. Of medicine against scope of practice § 32-1601 ( 15 ) ( d ) ( iv ;.
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