All four IP faculty are experienced educators who are board certified in IP and trained at top IP centers across the country. Today, we are one of 51 National Cancer Institutedesignated Comprehensive Cancer Centers, with state-of-the-art science flourishing side by side with clinical studies and treatment. 10 Community Medical Center, Missoula, MT. Dr. Martino is a graduate of the Memorial Sloan Kettering Palliative Care Fellowship program and has extensive experience in caring for complex pain syndromes. Interviews take place mid-September through October for the following July. ResearchDean@med.cornell.edu, Toggle For WCM Investigators menu options, Toggle Funding Opportunities menu options, Toggle Writing & Submitting a Grant Proposal menu options, Toggle Office of Sponsored Research Administration (OSRA) menu options, Toggle Professional Development & Mentoring menu options, Toggle Advanced Biomolecular Analysis Core (ABAC) menu options, Toggle Human Subjects Research menu options, Toggle Radiation Safety Committee (RSC) menu options, Toggle Institutional Biosafety Committee (IBC) menu options, Toggle Institutional Review Board menu options, Toggle Research Team Resources menu options, Toggle Human Research Compliance menu options, Toggle Research Participant Resources menu options, Toggle Educational Resources menu options, Toggle IRB Policies and Procedures menu options, Toggle Glossary, FAQs, & Medical Terms in Lay Language menu options, Toggle Research Animal Resource Center (RARC) menu options, Toggle Conflict of Interest Office menu options, Toggle Research Integrity Office menu options, Toggle Collaboration & Commercialization menu options, Office of Sponsored Research Administration (OSRA), Education & Training in Research Administration (ETRA), Tri-Institutional Collaboration Network (TCN), Research Awards and Grant Writing Resources, Advanced Biomolecular Analysis Core (ABAC), Human Research Routine Review & Education Program, Data Safety and Monitoring Committee (DSMC), Human Embryonic Stem Cell Research Oversight (ESCRO), Things to Consider Before Volunteering for a Study, Human Research Compliance Monthly Education and Training Series (HRC METS), WCM Institutional Policies and Procedures, Federal and State Regulations and Guidance, WRG-HS Automated Withdrawal and Closure Function is Live, Glossary, FAQs, & Medical Terms in Lay Language, Medical Terms in Lay Language for use in Consent Forms, Institutional Animal Care & Use Committee (IACUC), Administration, Finance & Information Systems, Genetically Modified Animal (GMA) Phenotyping, Laboratory of Comparative Pathology (LCP), https://www.mskcc.org/hcp-education-training/fellowships/pulmonary-diseases. Fellowship: Critical Care Medicine, University of Virginia Health Science Center. This one-year fellowship training program is aimed at providing a comprehensive exposure to all aspects of advanced diagnostic, therapeutic, and palliative procedures in pulmonary medicine. Castle Connolly Top Doctor Since: Current position:Director, Interventional Pulmonary Medicine, Louis Stokes Cleveland VA Medical Center, Cleveland, OH, Brian Shaller, MD Program Director, Pulmonary and Critical Care Medicine Fellowship. His clinical focus is on minimally invasive methods of diagnosing and staging lung cancer, central airway obstruction, and pleural disease. Director: Holly Thompson, MD. He completed his Internal Medicine Residency and his Pulmonary & Critical Care Fellowship at New York Medical College, before finally completing his one-year fellowship in Interventional Pulmonology at Memorial Sloan Kettering Cancer Center (MSKCC) before settling in Ohio in 2018. Learn why NewYork-Presbyterian is top ranked in 14 adult medical specialties and 8 pediatric subspecialties. She completed her Interventional Pulmonary Fellowship training at Vanderbilt University Medical Center in June 2018. Trainees in our fellowship program will gain experience in the diagnosis and management of patients with complex airway disorders, pleural disorders, lung nodules and mediastinal adenopathy with the use of minimally invasive techniques. The fellows participate in the evaluation of patients with complex pain syndromes and learn a comprehensive curriculum of pain management topics which includes: Calvary Hospital is the only fully accredited acute care specialty hospital in the US exclusively providing palliative care for adult patients with advanced cancer and other life-limiting illnesses. Fellows complete the IRB training modules, including research ethics, history, informed consent, and others. This one year program is designed to develop and train interventional pulmonologists in advanced diagnostic and therapeutic bronchoscopy, as well as advanced minimally invasive pleural procedures. Hospice and Palliative Medicine Fellowship, Palliative Care & Geriatrics Annual Symposium, Visiting Nurse Service of New York (VNSNY) home care agency, Silvercrest Center for Nursing and Rehabilitation (SCNR), Memorial Sloan Kettering Cancer Center (MSKCC), Palliative Care Clinic at Outpatient Oncology Center/Queens Medical Associates, NewYork-Presbyterian Queens Cancer Center, Achieving Appropriate Utilization of Bi-level Positive Airway Pressure In Hospitalized Patients: Especially at the End of Life, When Religion Clashes with Personal Values: Reconciling Religious and Medical Perspectives at the End of Life, Withdrawal of Mechanical Ventilation: A Systematic Review and Approach Following Two Unusual Cases, How Do We Provide Optimal Palliative Care for Patients with Developmental Disabilities (DD)? Infectious Diseases Clinical and Research Training Current position: Staff Physician, Interventional Pulmonary Medicine, Cleveland Clinic, Cleveland and Akron, OH, Christopher Di Felice, MD The Pulmonary Medicine Fellowship Program at Memorial Sloan Kettering Cancer Center is a long-standing, independent two-year ACGME-accredited pulmonary medicine program designed to prepare physicians for careers in clinical pulmonary medicine including exposure to clinical research. Medical School:Cebu Institute of Medicine, Cebu City, Philippines The program accepts three fellows each year. For further information on the Pulmonary & Critical Care Medicine Fellowship (3 year PCCM track or 2 year CCM track), please contact: Mark T. Warner, MD CMQ. Clinical training will involve patient evaluation of presenting complaints, assessment, and formulation of treatment plan and patient follow-up. 1996-2023 Castle Connolly Medical, Ltd., a Ziff Davis company. Get Directions. Startup Investor and Advisor. Fellows complete the IHI modules on quality improvement principles. The service has close working relationships with thoracic surgery, pathology, and radiology in addition to medical oncology and radiation oncology, all of which promotes the multidisciplinary care of patients. Nutrition Professor of Medicine, CUNY School of Medicine Close interactions between faculty, fellows, and house staff are the norm in the small-scale environment of MHC. The one-year Nutrition Fellowship Training Program combines an outstanding experience in patient care and education with clinical research opportunities. Westchester Medical Center provides interventional pulmonology services for a large catchment area, and the fellows rotate with the hospitals interventional pulmonology section. associated with this presentation. To be considered complete, an application must have the ERAS Common Application Form, medical school transcript, official USMLE transcript, Dean's letter (MSPE), Step I, II, III Exam scores, letters of recommendation from Program Director of any previous medical residency training, and at least three letters of recommendation from Faculty who have worked with the candidate within the past year. Our three-year ACGME-accredited PCCM Program emphasizes evidenced-based medicine, innovation, and trainee wellness. Board eligible or board certified graduates of an accredited US Internal Medicine residency program. Analgesics, Pain Management, and Palliative Medicine (M-109) The fellows rotating at Westchester Medical Center attend and take part in the following conferences: Saint Barnabas Health System(division chief: David H. Chong, MD) is a bustling NYC hospital located in the Bronx. Dr. Pastis trained in Interventional Pulmonology at the Medical University of South Carolina and spent the majority of his career in medical education serving as a fellowship program director and in national leadership positions on pulmonary procedure work groups. We will not offer in-person site visits. Any additional experience in advanced bronchoscopic or pleural procedures will be looked upon favorably, Candidates in practice with advanced training are also encouraged to apply, Procedure log (a summary of procedures is preferred), Three letters of recommendation (one from the director of your pulmonary and critical care fellowship program), Recent color photo of the candidate (2x2). Learn More: https://www.mskcc.org/cancer-care/doctors/mohit-chawla?utm_source=CastleConnolly&utm_medium=referral&utm_campaign=MSKDoctors&ad_content=MohitChawla&pn_mapping=pn_50. Co-Director, Division of Pulmonary, Critical Care and Sleep Medicine Find out how you could help us change the way the world . For more information, contact our Interventional Pulmonary Medicine Fellowship Training Program Director, Francisco Acio Almeida, MD, MS, or Program Coordinator, Candice Hankins, at 216.444.7523 or hankinc@ccf.org. Program Director, Pulmonary and Critical Care Medicine Fellowship All settings are geographically convenient yet set in ethnically distinct communities. Three to four fellows are accepted each year for a total of 11 fellows. It is continually re-evaluated and improved to provide the most beneficial and in-depth training available with . Our fellows care for patients at Memorial Hermann-TMC, a tertiary referral center and the busiest Level One Trauma Center in the country. Focus: Critical Care, Telemedicine The Pulmonary and Critical Care Medicine Fellowship Program at Memorial Sloan Kettering Cancer Center (MSK) is a 3 year newly accredited ACGME combined pulmonary/critical care medicine fellowship program which began July 1, 2019. Interviews take place September through October for the following July. Jason Gloe In addition, all fellows are expected to participate in a research project or scholarly activities related to their area of interest and present an abstract at the annual meeting of the American Academy of Hospice and Palliative Medicine (AAHPM) or a similar meeting. Memorial Sloan Kettering Cancer Center. We're a leader in groundbreaking cancer care, with nursing excellence as a hallmark of our success. Residency: Westchester Medical Center, Pulmonary, Critical Care and Sleep Medicine, Neil W. Schluger, MD Coming to a Cleveland Clinic location?Cole Eye entrance closingVisitation, mask requirements and COVID-19 information. 713-500-5431 tel | 713-500-6829 fax Fellowship:New York Hospital Cornell Medical Center, Dipak Chandy, MD Pulm/CCM Fellowship: St. Vincent's Hospital, New York, NY For the 28th year, MSK has been named a top hospital for cancer by U.S. News & World Report. Interventional Pulmonology Fellowship Coordinator Critical Care Fellowship: Memorial Sloan Kettering Cancer Center, David H. Chong, MD There will be formal didactics as well as opportunities to attend clinical presentations and educational conferences. . What began as a nod to the holidays has grown - in size and meaning - into a spectacular way to spread holiday cheer among MSK's patients, their families, and employees. A pulmonary rehabilitation rotation at the renowned Burke Rehabilitation Hospital is available. Residency:Nassau University Medical Center, Anant Jain, MBBS Exciting opportunity in Denver, CO for National Jewish Health as a Pulmonary Physiology Technologist She went on to receive traning in Interventional Pulmonology at Memorial Sloan Kettering Cancer Center. Current position: Assistant Professor of Medicine, University of California Davis, Sacramento, CA, Benjamin Young, MD Sincerely, Beth . Pulmonary and Critical Care Medicine Fellowship In addition, Memorial Sloan Kettering has a new state-of-the-art ICU and an ACGME-accredited multidisciplinary Critical Care Medicine Fellowship Program that pulmonary medicine fellows may wish to consider completing. Weill Medical College of Cornell University. Presented at the 2018 AAHPM Annual Meeting by fellow Dr. Suraj Tandon, "New Model: Integrating Palliative across Care Settings" Poster presented at the 2016 CAPC Annual Meeting, co-authored by fellows Dr. John Zaravinos and Michael Gale. By working together and pushing forward with innovation and discovery, we're driving excellence and improving outcomes. Every year since 1993, MSK's facilities team transforms a dark basement hallway into a winter wonderland. Westchester Medical Center, the main training site for the program, is a 415-bed tertiary/quaternary referral center and flagship hospital for the 1,700-bed WMCHealth system spanning the Hudson Valley. Residency: Pennsylvania Hospital Penn Medicine, Philadelphia, PA Interventional Pulmonology The interventional pulmonary attendings give the trainees exposure to advanced diagnostic and therapeutic techniques. MSKCC is one of 41 National Cancer Institutedesignated Comprehensive Cancer Centers. Applications must be submitted through ERAS by September 15 and requires a personal statement and three letters of recommendation, including one from your Internal Medicine program director. 6431 Fannin Street | MSB 1.434 | Houston, Texas 77030. Ines.Richardson@wmchealth.org, Associate Professor of Neurology, Neurosurgery, and Radiology, New York Medical CollegeFocus: Neurocritical Care, Endovascular Stroke Therap, Assistant Professor of Medicine, New York Medical CollegeFocus: Critical Care, Telemedicine, Dr. Ghattas trained in Interventional Pulmonology at the Harvard combined IP program (Beth Israel Deaconess Medical Center and Massachusetts General Hospital). Book your appointment today! Formal didactics will occur at least once per month. The Hartford HealthCare Cancer Institute oversees the care of one third of patients with urologic cancer in Connecticut and is the charter member of the Memorial Sloan-Kettering Cancer Alliance whose mission is to accelerate the transfer of knowledge from academic medical centers to community healthcare. The institution is a comprehensive cancer center whose purposes are the treatment and control of cancer, the advancement of biomedical knowledge through laboratory and clinical research, and the training of scientists . The National Resident Matching Program (NRMP) released results for the 2022 Medicine and Pediatric Specialties Match on November 30. The Department of Pulmonary Medicine offers a multitude of comprehensive services in order to meet the various pulmonary needs of our patients. The close collaboration between our physicians and scientists is one of our unique strengths, enabling us to provide patients with the best care available as we work to discover more-effective strategies to prevent, control, and ultimately cure cancer in the future. He has a particular interest to treat patients with benign diseases that could benefit from therapeutic bronchoscopy for COPD, severe asthma, and post lung transplant. Fellowship: The Mount Sinai Hospital, Morgan Soffler, MD Physical Exam and workup for pain syndromes; Types of pain, Pathophysiology of pain and the pain pathways; Regulatory requirements (Urine toxicology/Oral Swab, NYS Prescription Monitoring Program I-STOP, Opioid agreement/Contract, Documentation); 8) Substance Abuse (How to interact with difficult patients and drug-seeking patients), Advanced Care Planning and End of Life Discussions Amongst Resident Physicians in the Primary Care Setting. The fellowship is a three-year program fully accredited by the ACGME. She is passionate about the early diagnosis of lung cancer and overcoming disparities in lung cancer care. Fellows work closely with our Interdisciplinary faculty in an academically strong and clinically robust learning environment. Medical School:Touro College of Osteopathic Medicine Medical School:All India Institute of Medical Sciences Sally Ziatabar, DO, MS There are projects available in pulmonary medicine and critical care. This program is outstanding in the breadth and diversity of its educational experiences, training sites, and faculty. Westchester Medical Center, the main training site for the program, is a 415-bed tertiary/quaternary referral center and flagship hospital for the 1,700-bed WMCHealth system spanning the Hudson Valley. The fellowship also offers unique and extensive exposure to the immunocompromised host. Fellowship: The Mount Sinai Hospital, Lawrence DeLorenzo, MD In addition, MSK often manages the patients non-oncology issues while undergoing treatment at our institution, and many patients will stay with our non-oncology faculty of >100 internal medicine non-oncology subspecialists after their therapy is completed. Professor of Medicine and Neurology, New York Medical College The integration of multispecialty cancer conferences helps guide treatment planning based on consensus after discussing all the data associated with a patient's condition to individualize and optimize patient care delivery. SCNR provides multiple services and specialty care, including subacute rehabilitation, an 80-bed ventilator program, dementia unit, and long-term care for elderly and functionally dependent persons. Ines Richardson The Cancer Center participates in multidisciplinary comprehensive cancer care, postgraduate medical education and offers the full range of diagnostic and treatment services either on-site or by referral. QMA communicates with patients in five official languages: English, Spanish, Chinese, Korean, and Russian. All aspects of this long-term care rotation will be mentored by an attending physician and the long-term care facility team, which includes social workers with ethics expertise, speech and swallowing therapists, registered nurses, and nurse practitioners. The Westchester Medical Center experience consists of the following rotations and approximate durations over three years of training: Fellows assigned to all rotations other than MICU and Night Float attend weekly continuity Chest Clinic. Residency:Stanford University Medical Center, Stanford, CA All fellows are expected to participate in a research or QI project related to their area of interest and submit an abstract for presentation at the annual meeting of the American Academy of Hospice and Palliative Medicine (AAHPM) or a similar meeting. Director, Critical Care Nephrology insomnia, REM sleep behavior disorder, narcolepsy, complex sleep apnea) and weekly sleep conferences. 6431 Fannin, MSB 1.150 Focus: Cystic Fibrosis, Medical Critical Care, Pulmonary Medicine NewYork-Presbyterian Queens is an affiliated teaching hospital of Weill Cornell Medical College. A one-month pain and palliative medicine elective rotation is also offered at Memorial Sloan Kettering Cancer Center. Interventional Pulmonary Fellowship Coordinator Top Doctors New York Metro Area (digital guide): 2017, 2018, 2019, 2020, 2021, 2022, New York Magazine: Top Doctors: 2021, 2022, Cancer Care Can't Wait | Memorial Sloan Kettering, Meet Gastric and Adrenal Surgeon Vivian Strong | Memorial Sloan Kettering, Meet Breast Cancer Surgeon Kimberly Van Zee | Memorial Sloan Kettering, Meet Thoracic Surgeon James Huang -- Sloan-Kettering, OTHER CASTLE CONNOLLY DOCTORS AT THIS HOSPITAL. Due to our growth in patient volumes, we opened the most technologically-advanced bronchoscopy suite in the world, Patricia L. and Thomas P. Brundige Bronchoscopy Suite, in 2010. Office: 914.493.2205 The fellow is expected to participate and attend in the weekly Multidisciplinary Tumor Board Conference. The teaching will be focused on identifying and transitioning appropriate patients to comfort or hospice care and symptom management and psychosocial support. The Cardiology Service at Memorial Sloan Kettering Cancer Center is offering one- to two-year clinical and research fellowships in cardio-oncology for individuals board-eligible/certified in Internal Medicine or Cardiology. Verify that location services are enabled on your mobile device or web browser. Interventional Pulmonology Fellowship: Hospital of the University of Pennsylvania, George Coritsidis, MD Lookup providers by specialty. Harsh.Shah@osumc.edu Reimbursement is provided for conference presentations, publication fees, hands-on courses, and pulmonary board preparation. Mt. Electives are arranged based on the interests of the trainee. Our program will notify applicants through ERAS as to whether they have been selected for an interview. Current position:Clinical Assistant Professor of Medicine, Stanford University Medical Center, Stanford, CA, Carlos Aravena Leon, MD New York, NY 10065 NewYork-Presbyterian Queens has achieved a standard of excellence by The Joint Commission (TJC) for cultural competence. There is an extensive list of conferences designed with trainees in mind, including Chest X-ray and CT conferences, Pathology conference, Thoracic tumor board, clinical case conference, M&M, and CF conference among others. Geriatric Medicine Peds Critical Care Fellowship - Virginia Commonwealth VA. Peds Critical Care Fellowship - Child's Hosp, MI. From diagnosis to treatment, our experts provide the care and support you need, when you need it. Assistant Professor Cardiology Service/Cardio-Oncology Clinical Research Fellowship Director, Division of Pulmonary, Critical Care and Sleep Medicine The attending staff is composed of 10 full-time attendings, including two fellowship-trained interventional pulmonary attendings. Site Director, Pulmonary and Critical Care Medicine Fellowship, Armeen Poor, MD Take a Virtual Tour of Our Interventional Pulmonology Fellowship Learning Spaces and Medical Center Campus, Division of Pulmonary, Critical Care and Sleep Medicine, Nurse Practitioners and Physician Assistants, The Ohio State University Wexner Medical Center, School of Health and Rehabilitation Sciences, Advanced diagnostic and therapeutic flexible bronchoscopy, Electromagnetic navigational bronchoscopy, Management of benign and malignant airway obstructions, Metallic and silicone airway stent placement (flexible and rigid), Foreign body retrieval (with rigid or flexible bronchoscopes), Interpretative skills and use of 3D CT images in airway management, Percutaneous tracheostomy and management of chronic tracheostomies, Management of benign and malignant pleural diseases, Indwelling tunneled pleural catheter placement, Thoracic ultrasound in managing pleural disease, Eligible for an Ohio training certificate or permanent medical license, Hold U.S. citizenship or permanent residency, Successful completion of a pulmonary and critical care fellowship in an ACGME-accredited program prior to the start of the Interventional Pulmonology Fellowship, Demonstrate competency in basic pulmonary and critical care procedures, including basic bronchoscopy, airway management and thoracentesis. Phone: 713-500-6500, Gastroenterology, Hepatology and Nutrition, Joan and Stanford Alexander Division of Geriatric and Palliative Medicine, Gastroenterology, Hepatology, and Nutrition, Pulmonary & Critical Care Medicine Fellowship, Department of Internal Medicine, The University of Texas Health Science Center at Houston (UTHealth Houston). In alignment with the recommendation of the Association of Pulmonary and Critical Care Medicine Program Directors (APCCMPD), our national professional society, and to ensure a uniform interview process equally accessible to all applicants, our fellowship interviews for applicants in the 2022 season will be held exclusively virtually. Memorial Sloan Kettering Cancer Center the world's oldest and largest private cancer center has devoted more than 135 years to exceptional patient care, innovative research, and outstanding educational . This one-year clinical fellowship is for masters prepared nurse practitioners who would like to serve as experts in pain management and palliative care. A one-month pain and palliative medicine elective rotation is also offered at Memorial Sloan Kettering Cancer Center. MyMSK Patient Portal: Your Cancer Care at Memorial Sloan Kettering. The fellows at SBH rotate on the following services: The SBH rotations expose the fellows to a different spectrum of disease than the one encountered at WMC, specifically new presentations of infectious disease, challenging toxicology, and immunotherapy for refractory asthma. Focus: Pulmonary Medicine, Medical Critical Care At Memorial Sloan Kettering (MSK), we're not only changing the way we treat cancer, but also the way the world thinks about it. Additional NewYork-Presbyterian Queens elective opportunities offered include rotations in oncology, radiation oncology, neurology, geriatrics, long term care, ethics, physical medicine and rehabilitation, critical care, pain clinic, research, and quality improvement, psycho-oncology depending on availability of each service. Our division actively participates in clinical research and scholarly activities. He works in collaboration with the College of Engineering and serves as mentor for biomedical engineer students. Focus:Tuberculosis, Public Health, International Health 713-500-5431 tel | 713-500-6829 fax. For instance, racial and ethnic minority groups, e.g., African American or Black, Asian, Hispanic, account for 60% of the total population. The James is a world class twenty-one story Comprehensive Cancer Center that integrates Interventional Pulmonary (IP) in the care of its patients. The HPM Fellowship is one of six fellowships cardiology, pulmonary/critical care, GI, renal, and infectious disease offered at NewYork-Presbyterian Queens. Memorial Sloan Kettering was founded in 1884, and today is a world leader in patient care, research, and educational programs. Christina.Olsson@osumc.edu Residency. Our scientists pursue every aspect of cancer researchfrom exploring the biology of genes and cells, to developing immune-based treatments, uncovering the causes of metastasis, and more. We treat a high volume of patients with benign and malignant airway, lung, and pleural diseases. Current position: Interventional Pulmonary Medicine Fellow, Marcela Azevedo, MD Pulm/CCM Fellowship: Pontificia Universidad Catolica de Chile, Santiago, Chile School of Medicine, Kalamazoo, MI The MyMSK patient portal allows our patients and caregivers to easily access information about cancer care and manage their care online. Residency: Vanderbilt University Medical Center, Nashville, Tennessee The division provides inpatient consultation and ambulatory care facilities. Sinai Intensive Update with board review in geriatrics and palliative care, Memorial Sloan Kettering Cancer Center didactics, and VNSNY Board Review Sessions. Interviews take place mid-September through October for the following July. The full recommendation is available here. Fellowship: Metropolitan Hospital Center at New York Medical College, Oleg Epelbaum, MD Fellows engage in the following patient care and education realms: Comprehensive Sub-Specialty Critical Care. The Pulmonary Medicine Fellowship Program participates in the National Resident Matching Program. Fellows will also rotate in the Intensive Care Unit (ICU), participating in ICU interdisciplinary rounds, working with medical residents and ICU fellows, and providing Palliative Medicine consultation to critically ill patients and their families under the supervision of an attending physician. Program Director: Brigit C Palathra, MD, FACP, Program Coordinator:Sandra Cardenas-Arroyave. We will not offer in-person site visits. If you have any questions about our program please feel free to contact me or our Program Coordinator, Denise Abreu ( Denise.Abreu@wmchealth.org ) at 914.493.3554 . Needs of our patients of diagnosing and staging lung Cancer care at Memorial Sloan Kettering was founded in 1884 and... Utm_Medium=Referral & utm_campaign=MSKDoctors & ad_content=MohitChawla & pn_mapping=pn_50 weekly sleep conferences apnea ) and weekly sleep conferences is passionate about early. Your Cancer care at Memorial Sloan Kettering Cancer Center didactics, and faculty division actively in... 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