Sdn pain - Feb 15, 2020. #22. I see several PI patients a week and we use a funding company that pays at least 200% of Medicare. Patients are usually young with limited to …

 
The purpose was to show that using "level 1" evidence for basically any procedural field of medicine could produce the same conclusions that 101N makes about pain medicine. This is not a "strawman" to show that basically all of procedural medicine fails this test. 101N does come from a PMR background.. Spectrum outage map orlando

However, since SDN with stretch was significantly more effective in reducing pain scores than no treatment, overall the study demonstrated greater benefits from ...You will find product and service discounts and special offers for SDN members here! Site Suggestions, Feedback and Help Desk. For member suggestions and feedback and discussion of forum operations. ... For practicing pain physicians and pain fellows. Threads 9.1K Messages 153.9K. Sub-forums. Sub-forums. Pain Management …When it is the time to recognize that pain medicine is a total failure? What is the contribution of the pain management field in the opioid epidemic? Just...May 25, 2018. #4. emd123 said: The last I heard of this, was in 2014 there was an open invite for any new specialties to apply to the ABMS to co-sponsor Pain. Emergency Medicine, FM and Radiology all applied to become …Aug 6, 2018 ... ... Paya Lebar Square Singapore 409051. +603-9771 1331 +603-9771 1331. Follow Us. © 2016-2022 CLL Systems Sdn Bhd. All Rights Reserved. Powered by.Aug 17, 2014. #21. jj337 said: I graduated the UT Southwestern pain fellowship in 2010 which had 3-4 fellows and 3 locations (private, public, and VA and a little at Childrens) with tons of bread and butter cases, a hand-full of crazy once-in-a-career diseases, kypho, vertebro, SCS trials and perms, and pump implants.To Use or Not to Use SDN: The Pain Point is the Question. During a recent meeting, a well-known cloud player challenged the idea of SDN. They believed the technology was not evolved enough and ...Jan 24, 2018. #2. 3 of my 4 cooled RF knees have been on anticoag. One patient had a bruise at the inferomedial site that got better in about a week otherwise no issues. Small n but so far no issues. 1 user. P.2. Type of Pain 1- Acute pain: Skin-breaking procedures or tissue injury caused by diagnostic or therapeutic interventions 2- Established pain: Occurs after surgery, localized inflammatory conditions, birth-related trauma 3- Prolonged pain: Results from severe diseases e.g. NEC, meningitis. 4. Effects of Pain 1- physiologic effects: One Park Blvd. The 49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting will be held March 21-23, 2024, at the Hilton Bayfront San Diego in San Diego, California.139. Jan 5, 2021. #2. Board Vitals is the single best. take notes on the explanations. Do the qbank twice.. Do you incorrect questions x3. You will easily pass. Distantly followed by Huntoon's Pain Medicine Board Review (physical book of questions/qbank). 1 users.Special interest groups are defined as groups of people that share a common interest. Find out if special interest groups can hurt a candidate for office. Advertisement When you've...Working closely with our partners at YapChanKor clinics to obtain data on patient recovery times and pain level reduction studies through professionally trained physiotherapists, using established quantitative methods. ... Relivium Sciences Sdn. Bhd. M3C/13, Jalan Pandan Indah 4/1A, 55100 Kuala Lumpur, Malaysia. [email protected] +6(03) 7983 ...Sciatica pain can greatly impact your life and the activities that you usually enjoy. Finding effective pain relief for sciatica pain can help minimize the impact. In some instance...Lead to Innovation Medical. Passion Spine SDN. BHD. is an Orthopedic & Spine Implants and Instruments Distributor in Malaysia with 5 years of experience. Founded in 2012, we have established significant presence in the industry. As an Orthopedic Product Distributor, we have established presence throughout Peninsular Malaysia, to every ...Technique: First, create a skin wheal and anesthetize the deeper subcutaneous skin with 1% lidocaine and a 25-gauge 1.5-inch needle. Next, a 22- or 25-gauge Quincke needle is used to advance down to the area of the posterior edge of the iliac crest at the point of maximal tenderness. Inject 1-ml of the solution here.1,966. Jul 2, 2018. #20. smarterchild said: I'm in the process of opening a pain practice (in MA) and had a few questions that I was hoping to get your advice on: 1. With regards to the C-arm, I've been looking at used GE OEC C-arms. It seems that even the used 9800 machines are upwards of $65000. I was able to locate a 9600 for less than $30k ...For treatment of pain. Such as headache, migraine, backache, toothache ... © 2009-2024 Kotra Pharma (M) Sdn Bhd [198201010358 (90082-V)]. All Rights Reserved.Jul 29, 2020 · SL buprenorphine, while generic, is still off label for chronic pain and is FDA approved for opioid dependence. You will still risk a potential DEA audit if you continue to prescribe this for pain. Granted, the DEA is more likely going to go after large volume prescribers of this drug first, but it is a risk you run. Pain is a major problem in clinical medicine with profound effects on physical, mental and spiritual wellbeing. It is estimated that 3 of 4 patients seek the help of a medical professional because of pain, yet instruction on pain management in our medical schools has historically had a low priority, which has lead to a poor understanding and ... For Pain Clinics · For Respiration · For Infection Control · Topics · Company Information ... MEDITOP Corporation (M) SDN.BHD. Malaysia, Malaysia. TOP S...Neurology. The neurologist is concerned with the diagnosis and treatment of disorders of the nervous system - the brain, spinal cord, and peripheral nerves, and certain muscle disorders and pain problems, especially headache. Many neurologic disorders require long-term care, and some are untreatable. There are close ties between the specialties ...Dec 1, 2020 · Nov 30, 2020. #1. Members don't see this ad. 'Tis the season to be anxious again! Starting tomorrow, fellowships will be able to view applications. Here is the google doc for this year's cycle: 2021-2022 Chronic Pain Application Cycle. Good luck everyone and may the odds be ever in your favor. Schedule Clinic Monday through Friday 0700 Lecture 0800 - 1530/1600 procedure days vs. consult days Average 3-3.5 procedure days and 1.5-2 consult days a week Average 20-25 procedures a day No charting after work hours, no call, usually out by 1600-1630 Inpatient chronic pain service (CPS) Currently 1 week every 5-6 weeks, will …Be empowered with lifelong strategies and techniques to manage your pain and improve function! (716)446-5900. Patient Portal. New Patient Registration Packet. Patient Payments. The scourge of opioid prescription use started in the late '90s and we are still dealing with the consequences of patients prescribed high doses of opioids for their ...Northside Hospital Interventional Pain & Spine Care - Forsyth. 1100 Northside Forsyth Drive Suite 400 Cumming, GA 30041. Get Directions. 404-459-1838 VIEW DETAILS.3M SST-1 NEXCARE STRONG HOLD PAIN FREE TAPE. Category : HOMECARE. Sub-category ... © Wan Sing Sdn Bhd 2024. Privacy Policy PageBuilt with WooCommerce. My ...Oct 24, 2020 · Here is what would transfer: 1. image guided skills. 2. managing complications of those neuroaxial and PNBs. You'll rarely see such issues in outpatient chronic pain, but good to know how to manage badness if it pops up. Suturing and knot tying could be useful to brush up on for sure. 1 users. 11. Mar 4, 2017. #1. I am a pain fellow and have had some difficulty with SCS trials. I find the most difficult aspect to be getting the Tuohy needle in the epidural space. I have been accessing at T12-L1, but enter skin one level below after using a 25 gauge 3.5 inch spinal needle to anesthetize a tract to the superior aspect of the L1 lamina.About Us. We, Kossan Paint (M) Sdn Bhd has been putting our efforts in manufacturing and marketing of Marine, Industrial, Decorative paints & Powder Coatings, providing a total solution to the needs of protection and decoration. The company has continuously invested heavily in skill trainings and product innovation (R&D) to provide superior ...NECはサービスの開発や提供を担う専任者を250名体制とし、事業を推進します。. またNECはSDN関連事業について、今後3年間で累計1,000億円の売上を目指します。. NECは、2020年度までの3カ年の中期経営計画「2020中期経営計画」のもと、ネットワークの強みを ...According to NetWellness, lower back pain on the left side is a common symptom of kidney stones. Kidney pain typically begins on the left side of the lower back and travels to the ...Elbow pain is often caused by overuse or injury. Many sports, hobbies and jobs require repetitive hand, wrist or arm movements. Elbow pain can be the result of problems with bones, muscles, tendons, ligaments or joints. Elbow pain may occasionally be due to arthritis. But in general, your elbow joint is much less likely to have wear-and …Here is a list of the most common pain fellowship interview questions asked along with some of my answers (be prepared to articulate your answers to these …In univariate analysis, the following parameters were associated with neuropathic pain: age, hypertension, a thyroid disorder, lower back pain, fracture dislocations, and late complications such as nonunion, posttraumatic arthritis, or osteochondral injury. In multivariate analysis, an age between 40 and 60 years was found to be a significant ...Apr 3, 2019 · Pain and depression are closely related. Depression can cause pain — and pain can cause depression. Sometimes pain and depression create a vicious cycle in which pain worsens symptoms of depression, and then the resulting depression worsens feelings of pain. In many people, depression causes unexplained physical symptoms such as back pain or ... Jun 11, 2022 ... consistently high amount of Glucosamine sulfate. Get your value pack now @Farmasi Tiara Ipoh Sdn Bhd ***While stocks last.Sep 10, 2017 · 37. Sep 10, 2017. #1. Ever since I finished my fellowship a few years ago, the end goal was always to start my own outpatient pain practice. I have worked for a few years now as an employed physician, found out what I liked and didn't like about the practice I am working for, and most importantly, how I would like to see chronic pain patients ... Stimulation of A-delta nerve fibres such as when SDN is carried out brings about pain suppression because of it causing local activity to develop in and around Waldeyer cells in the dorsal horn's Lamina I, where these sensory afferents principally terminate. In addition, pain suppression occurs because cells in this lamina, as discussed at some ...We offer a variety of fellowships to provide educational opportunities for physicians, psychologists, nurses and physical therapists interested in specializing in pain medicine. The Stanford Division of Pain Medicine merges the tripartite mission of clinical care, education, and research to advance the frontier of pain management and for those ...1. Apr 16, 2018. #1. How many patients do you typically see per hour. I find most pain patients are complex and the appts take quite some time. I am able to see 3 to 4 per hour and stay on time however, I am unable to do my notes throughout the day which leaves a large amount of work at the end of the day. Members don't see this ad.Probably 50% of the patients have fibromyalgia or an undiagnosed central pain disorder, which is either overlooked or sub optimally treated. These patients are terrible candidates for interventional pain procedures. The majority of patients are on systemic opioids, even though 90% of these patients should NOT be on opioids.In univariate analysis, the following parameters were associated with neuropathic pain: age, hypertension, a thyroid disorder, lower back pain, fracture dislocations, and late complications such as nonunion, posttraumatic arthritis, or osteochondral injury. In multivariate analysis, an age between 40 and 60 years was found to be a significant ...One Park Blvd. The 49th Annual Regional Anesthesiology and Acute Pain Medicine Meeting will be held March 21-23, 2024, at the Hilton Bayfront San Diego in San Diego, California.The MD Anderson Pain Medicine Fellowship Program is a one-year, ACGME-accredited training program with a mission to educate future pain medicine physicians in evidence-based clinical practice to provide outstanding patient-centered care to the international patient population at MD Anderson in alignment with MD Anderson’s core values of caring, integrity and discovery. Despite the recent advances in surgical techniques, the percentage of painful shoulder arthroplasties is still high (more than 10%). The causes of residual pain after shoulder arthroplasty, and the resulting treatment solutions, are many and different. The most common complications of shoulder prosthesis are infections, aseptic loosening, …TOA Paint Products Sdn Bhd. In Malaysia, the TOA brand is registered under TOA Paint Products Sdn Bhd a subsidiary of TOA Paint Thailand Co.,Ltd, which is the No.1 paint brand in Thailand and has the largest market share to date in Thailand. Currently TOA Paint Products Sdn Bhd, has 6 main business segments, they are; Decorative Paint, Wood ...2022 MGMA. gaspasser127. May 27, 2023. This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you. G.WASHINGTON — Today, the Department of the Treasury’s Office of Foreign Assets Control (OFAC) sanctioned a procurement network responsible for facilitating the …Neuropathic pain (neuralgia) is a pain that comes from problems with nerve signals. There are various causes. It is different to the common type of pain that is due to …Jul 28, 2017 · Pain Medicine . Regenexx. Thread starter ... Sent from my iPhone using SDN mobile . N. nvrsumr Member. 20+ Year Member. Joined Apr 26, 2002 Messages 2,716 Reaction ... Yes I agree. Other things that just came to my head: 1. How long procedures take to get authorized in the WC system and HMO 2. The pettiness of documentation required to get things authorized in WC and HMO 3. The lack of availability of good addiction specialists or psychologists in my area to be a part of a comprehensive plan to manage …The range is $275,000-$1,500,000/yr. Most established interventional pain docs are probably making somewhere in the mid 400s with full benefits package on top (with the exception of the self employed docs). ... Authoritative SDN Pain Med Salary Survey. drusso; Oct 26, 2023; 2. Replies 69 Views 3K. Nov 13, 2023. clubdeac. M. Future …Reaction score. 4. Sep 25, 2015. #5. Do not know much about Psych fellowships in pain management, but if you have been trained in any pain management field you will have. NO problem seeing patients as much as you can, you can find a job with a starting payment of. anywhere between $125-$175 per hour.Arthritis. Herniated disc, disc degeneration. Pinched nerves and bone spurs (nerve compression) Trauma or injury. [ 2] Growths, including tumors and cysts (in rare cases) [ 3] The following ...Aug 13, 2023 · Thalamic pain syndrome is an unfortunate outcome following a cerebrovascular accident (CVA). The pain experienced by the patient is centralized, neuropathic, and associated with temperature changes. Patients will often suffer from hyperalgesia and allodynia. The prevalence of thalamic pain syndrome following a stroke is relatively high at up to eight percent of cases. Despite being common ... Feb 22, 2013 · Rathnell Atlas is a good refresher. Benzon's practical management of pain is a good one if you're going to cram for boards. It seemed like the Morgan and Mikhail of pain. Furman and Waldman are two atlases. If you're a resident then become a member of SIS and get their hardbound atlas and guidelines for cheap. Pain Medicine . Regenexx. Thread starter nolapsych; Start date Jul 28, 2017; This forum made possible through the generous support ... Sent from my iPhone using SDN mobile . N. nvrsumr Member. 20+ Year Member. Joined Apr 26, 2002 Messages 2,716 Reaction score 1,260. Jul 29, 2017 #7 drusso said:Oct 24, 2020 · Here is what would transfer: 1. image guided skills. 2. managing complications of those neuroaxial and PNBs. You'll rarely see such issues in outpatient chronic pain, but good to know how to manage badness if it pops up. Suturing and knot tying could be useful to brush up on for sure. 1 users. Plastic wrap can be a pain in the butt. It often sticks to itself and comes off the roll poorly. Fortunately, you can make your life easier with two little tips to help you use i...Student Doctor Network Communities. Expert Advising Application, academic, and personal advice from verified doctors, admissions staff, administrators, …6,540. Reaction score. 1,180. May 11, 2012. #10. PMR2008 said: I have an interview with a 2 physician (1 PM&R and 1 Anesthesia) pain practice tomorrow. I wanted to get the opinion of the members of this forum on important questions I should ask during the interview. Thanks.Most advanced practice registered nurse (APRN) and physician assistant (PA) programs provide generalist education. For nurse practitioners (NPs), there are subspecialties that include training in pediatrics, acute care, anesthesia, and obstetrics. As noted, there are few, if any, residencies in pain management and no known nationally …11. Mar 4, 2017. #1. I am a pain fellow and have had some difficulty with SCS trials. I find the most difficult aspect to be getting the Tuohy needle in the epidural space. I have been accessing at T12-L1, but enter skin one level below after using a 25 gauge 3.5 inch spinal needle to anesthetize a tract to the superior aspect of the L1 lamina.Pain as a major health crisis has taken center stage as society wrestles with the competing priorities of controlling the dangers of opioid use while preventing and controlling chronic noncancer pain. Having reviewed and supervised many pain medicine fellowship applications and trainees over the years, it is my impression that applicants are ...discuss your pain history; identify where the pain is coming from; record your level of pain; check for signs of any illness that could be causing your pain or making it worse; ask …This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you. 1; 2; Next. 1 of 2 Go to page. Go. Next Last. M. med7343 Full Member. 5+ Year Member. Joined Dec 16, 2018 ... If unilateral radicular pain with grade 2+ L5-S1 spondy, I'd vote for an S1 TFESI with depo, (or S2 if you're too concerned to do …Apr 17, 2023 · Shoulder pain is a common indication for visits to primary care or orthopedic clinic worldwide. The estimated prevalence of shoulder complaints is 7% to 34%, often with shoulder impingement syndrome as the underlying etiology.[1] Since it was first described in 1852, shoulder impingement syndrome is believed to be the most common cause of shoulder pain, accounting for 44% to 65% of all ... 139.5K. B. ***2023-2024 Advanced GI/MIS/Bariatric Surgery Fellowship Interview Thread. Today at 1:23 PM. Join the nonprofit community for physician residents, interns, and fellows.Back pain disrupts the daily lives of millions in the U.S. You can get back pain from many activities and conditions, including falling, lifting heavy objects, or having certain me...Many conditions can cause pain in the left lower quadrant (LLQ) whether you are pregnant or not, so you should always get checked out. Try our Symptom Checker Got any other symptom...A forum for practicing pain physicians and fellows to discuss pain management topics, such as positions, fellowship reviews, epidural, pictures of the week, and more. Join the community of pain medicine enthusiasts and share your experiences, …1. Apr 16, 2018. #1. How many patients do you typically see per hour. I find most pain patients are complex and the appts take quite some time. I am able to see 3 to 4 per hour and stay on time however, I am unable to do my notes throughout the day which leaves a large amount of work at the end of the day. Members don't see this ad.Feb 21, 2023 · Chronic pain is defined as pain experienced on most days, or every day, for three months or more. Around 7.4% of U.S. adults have high-impact chronic pain, which is defined as pain that limits their life or work activities most days for three months or more. Yes I agree. Other things that just came to my head: 1. How long procedures take to get authorized in the WC system and HMO 2. The pettiness of documentation required to get things authorized in WC and HMO 3. The lack of availability of good addiction specialists or psychologists in my area to be a part of a comprehensive plan to manage …NIPPON PAINT (M) SDN. BHD. (196701000578) Lot I-17, Taman Perindustrian Subang Utama, Jalan SU4, 40300 Shah Alam, Malaysia. Customer Careline: 1-800-88-2663 | Email: [email protected] Customer Careline: 1-800-88-2663 Email: [email protected]. Note: The colour shades displayed are indicative …Aug 15, 2019 · Symptoms — Aug 15, 2019. Chronic pain is one of the most common symptoms associated with Sjögren’s. I have the interesting position of working as a healthcare provider in the field of comprehensive pain medicine as well as being a Sjögren’s sufferer. My role working as a Physician Assistant and Chiropractor is to help patients manage ... ... Pain relief in sight. The state of SDN: A cure for your hybrid cloud management headache? public://pictures/Mike-Perrow-Chief-Editor-TechBeacon. Mike Perrow ...Knee pain doesn’t discriminate, attacking people of any age or gender. Aging, injury, and serious medical conditions can all causes these important joints to ache. Knee pain is tre...UPMC Pain Management Centre Commons 5750 Centre Ave., Suite 400 Pittsburgh, PA 15206 833-997-PAIN. Fellowship: [email protected] Website: [email protected] Feb 15, 2020. #22. I see several PI patients a week and we use a funding company that pays at least 200% of Medicare. Patients are usually young with limited to …Working closely with our partners at YapChanKor clinics to obtain data on patient recovery times and pain level reduction studies through professionally trained physiotherapists, using established quantitative methods. ... Relivium Sciences Sdn. Bhd. M3C/13, Jalan Pandan Indah 4/1A, 55100 Kuala Lumpur, Malaysia. [email protected] +6(03) 7983 ...Student Doctor Network Communities. Expert Advising Application, academic, and personal advice from verified doctors, admissions staff, administrators, …Nov 22, 2019 · 146. Reaction score. 153. Jan 16, 2020. #37. Once you get an interview, probably not a huge part of the selection process but undoubtedly they use it to screen for interviews. Pain fellows come from a variety of different specialities, different In training exams so you can’t really compare them to any of that. Networking can move in this direction through the idea of external programming will help IT teams tackle operation pain — both costs and unplanned ‘’fat finger’’ downtime.Oct 19, 2020. #3. These notes are a little dry, but they were real time thoughts following the interviews. I interviewed at a few other places, but forgot to take notes. Stanford Read my interview, seemed kind, huge research support. Big names, tons of flexibility on start time, end time, rotations.discuss your pain history; identify where the pain is coming from; record your level of pain; check for signs of any illness that could be causing your pain or making it worse; ask …Aug 25, 2022 · Neck pain causes include: Muscle strains. Overuse, such as too many hours hunched over a computer or a smartphone, often triggers muscle strains. Even minor things, such as reading in bed, can strain neck muscles. Worn joints. As with other joints in the body, neck joints tend to wear with age. In response to this wear and tear, the body often ...

Special interest groups are defined as groups of people that share a common interest. Find out if special interest groups can hurt a candidate for office. Advertisement When you've.... Panera bre

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For more information about the Pain Medicine Fellowship, please contact Shengping Zou, MD, program director, at [email protected] or 212-201-1004; or Pamela Shaw, program coordinator, at [email protected] or 212-598-6074. NYU Langone’s Department of Anesthesiology, Perioperative Care, and Pain Medicine offers …Practitioners also work on educating patients on how they can account for their own health via exercise, ergonomics, and other therapies to treat back pain.Mar 1, 2023 · The SNRI duloxetine is the only FDA-approved antidepressant for neuropathic pain. It’s indicated for fibromyalgia, chronic musculoskeletal pain, and diabetic peripheral neuropathic pain. According to the review, there is moderate certainty of evidence that SNRIs can alleviate back pain, postoperative pain, fibromyalgia, and neuropathic pain. 2,959. Reaction score. 583. Aug 20, 2020. #15. med7343 said: Getting a little frustrated of patient being referred for pain medicine- especially with the ones with history of substance abuse in the past. Agitated and angry patients especially when i say I cant .....2022 MGMA. gaspasser127. May 27, 2023. This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you. G.May 24, 2021 · 3,556. Reaction score. 1,889. Jun 26, 2021. #42. Major Payne said: Hey guys regarding the MGMA data, is it different for hospital based practices? I am 2 years into a hospital based practice and currently undergoing contract extension negotiations with my employer. I brought up the point that since I am doing procedures in a hospital setting ... Pain Medicine . Pain Boards 2022. Thread starter otis86; Start date Mar 1, 2022; This forum made possible ... Pain Boards 2022. Thread starter otis86; Start date Mar 1, 2022; This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you. O. otis86 Full Member. 10+ Year Member. Joined Jun 10, …6,516. Reaction score. 3,070. Jul 7, 2007. #1. Members don't see this ad. Crap, just passed my PM&R boards and now the pain boards coming up in September. I'm debating whether to take one of the review courses. Taking a week off from private practice for one of these courses will be very expensive for me.Dec 1, 2023 · Opioids ( codeine, tramadol, hydrocodone [ Hysingla ], morphine, oxycodone, fentanyl ): Reserved for moderate-to-severe acute pain or chronic pain due to cancer. Not recommended for other types of chronic pain due to limited efficacy. Associated with side effects like constipation, nausea, dizziness, and sleepiness. I. INTRODUCTION. Pain is one of the most common symptoms that cause persons to seek medical care. As an expert clinician in the diagnosis and treatment of conditions affecting the nervous system, the neurologist is frequently asked to diagnose and treat patients with chronic pain conditions. Unfortunately and ironically, 70% of United States ...Oct 23, 2021 · 2022-2023 Pain Fellowship Fellowship Application Thread. WhatLamina. Oct 23, 2021. This forum made possible through the generous support of SDN members, donors, and sponsors. Thank you. One bad outcome is greater than 50 successes. 3. you have to be full service- that includes meds. 4. keep in close touch with your referral base so you know what they want, Give them relevant articles q 2 months. 5. be willing to work in patients for procedures that day, regardless of how busy you are, if a doc calls.Messages. 595. Reaction score. 398. Mar 2, 2022. #3. I liked painexam as a qbank though that was about a decade ago. My fellowship was really comprehensive so most of the non-interventional questions were pretty straight forward. Depending on your training you may want to focus your efforts on some of your weaker areas..

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