Class Schedule

***CHOP STAFF MUST USE YOUR CHOP EMAIL ADDRESS AND APPRIOPRIATE PROMO CODE WHEN REGISTERING***

If your job role at CHOP requires you to have the certification you are registering for, please use the following promo codes below. Transfer of funds are no longer required as of July 1^st, 2019. If you your job role does not require the course or you are a Non-CHOP staff member do not enter a promo code and pay with credit card

Nursing and Clinical Care Services – CHOP1

All Other Departments – CHOP2

If you need to cancel or reschedule a course please email lifesupportcenter@email.chop.edu with your name, the date of the course and the date you would like to attend if rescheduling

Filter classes by location:

ACLS Heartcode *** This course is the equivalent to a renewal course for CHOP Physician and Advanced Practice Providers Providers***

***Only for APP's and Physicians, all other please register for a ACLS Provider or Renewal Course***

HeartCode® ACLS is a self-directed, comprehensive eLearning program that uses eSimulation technology to allow students to assess and treat patients in virtual healthcare settings. To enter the course, students must complete a precourse self-assessment. Students will then be presented with a team dynamics lesson and 10 In-hospital patient cases, including a BLS case and 2 megacode cases. The cases may be repeated as many times as necessary to pass. Upon successful completion of all the patient cases, students will take a multiple choice exam and must pass with a minimum score of 84%. There are a variety of additional videos as well as the ACLS Provider Manual and the 2015 Handbook of Emergency Cardiovascular Care to enhance learning and facilitate successful completion of the patient cases.

ACLS Provider (Blended Learning)

Welcome to the ACLS Provider (Blended Learning)

Thank you for registering for this course! The ACLS Provider class are designed to teach and review the lifesaving skills required to be both a team member and a team leader in either an in-hospital or out-of-hospital setting. This course is divided into 3 parts.

(Part 1) You will be sent an online Heartcode Key to complete the AHA ACLS online Heartcode course. Please allow up to 24 hours to be sent the heartcode key. You will then need to completete the ACLS heartcode course. Please remember at the completion of the course to complete the courses survey, if you do not complete the survey you will show as incomplete and will not be issued a certificate of completion.

(Part 2) You must self-enroll and complete the ACLS with COVID-19 Modification modules in the mycareer system. (If you are not a CHOP employee you do not have access to the mycareer system, please just complete the Part 1, which is the AHA online heartcode.)

Please using this link to complete the Mycareer modules:

https://performancemanager4.successfactors.com/sf/learning?destUrl=https%3a%2f%2fthechildr%2eplateau%2ecom%2flearning%2fuser%2fdeeplink%5fredirect%2ejsp%3flinkId%3dPROGRAM%5fDETAILS%26programID%3dEC%5fACLS%5fCOVID%26fromSF%3dY&company=C0000169453P

(Part 3) On the date of your registered class you will complete a 4 hours instructor-led classroom session. In this session you will complete 1-Rescuer adult CPR and AED use, Bag-mask ventilation skill station, Megacode test.

The ACLS course covers extensive material in a short period of time. To ensure your success, it is imperative that you prepare for the course beforehand. To best prepare for class, please read this letter in its entirety:

Pre-course work:

Everyone attending ACLS Provider (Blended Learning) must be sure to bring a copy of the certificate showing that they completed the AHA Heartcode Course and also bring their certificate showing that they completed the ACLS exams on Mycareer. Please print out a copy and bring them to class. If you cannot print the results, please take a screen shot that includes your name with results or take a picture with your cell phone with the results. If you are not able to show that you have completed the Heartcode course and Mycareer modules you will be asked to reschedule for a later class.

Review and understand Adult BLS guidelines. The resuscitation scenarios require that your BLS skills and knowledge be current.
Please review cardiac EKG rhythms and ACLS algorithms.

Supplemental knowledge: Review the ACLS Provider Manual.

Please download files:

Click Here for the AHA eBook Directions

Click here for the ACLS Helpful Study Guides

Day of class:

ACLS begins at 7:00 AM or 12:30pm depending on the session you are registered for: Plan to arrive at least 15-minutes prior to the beginning of the course for registration and such. There is a kiosk to “clock in” at the elevators outside the classroom 10040 CTRB. Late arrivals of greater than 15minutes may not gain entry into this class. You will need to contact your supervisor and re-register for this course.

Upon successful completion of the course, an Advanced Cardiovascular Life Support (ACLS) provider card will be issued by the American Heart Association (AHA). This certification will expire 2 years from course completion date. You will receive an email from ecards@heart.org with a link inviting you to claim you e-card on line; follow the instructions.

http://ahainstructornetwork.americanheart.org/idc/groups/ahaecc-public/@wcm/@ecc/documents/downloadable/ucm_496888.pdf

Certification details:

The Children's Hospital of Philadelphia is an approved provider of continuing nursing education by the Pennsylvania State Nurses Association an accredited approver by the American Nurses Credentialing Center's Commission on Accreditation.

We look forward to having you in this this ACLS Course.

Please contact Mike Riley (ACLS Course Director) rileyms@email.chop.edu for more information.

ACLS Renewal

Welcome to the ACLS Renewal Course

(Part 1) (CHOP Employees) You must self-enroll and complete the ACLS with COVID-19 Modification modules in the mycareer system.

(Part 1) (Non CHOP Employees) You will be sent an AHA online heartcode to complete prior to the classroom session, since you do not have access to the CHOP mycareer system.

Please using this link to complete the Mycareer modules:

(Part 2) On the date of your registered class you will complete a 4 hours instructor-led classroom session. In this session you will complete 1-Rescuer adult CPR and AED use, Bag-mask ventilation skill station, Megacode test.

Pre-course work:

Everyone attending ACLS Provider (Blended Learning) must be sure to bring a copy of the certificate showing that they completed the ACLS exams on Mycareer. Please print out a copy and bring them to class. If you cannot print the results, please take a screen shot that includes your name with results or take a picture with your cell phone with the results. If you are not able to show that you have completed the Heartcode course and Mycareer modules you will be asked to reschedule for a later class.

Review and understand Adult BLS guidelines. The resuscitation scenarios require that your BLS skills and knowledge be current.
Please review cardiac EKG rhythms and ACLS algorithms.

Supplemental knowledge: Review the ACLS Provider Manual.

Please download files:

Click Here for the AHA eBook Directions

Click here for the ACLS Helpful Study Guides

Day of class:

ACLS begins at 7:00 AM or 12:30pm depending on the session you are registered for: Plan to arrive at least 15-minutes prior to the beginning of the course for registration and such. There is a kiosk to “clock in” at the elevators outside the classroom 10040 CTRB. Late arrivals of greater than 15 minutes may not gain entry into this class. You will need to contact your supervisor and re-register for this course.

Upon successful completion of the course, an Advanced Cardiovascular Life Support (ACLS) provider card will be issued by the American Heart Association (AHA). This certification will expire 2 years from course completion date. You will receive an email from ecards@heart/org with a link inviting you to claim you e-card on line; follow the instructions.

http://ahainstructornetwork.americanheart.org/idc/groups/ahaecc-public/@wcm/@ecc/documents/downloadable/ucm_496888.pdf

***If you need to cancel your course within 1 week from the scheduled date please email LifeSupportCenter@email.chop.edu to cancel and please specify the reason for cancellation (sick, personal or pulled back into numbers to work clinically)***

Certification details:

We look forward to having you in this this ACLS Course.

Please contact Mike Riley (ACLS Course Director) rileyms@email.chop.edu for more information.

Ambulatory BLS HeartCode

Purchase this course - $85.00

BLS Healthcare Provider (CPR) HeartCode

**This Course is for any Healthcare Provider that has patient contact (MD, RN, FLOC, RT, SNA, MA, PT, OT, Tech, Speech, etc.)**

HeartCode BLS uses the latest eSimulation technology to enable students to assess and treat patients in virtual healthcare settings. Utilizing a variety of eLearning assets such as dramatizations, eSimulations, animations, self-directed learning, and interactive activities, this course teaches BLS knowledge and skills. This method of learning provides training consistency, adaptability to different learning styles, and flexibility for the student’s and employer’s time. Students can work at their own pace applying their knowledge to real-time decision making and skills development. Blended training also supports the need for hands-on learning of psychomotor skills. Debriefings and coaching are provided immediately after each simulation.

Once the cognitive portion of the course has been completed, students practice and test their skills with an AHA Instructor.

After successfully completing both the eLearning and hands-on session of the BLS Course, students should be able to:

Describe the importance of high-quality CPR and its impact on survival
Describe all of the steps of the Chain of Survival and apply the BLS concepts of the Chain of Survival
Recognize the signs of someone needing CPR
Perform high-quality CPR for adults, children and infants
Describe the importance of early use of an AED and demonstrate its use
Provide effective ventilations by using a barrier device
Describe the importance of team dynamics in multirescuer resuscitation and perform as an effective team member during multirescuer CPR
Describe the technique for relief of foreign-body airway obstruction (choking) for adults and infants

Neonatal Resuscitation Program ***For CHOP Staff and Affiliates Only***

****WHEN REGISTERING USE PROMO CODE CHOP1 IF YOU WORK IN NURSING CLINICAL CARE SERVICES, ALL OTHER DEPARTMENTS USE CHOP2. IF YOU DON'T ENTER A PROMO CODE YOU WILL BE PROMPTED TO ENTER CREDIT CARD INFORMATION TO REGISTER****

***Select this course to recieve your NRP on-line module and access to the Healthstream platform to complete the 7th edition NRP part 1 and then be able to schedule your hands-on skill session in the NEST to complete part 2 of NRP***

The NRP® course conveys an evidence-based approach to care of the newborn at birth and facilitates effective team-based care for healthcare professionals who care for newborns at the time of delivery. NRP utilizes a blended learning approach, which includes online testing, online case-based simulations, and hands-on case-based simulation/debriefing that focus on critical leadership, communication, and team-work skills.

The Textbook of Neonatal Resuscitation, 7th Edition has 11 lessons:

Foundations of Neonatal Resuscitation
Preparation for Resuscitation
Initial Steps of Newborn Care
Positive‐pressure Ventilation
Alternative Airways: Endotracheal Tubes and Laryngeal Masks
Chest Compressions
Medications
Post‐resuscitation Care
Resuscitation and Stabilization of Babies Born Preterm
Special Considerations
Ethics and Care at the End of Life

The NRP®, 7th Edition course at Children’s Hospital of Philadelphia consists of multiple steps:

CHOP facilitates the distribution of online access for completion of the online NRP curriculum
Completion by the student of the online curriculum
Scheduling of a skills examination with a CHOP NRP Instructor through the Healthstream platform
Presentation of online course completion Examination Verification to Instructor
Submission of Course Completion status of student by CHOP NRP Instructor
Learners will complete a post-course evaluation ONLINE
Learners will receive an e-card that can be emailed to a third party
E-card will be stored within each instructor and provider’s database record

Purchase this course - $200.00

PALS and BLS (Blended Learning) Provider

Welcome to the PALS Provider (Blended Learning)

Thank you for registering for this course! The PALS Provider class are designed to teach and review the lifesaving skills required to be both a team member and a team leader in either an in-hospital or out-of-hospital setting. This course is divided into 3 parts.

(Part 1) You will be sent an online Heartcode Key to complete the AHA PALS online Heartcode course. Please allow up to 24 hours to be sent the heartcode key. You will then need to completete the PALS heartcode course. Please remember at the completion of the course to complete the courses survey, if you do not complete the survey you will show as incomplete and will not be issued a certificate of completion.

(Part 2) You must self-enroll and complete the PALS with COVID-19 Modification modules in the mycareer system. This will consist of watching course videos and completing the BLS and PALS exam. (If you are not a CHOP employee you do not have access to the mycareer system, please just complete the Part 1, which is the AHA online heartcode.)

Please using this link to complete the Mycareer modules:

(Part 3) On the date of your registered class you will complete a 4 hours instructor-led classroom session. In this session you will complete a BLS/CPR skills evaluation, which will complete your BLS certification requirements. You will then participate in skill stations (Airway, Vascular Access, and Defibrillator). You will then complete the PALS cases through team simulations.

We will also provide all students (CHOP employees) with a BLS for Healthcare Providers card. BLS for healthcare providers is focused on the skill of CPR for victims of all ages and will practice CPR in a team setting. You will learn how to use an AED as how to relieve choking.

The PALS course covers extensive material in a short period of time. To ensure your success, it is imperative that you prepare for the course beforehand. To best prepare for class, please read this letter in its entirety:

Pre-course work:

Everyone attending PALS Provider (Blended Learning) must be sure to bring a copy of the certificate showing that they completed the AHA Heartcode Course and also bring their certificate showing that they completed the BLS and PALS exams on Mycareer. Please print out a copy and bring them to class. If you cannot print the results, please take a screen shot that includes your name with results or take a picture with your cell phone with the results. If you are not able to show that you have completed the Heartcode course and Mycareer modules you will be asked to reschedule for a later class.

Review and understand all BLS guidelines. The resuscitation scenarios require that your BLS skills and knowledge be current.
Practice Cases: Work through the practice cases to familiarize yourself with “Evaluate, Identify and Intervene” model used in the course.

PALS algorithms and flowcharts: Be familiar with the PALS algorithms and flowcharts that you can apply in the clinical scenarios.
Supplemental knowledge: Review the PALS Provider Manual. Pay attention to the systemic approach to pediatric assessment – General, Primary, Secondary and Tertiary assessments.

Please download files:

Click Here for the AHA eBook Directions

Click here for the PALS Helpful Study Guides

Day of class:

PALS begins at 7:00 AM or 12:30pm depending on the session you are registered for: Plan to arrive at least 15-minutes prior to the beginning of the course for registration and such. There is a kiosk to “clock in” at the elevators outside the classroom 10040 CTRB. Late arrivals of greater than 15minutes may not gain entry into this class. You will need to contact your supervisor and re-register for this course.

Upon successful completion of the course, a Pediatric Advanced Cardiovascular Life Support (PALS) provider card will be issued by the American Heart Association (AHA). This certification will expire 2 years from course completion date. A BLS for Healthcare Providers course completion card will be issued and will expire 2 years from the course completion date. You will receive an email from ecards@heart/org with a link inviting you to claim you e-card on line; follow the instructions.

http://ahainstructornetwork.americanheart.org/idc/groups/ahaecc-public/@wcm/@ecc/documents/downloadable/ucm_496888.pdf

Certification details:

We look forward to having you in this this PALS Course.

Please contact Mike Riley (PALS Course Director) rileyms@email.chop.edu for more information.

PALS and BLS Heartcode *** This course is the equivalent to a renewal course for CHOP Physician and Advanced Practice Providers Providers***

***Only for APP's and Physicians, all others please register for a PALS Provider or Renewal Course***

***All students who register for PALS Heartcode will also recieve a BLS Heartcode they must complete***

HeartCode PALS is a comprehensive program that uses a series of videos and simulated pediatric emergencies to reinforce the important concepts of a systematic approach to pediatric assessment, basic life support, PALS treatment algorithms, effective resuscitation, and team dynamics. Using eSimulation technology, students can assess and treat patients in virtual healthcare settings. In this environment, students also apply their knowledge to real-time decision-making and skills development. Debriefings and coaching are provided immediately after each simulation to facilitate learning.

This eLearning course is the self-directed online portion of HeartCode PALS blended learning, which is followed by a hands-on session for skills practice and testing.

Upon successful completion of this course, students will be able to

Perform high-quality Child CPR AED and Infant CPR per AHA BLS recommendations
Differentiate between patients who do and do not require immediate intervention
Recognize cardiopulmonary arrest early and begin CPR within 10 seconds
Apply team dynamics
Differentiate between respiratory distress and failure
Perform early interventions for respiratory distress and failure
Differentiate between compensated and decompensated (hypotensive) shock
Perform early interventions for the treatment of shock
Differentiate between unstable and stable patients with arrhythmias
Describe clinical characteristics of instability in patients with arrhythmias
Implement post–cardiac arrest management

Students who successfully complete the PALS Course online (including achieving a score of 84% or higher on the course exam) and the hands-on session will receive a PALS Provider course completion card (print or eCard), valid for two years.

PALS and BLS Renewal

Welcome to the PALS Renewal Course

The PALS Renewal class are designed to teach and review the lifesaving skills required to be both a team member and a team leader in either an in-hospital or out-of-hospital setting.

This course is divided into 2 parts.

(Part 1) (CHOP Employees) You must self-enroll and complete the PALS with COVID-19 Modification modules in the Mycareer system. This will consist of watching course videos and completing the BLS and PALS exam.

(Part 1) (Non CHOP Employees) You will be sent an AHA online heartcode to complete prior to the classroom session, since you do not have access to the CHOP mycareer system.

Please using this link to complete the Mycareer modules:

(Part 2) On the date of your registered class you will complete a 4 hours instructor-led classroom session. In this session you will complete a BLS/CPR skills evaluation, which will complete your BLS certification requirements. You will then participate in skill stations (Airway, Vascular Access, and Defibrillator). You will then complete the PALS cases through team simulations.

Pre-course work:

Everyone attending PALS renewal must be sure to bring a copy of the certificate showing that they completed the BLS and PALS exams on Mycareer. Please print out a copy and bring them to class. If you cannot print the results, please take a screen shot that includes your name with results or take a picture with your cell phone with the results. If you are not able to show that you have completed the Mycareer modules you will be asked to reschedule for a later class.

Review and understand all BLS guidelines. The resuscitation scenarios require that your BLS skills and knowledge be current.

Practice Cases: Work through the practice cases to familiarize yourself with “Evaluate, Identify and Intervene” model used in the course.

PALS algorithms and flowcharts: Be familiar with the PALS algorithms and flowcharts that you can apply in the clinical scenarios.
Supplemental knowledge: Review the PALS Provider Manual. Pay attention to the systemic approach to pediatric assessment – General, Primary, Secondary and Tertiary assessments.

Please download files:

Click Here for the AHA eBook Directions

Click here for the PALS Helpful Study Guides

Day of class:

PALS begins at 7:30AM or 12:30PM depending on the session you are registered for: Plan to arrive at least 15-minutes prior to the beginning of the course for registration and such. There is a kiosk to “clock in” at the elevators outside the classroom 10040 CTRB. Late arrivals of greater than 15minutes may not gain entry into this class. You will need to contact your supervisor and re-register for this course.

http://ahainstructornetwork.americanheart.org/idc/groups/ahaecc-public/@wcm/@ecc/documents/downloadable/ucm_496888.pdf

Certification details:

We look forward to having you in this this PALS Course.

Please contact Mike Riley (PALS Course Director) rileyms@email.chop.edu for more information.

PEARS and BLS Provider/Renewal

Welcome to the PEARS Provider/Renewal Course

Thank you for registering for this course! The PEARS Provider and Renewal Course is focused on the assessment, recognition, and stabilization of the pediatric patient at risk of respiratory and circulatory distress. Students will develop skills in recognizing certain pediatric distress signs and symptoms using several unique visual cues and working at simulation learning stations.

(Part 1) You must self-enroll and complete the PEARS with COVID-19 Modification modules in the Mycareer system. This will consist of watching course videos and completing the BLS and PEARS exam.

Please using this link to complete the Mycareer modules:

Parking: Parking is available in the Beurger garage for $16. Please let security know that you are here for training and please let them know what course you are there for.

Please plan to arrive at least 15-minutes prior to the beginning of the course so you can register. It is essential that you arrive on time because you are expected to attend and participate in the entire course. Lateness is not tolerated. If you arrive over 15 minutes late, you will be asked to leave and re-register for the course.

Materials: PEARS Provider Manual, 2017 & BLS provider manual, 2016.

The PEARS course covers extensive material in a short period of time so it is IMPERATIVE that you will need to prepare for the course beforehand.

Pre-course Requirements: You should prepare for this course as follows: - The resuscitation scenarios require that your BLS skills and knowledge be current. Review and understand all BLS 2015 guidelines. - Practice Cases: Work through the practice cases to familiarize yourself with “Evaluate, Identify and Intervene” model used in the course. - PEARS algorithms and flowcharts: Be familiar with the PEARS algorithms and flowcharts that you can apply in the clinical scenarios.

Click here to download the PEARS Study Guide, if the file does not open, try to save the file first, then open in internet explorer.

Successful Completion:

Criteria for successful completion includes meeting the standards for the following assessments:

Adult, Infant, and Child CPR and AED
Bag-Mask Ventilation
Learning station skills

What to Wear:

Staff coming in to the hospital for any work related reason (including meetings, classes, etc.) should come in appropriate work attire for their area. If you are required to wear scrubs for your role, please wear the appropriate uniform.

Upon successful completion of the of the course, a Pediatric Emergency Assessment, Recognition, and Stabilization (PEARS) provider card will be issued by the American Heart Association (AHA). This will expire 2 years from course completion date. A BLS for Healthcare Provider card will be issues by the AHA. This will expire 2 years from the course completion date. You will receive an email from ecards@heart.org with a link inviting you to claim your e-card on line; follow the instructions.

http://ahainstructornetwork.americanheart.org/idc/groups/ahaecc-public/@wcm/@ecc/documents/downloadable/ucm_496888.pdf

Course Cancellation

We look forward to welcoming you to this PEARS course.

Please call us if you have any questions.

Please contact Matt Sinback at sinbackm@email.chop.edu for more information.

Purchase AHA eCard for Community Courses

Price of eCards for Community BLS and Heartsaver Roster Submitted.

BLS CARDS $10.00

HEARTSAVER CARDS $20.00

Please select this item to pay for AHA cards.

We have offered this item in order to facilitate the option to our instructors to pay for AHA cards when teaching an Community class.

PLEASE NOTE: AHA eCard and traditional AHA card distribution will be delayed until payment for AHA cards/eCards has been received. Once payment has been received we will ensure that your AHA cards/eCards are distributed in accordance with AHA policies and procedures. We strive to provide ALL AHA cards/eCards in a minumum of time.

When paying for cards, please enter YOUR information (the Lead Instructor) in the "Student Information" field as well as the "Comments or Special Requests" field.

Click here to register

Purchase AHA eCard Replacement/Resending

AHA eCard Replacements and AHA eCard Assistance

Electronic Certification Card (eCard) Replacement/Assistance - If your eCard was claimed, then we can provide, via email, a PDF or JPG of your card for a $10 fee. If your card was not claimed and 90 days have passed since your certification class, then a $20 fee will be charged for any assistance necessary in order to locate your card. You must provide the date that you took your course/class in the comment special request section.

When students take ANY certification or class, it is SOLELY the resposibility of the learner to be attentive when eCard instructions are given. It is also the responsibility of the learner to enter ACCURATE email address when supplying information to CHOP’s Emergency Care Program. CHOP’s Emergency Care Program cannot be responsible for errant information passed on by the student. If you don't receive your eCard within 2 weeks after completing a course, please contact emergencycare@email.chop.edu. These fees can ONLY be waived by decision of the Emergency Care Program Manager.

Click here to register

Purchase AHA Heartcode Skills Verification Sessions Part 2 & 3 (ACLS, BLS or PALS)

A HeartCode skills session is the hands-on portion of an AHA eLearning course and includes Parts 2 and 3—skills practice and testing. It is conducted in-person after a student completes Part 1 online. Please complete the online learning portion, select this class, complete registration and pay for the appropriate level of skills evaluation for which you wish to be evaluated.

If you have already purchased Part 1 of an on-line AHA course in ACLS, BLS or PALS please email John Erbayri @ erbayrij@email.chop.edu or call 267-426-1847 to confirm a time for the skills verification portion (Part 2 &3). After confirming an appoitment with John Erbayri then make payment on this website.

BLS - $50.00

ACLS - 100.00

PALS - 100.00

Prior to arriving to the class, please print out your HeartCode Part 1 completion certificate and bring it with you. Follow the directions below to print out your certificate:

Click My Courses
Select Print Certificate under your Completed Courses

Click here to register

Purchase Algorithm Pocket Card - ACLS

Complete registration to purchase a ACLS Algorithm Pocket Card.

Purchase this course - $15.00

Purchase Algorithm Pocket Card - PALS

Select this course and complete registration to purchase your PALS PALS Algorithm Pocket Card.

Purchase this course - $15.00

Purchase BLS or Heartsaver Heartcode w/ Certification Card included for Community Classes

Use this option for instructors to purchase online access heartcodes to provide community courses. Instructors will still need to submit a roster, however the price of the cards is included.

In the notes section please include the students first name, last name and email address to so we can send the code. Also indicate if the need a Heartsaver heartcode or BLS Heartcode.

Any questions email emergencycare@email.chop.edu

Purchase this course - $75.00

***CHOP STAFF PLEASE USE YOUR CHOP EMAIL ADDRESS AND APPRIOPRIATE PROMO CODE WHEN REGISTERING***

Nursing and Clinical Care Services

CHOP1

All Other Departments

CHOP2

If you need to cancel or reschedule a course please email LifeSupportCenter@email.chop.edu with your name, the date of the course and the date you would like to attend if rescheduling

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