working in dubai as a foreign doctor

They have this tendency to prioritize personal issues above anything. The UAE has many opportunities for international healthcare providers. How can I write DHA exam in Dubai? Mind your language when communicating in public, and always mind your business. Monthly Salary: AED 20,000 to AED 60,000. 7. Medical doctors can find opportunities for those who wish to work in the following fields: armed forces, overseas aid agencies, prisons, hospitals or research institutes, clinical trial organisations, private healthcare establishments, residential nursing homes, air ambulance services or university teaching. They treat the stomach, bowels, pancreas, liver, and gallbladder. DHA Exam is a Licensing exam given to all medicos who are interested to work in Dubai. Empathy Having strong empathy is a key skill in the health industry. MBBS doctors average monthly salary range is 22,000.00 AED in Dubai. Few people litigate and few people receive settlements. A health professional is not limited to hospitals or clinics. The public healthcare system is free to Emiratis only. In light of the COVID-19 pandemic be sure to check the latest foreign travel advice for UAE at GOV.UK. It is a general rule for women to dress decently at all time. A specialist requires only ABMS board certification, while a Consultant position requires ABMS board certification and clinical experience in your specialty for the past 2 years. Avoid any prolonged eye contact with any woman. If you are eligible to work and migrate to Dubai and enter this city, you will usually be given a three-month visa. In Dubai, the health system, education, employment and culture have excellent conditions due to the smart and up-to-date structure of the city. Is the Economist Intelligence Unit credible? The average physician salary in Dubai, United Arab Emirates is 703,486 .. or an equivalent hourly rate of 338 AED4,500 - AED15,000 a month. Population: 4.7 million Avoid touching and prolonged eye contact with women. What are the top 30 highest-paid job openings in Dubai? WebA reputed hospital is currently looking for experienced and dedicated Specialist Doctors to work within the United Arab Emirates on a permanent basis or part-time for the position of Pulmonologist. Hence you will register with the Health Authority of Abu Dhabi, Dubai Health Authority (which provides a Since some university and degree are not recognized with UAE Medical council Professional Qualification Requirement. After immigrating to this city and obtaining a Dubai work visa, you can expect a wonderful life. , Qatar. Hence you will register with the Health Authority of Abu Dhabi, Dubai Health Authority (which provides a self-assessment tool to help you decide if you meet criteria for registration), or the other emirates. Therefore, it is better to consult with experts and experienced people before applying for a Dubai medical work visa and check the immigration conditions of doctors to the UAE. There are many people who have appropriate academic education and work experience, especially in the fields of medicine, dentistry and pharmacy. Webmoh exam for doctors. They usually have a call to prayer five times a day starting before 6am. Your host would be forced to give you that item as a gift and would expect something of such nature from you in the future. After reviewing the Ultimate Guide Series created by our members, here is a list of 11 places where you can practice clinical medicine, in English. Not only is it considered too hot to exercise in the open air during the summer months, there are also no bike paths for cyclists. You can visit idyllic sandy beaches and cosmopolitan landmarks such as the Burj Khalifa in Dubai, the tallest building in the world and the Dubai Mall. International car rentals and local companies offer great deals to expats who want to rent a car. You need to allocation minimum 1 month with 2 to 3 hours per day then you can pass it. WebWhether working within a Government or a private hospital, Doctors moving to the Gulf region will have the opportunity to work alongside a truly global workforce in state of the art facilities, with the latest technologies and without budgetary constraints. Keep in mind that the requirements differ if its mainland or free zone licenses. Slap a 50 Dirham bill for burger and 7Up can. According to recent statistics, 80% of the United Arab Emirates population is foreign-born which makes the nation very appealing to expats. Osteopathic graduates are eligible for licensure if they are board certified in their specialty. Taxis are available almost everywhere in the UAE at relatively cheap rates. Immigration to Dubai guide With Coverdale, https://u.ae/en/information-and-services/visa-and-emirates-id, Gymnastics classes for kids in Dubai 2023, Top 10 Companies Office Cleaning Services in Dubai. Coverdale, with its successful experience in emigrating doctors to Dubai, can inform you about the details of emigrating doctors to Dubai. It is interesting to know that jobs in the healthcare sector often include a living allowance. Patients dont want to think theyre being handled by a beginner, you need to be confident. There is a tendency to prioritize personal matters above all else. clearly reflects this. Doctors and other health professionals are also required to prepare for a detailed CV if they want to apply for a job in Dubai. It is for medical graduates who wish to practice in the UK. For European and US nationalities, entering Dubai is pretty straightforward. Some related job titles are Medical Doctor Salaries with median pay of AED 30,000, Medical Officer Salaries with median pay of AED 8,000. You will also need a valid state medical license and American Board of Medical Specialties (ABMS) Certification. One is exempted from both their Written and Oral Exam if one has passed all the USMLE Steps-1, 2, 3. This is what this article will be covering. 240,000+ Members on Linkedin - Dubai Jobs, Edarabia.com - All Rights Reserved 2023 | Some may even ask for upfront payment. In order to obtain a specialization, doctors need to undergo further study to hone their expertise. If a patient has abdominal pain, ulcers, diarrhea, jaundice, or digestive organ cancer, they need to see a gastroenterologist. Within the traditional patriarchal society, women physicians are treated well and can wear clothing of their choice. Your email address will not be published. Bahrains medical system ranks fourth-best in the Arab world and 53rd globally. Health promotion campaigns to improve lifestyles are underway. Proper doctor training will take from five to seven years. If you want to hire a driver, be prepared because it will assure you comfort but would profoundly affect your budget. Alcohol is expensive and can only be purchased in hotel bars and clubs (or for your own home if you have a license). Public displays of affection between people of the opposite gender, including married couples, are generally frowned upon. Being so far away from your loved ones can be difficult especially if you have not lived apart from your family or friends in the past. The most common type of medical job are doctors. Required fields are marked *. STEP 8: Go to Dubai. The healthcare sector is integral to the regions continuing growth and development, and the investment being made The UAE. Expats can buy their own health insurance, and apply for a health card from the Health Ministry, which gives access to the state system in emergency. DHA Exam is a Licensing exam given to all medicos who are interested to work in Dubai. Even though Dubai is one of the modern cities in the world, it can be very easy to forget that their culture very different. Working Address Dubai JLT: Whatsapp: +971586562788 Job. So, what is important is that you first visit the mentioned sites and do the necessary research in this field and then make the necessary arrangements to immigrate and work as a doctor in Dubai. As a non-Muslim you would not be expected to use it, but if you did you would receive the reply wa alaykum salam (and peace be with you). The employer is required to provide health insurance by law. Passport and color plays less role than it used to in the past. In the contact section of the Dubai Government website and the Dubai Visa website, you can ask your questions about the procedure, interview, test and how to get a Dubai work visa in the field of medicine. Medical facilities are highly developed and easy to access. Dear friends, in order to know the latest updates and regulations related to visa rules, you can visit the official portal of the United Arab Emirates government or contact us at Coverdale. Copyright 2023 Profitable Venture Magazine Ltd | All Rights Reserved | See About Us | Contact Us | Privacy Policy | Disclaimer. Their expert team will support you with your licensing and immigration paperwork and provide practical advice to ensure your relocation goes as smoothly as possible. If its your first time to be away from your loved ones, do not over think, instead be happy for the opportunity to experience something different. To work as a doctor in Dubai, people must go through the following steps: Passing the DHA Test is mandatory for job applicants in Dubai. Web Design by Grafdom, Executive Administrator for Ancillary Services, Allergy & Immunology Specialist Registrar, Physiatrist (Senior Specialist Registrar), Why employers & educators need to develop career-ready graduates, says Ben Nelson, 'Forecasting the future of work: how to future-proof employability' says Muna Al Seeni, 8 Top Career Skills to Prepare for Industry 4.0, 10 Ways to Boost Productivity at Work (%%current_year%%), 21 Personal Goals to Set in %%current_year%%. Dubai. WebAl Dar University College (Dubai) APPLY Medical Representative Gulf Marketing Group (Dubai) APPLY Rheumatologist iTalent (Dubai) APPLY Cardiologist - For physicians with children, there are many American as well as British, Australian, and Canadian curriculum schools. Strong Time Management Skills You need to be always punctual and timely. Please note that not all taxis are metered. Save my name, email, and website in this browser for the next time I comment. In this video, you will learn what it takes to work as The new license allows international physicians, dentists, and Complementary and Alternative Medicine (CAM) practitioners to enter the UAE, and work in up to three clinical facilities within the Dubai Healthcare City free zone. Wait to see if she will extend her hands if she does you can go ahead but make it quick. Required fields are marked *. Dubai health tourism aims to strengthen the citys position in the medical tourism world map. There are also opportunities to bring new skills and experience to the market, shaping healthcare expectations in this fast developing region. Teaching is carried out in Arabic with the emphasis of English as a second language. Fuel costs are low, as are vehicle costs when compared to UK prices. Finally, you will be issued a permanent residence visa, which allows the holder to stay in Dubai for a period of more than 30 days. Many expats prefer hiring a driver for their daily commute. Migration of doctors to Dubai 2022. If inquiring with the organization, mention that you are with Hippocratic Adventures and send us a message via Contact Us. They treat common disease such as flu, cough, and other ongoing medical conditions such as diabetes. If you are invited for a meal in a private home that is eaten at floor level, remember to sit so that the soles of your feet do not face anyone. Medical care is provided and communicated in English, and Americans physicians are highly valued. The alternative is you meeting application From lawyers to Engineers, this city has a high demand for professionals. Feel free to visit our jobs section to find the latest vacancies as per your grade & specialism. This is reflected in the three official languages; German, French and the national language of Luxembourgish. The required jobs in Dubai are usually divided into the categories of service workers, health workers and technical workers. The profession is a vocational degree which lets you develop practical and clinical skills related to medicine. The links below also provide useful guidance on some of the requirements stipulated by the different countries in the Gulf region: Qatar Supreme Council of Health Doctors are required to undergo a licensure examination in their home country and have at least 4 years of medical practice in order to get a job as a medical practitioner in Dubai. They can earn up to AED 181,040 per year. Although the Dubai government permits foreigners to buy properties, many expats prefer paying rent. Emiratis are generally seen as hosts to the large expat population and are welcoming towards their expat guests. Skills Needed: Highest Qualification Required. Colon and Rectal Surgeons Rectal surgeons and colon surgeons are responsible for treating your small intestine, colon, and bottom. Muslims are obliged to pray five times a day, therefore daily routines, appointments and meetings must be fitted in appropriately around prayer times. best to contact your Workplace Doctors Recruitment Specialist who will be able to provide you with details relevant to your desired location. Such display can include kissing, hugging or even holding of hands. if you study the right way, you can pass it. Physicians without a UAE license who have a Tier 2 or Tier 3 Fellowship in Neonatal Perinatal Medicine and qualify to be licensed as a Specialist in UAE may also apply for this vacancy. An agent is required to complete a rental agreement. Primary and secondary school education is compulsory for all UAE Nationals. Here are the most common career paths for medical professionals: The good news is that healthcare in the UAE has undergone some massive developments in recent years, which makes working in the UAE as a doctor all the more attractive! The regulations for this process may vary from emirate to emirate. Critical Care These doctors care for critically ill or injured patients. Previous. Hello! In addition to these, the salaries and income of doctors in Dubai, are very high. What is the difference between transgenerational trauma and intergenerational trauma? You have to take it constructively and improve your weaknesses. The longer your work experience in terms of time and position, as well as the reputation of the treatment center where you have been, the higher your chances of being accepted. Similarly, visa application processes vary by country, but generally speaking once a job offer has been made the prospective employer will play a large part in helping you obtain the relevant employment / residence visa. The golden visa is a long-term residency initiative launched in Dubai, which recognises experts in various fields who play a pivotal role in supporting the nations progress. Cardiologists are assumed to be the highest paid doctors. International student applying for MS + Phd program in US. All foreign doctors who possess at least 2 years working experience in their home countries are eligible to work in Dubai. There are medical facili Almost all the teaching in these schools is carried out in English. It is best to avoid discussions about religion and the politics of the Middle East. Immigration is also contingent on having a job offer. The roles of men and women are far more defined in the Arab culture and interaction between the sexes is still frowned upon in certain arenas.If you are introduced to a woman as a male, it is advisable to wait and see if a hand is extended. For this, first of all, you should be aware of the immigration conditions and the work of doctors in Dubai. Dubai: Reliably commute or planning to relocate before Today Veterinarian Professional life: depends on how much of your skill set, you are able to use.If you have good clinical experience and chosen a wrong place, you ma How much does it cost to get DHA license? Salary- 30-35 K AED. To apply for your medical license in the UAE, heres what you need to know. , Qatar. Image used for illustrative purposes only. Currency: 1 Dirham = 100 fils. The process may requires you to sit for formal examinations to insure your qualification if your a junior practitioner. Your host would then be honour bound to make you a gift of the item, and would in turn expect a gift of the same stature in return at a later stage. Malaria, measles and poliomyelitis, once endemic in the UAE, have been eradicated. Public displays of love and affection for married or unmarried couples are unacceptable. Good question as you know doctors can operate as self employed or work as an employee for a hospital or a clinic . In order to practice medicine in Doing business revolves much more around personal relationships, family ties, trust and honor. Investigations have shown that if the slightest mistake is found in your documents or conditions, your application will be rejected immediately. American-trained physicians are highly sought after. So dependant on where you want to work (emirate /freezing) your qualifications differ. Medical doctors examine, diagnose and treat patients. STEP 2: As most people travel by car or taxi, public transportation options are rare. Medical programs are initially broad, but narrows down to specifics as you take another year of study. Dubai Realtors can also be difficult to work with. MBBS doctors monthly Salary range in Dubai is 9.5K to 31.5K AED. Many follow the British education system and teach the National Curriculum of England in primary school, then offer IGCSE and A-Level qualifications at the senior level. b. The new license allows international physicians, dentists, and Complementary and Alternative Medicine (CAM) practitioners to enter the UAE, and work in up to three clinical facilities within the Dubai Healthcare City free zone. To become a doctor, you need years of study, a licensure and also specialization and certain certifications. , Marketing Experts. Teamwork Learning how to be a part of the team and play nice with others genuinely is a key skill for every professional, not just healthcare professionals. A minimum of one year of internship in a teaching hospital or a minimum of two years of internship in a non-teaching one is required from license applicants. Many physicians are recruited from the US, UK, and EU, making for a very international set of colleagues. What is the salary of MBBS doctor in Dubai? Workplace Doctors is a specialist international medical recruitment agency solely focused on supplying healthcare professionals to hospital private healthcare organisations throughout the UK, Republic of Ireland, Saudi Arabia, Dubai and Australia. During the credit boom that built up after 2000, the UAE emerged as the cosmopolitan hub for the Middle East. Image used for illustrative purposes only. It is very vital for you to respect the local culture throughout the time you will be working as a nurse or doctor over there. Dubais healthcare system, like its powerful economy, is meticulous and equipped with the latest medical facilities. UAE authorities have launched services to help foreign doctors living in the UAE obtain golden visas for long-term residency. When visiting locals, make sure you take off your shoes before entering their living room. Sports fans can head to the Formula One Grand Prix, and the UAE is a paradise for shoppers, boasting several giant shopping malls. Your email address will not be published. Is Dubai a good place for doctors or nurses? So, I know specialists earning 35K and others earning up to 450k monthly. So, if you think you might be interested in a new challenge and a change of scene, please get in touch for a chat with one of their recruitment specialists. Other things to consider working in Dubai. In some circumstances, shoes should be removed before entering a living room. In order to get paid really well, doctors need to gain at least 5-6 years of experience. Grocery prices are reasonable, but expatriates living in the UAE who search out luxury goods or brand names from home will need to be prepared to pay higher prices for those items. The overall cost to get a DHA license is approximately AED 5000 (about $1400) if you take care of every step by yourself, however it can cost more than double if you give your application to process to one of the many agencies who will take care of each step for you. UAE authorities have launched services to help foreign doctors living in the UAE obtain golden visas for long-term residency. 2. In short, if you have private insurance, youre expected to use a private hospital. The comprehensive, government-funded health service, and a fast developing private health sector, have pushed healthcare indicators to respectable levels. On the other hand, the salaries of doctors in Dubai and UAE are very significant. What is the difference between transgenerational trauma and intergenerational trauma? Applicants must register with the National Resident Matching Program (NRMP), which matches applicants and hospital residency programs according to individual preferences. WebDr Ezinne Nnamdi-Louis. You need to be licensed in the Emirate you choose to work in. Be that as it may, expats are allowed to practice their religion as long as they dont proselytize. The Islamic religion permeates every aspect of life in the emirate. GPs are most in demand in the region, of all physician roles. This can be one of the most annoying aspects of working in Dubai as a doctor or nurse or any profession. Of course, knowing Arabic is not one of the main requirements for attracting foreign doctors for most medical centers in Dubai. Your email address will not be published. The rounding culture is similar to the US though you will not find as many residents or trainees most local medical trainees pursue postgraduate medical education outside the UAE. It is crucial for you to secure a job before relocating to Dubai. Do not explicitly admire anything belonging to your host. Hiring multiple candidates. STEP 1: THE SELF ASSESSMENT TOOL. According to preferences. [The below are my sole and personal opinions.] In London after many years of service you can become a citizen, a feature Weather: this reason is very obvious, the weather in Dubai is very hot for over 8 months of the year with humidity rising to over 90 percent during the summer periods. WebSpecialist / Registrar Doctors in Critical Care (ICU, PICU, ER) for UAE Smart Resourcing International (SRI) Dubai Experience Required:- Minimum 2 years. However, there are tons of options to choose from when it comes to accommodation. We are looking for talents who has experience in foreign exchange sales or telemarketing . 1: Luxembourg. This is done through DataFlow. In addition, mosques can also be a source of noise for non-Muslims. Do not openly admire any of your hosts belongings. Life expectancy at birth is 78.3 years. That said there are some hospitals with university affiliated residency programs and even some fellowship programs. Keep conversation respectful. Dubais gold souk is nothing short of spectacular, and well worth a visit. They should be more than happy to answer your questions and let you know roughly where you fall. A health card showing that you are in good health and not suffering from any infectious diseases is also required for anyone wishing to live or work in Dubai. Your email address will not be published. Work or labour migration in the United Arab Emirates is one of the priorities of specialists from many countries in any field. Breaking any driving rules may result in a hefty fine. It is therefore crucial that business relationships are built on mutual friendship and trust. If YES, here is a detailed guide to working in Dubai as a doctor or nurse. As a man, if you are introduced to the opposite sex, do not kiss her cheeks or hug her. Davidson Management Consultants are a leading Healthcare Recruitment and Leadership hiring consultancy based in Dubai and UK, introducing top notch, Board Certified, Fellowship trained SubSpecialty Physicians and Surgeons to their clients across UAE, Saudi Arabia, Kuwait, Qatar, Oman and Bahrain. 838 subscribers. But there are some things you need to know when considering to advance your medical career in Dubai. Chronic disease, such as diabetes and coronary heart disease, is the new target. Dear friends and companions, considering the contents mentioned in this article, you may wonder whether I should migrate to Dubai or not? Unfortunately there are no real opportunities for Junior Doctors to go to the Gulf. Everyone here at Head is an expert in the processes of international doctor and nursing recruitment and we are able to provide you with full assistance and support through each step of your international medical job application. Although the Middle East is strict, the United Arab Emirates is very free and welcoming than its neighbors. Are you a health care professional nursing the thought of working in Dubai? Those who do not want to drive themselves can always take a taxi. Apart from UK, many middle east countries like Emirates, Qatar, etc accept PLAB. Privacy Policy - WebThe easiest route is Togo through a traditional hiring process with an employer who would carry out the application of your licence. There are many people of different nationalities in this city. After you provide this information, you will undergo an assessment by the Dubai Healthcare Authority. School fees vary from school to school, but in general compare quite favourably to the prices you would be charged for private schools in the Western world. Life is good for Doctors in Dubai. A GP gets approx. AED 15000 TO AED 18000 depending upon his experience. A Specialist gets AED 20000 to 25000 and Your email address will not be published. All parts of the USMLE are recognised in UAE (United Arab Emirates), which includes Abu Dbabi. It is, therefore, necessary that a business relationship should be built on trust and mutual friendship. STEP 5: Schedule Your Prometric Exam. Do not wear revealing outfits or clothes that expose too much of your skin in public. Although Dubai is the most visited and progressive city in the United Arab Emirate, things are very different over there. Very High Confidence The average salary for Doctor is AED 17,500 per month in the Dubai, United Arab Emirates Area. Jaber Al Ahmad Al Jaber Al Sabah Hospital in Kuwait. However, there are tons of other nationalities residing there. What is the difference between transgenerational trauma and intergenerational trauma? Lady first! If you can obtain a job before you move to Dubai, the organization will sort the bills of your relocation. The golden visa is a long-term residency initiative launched in Dubai, which recognises experts in various fields who play a pivotal role in supporting the nations progress. Expats should, however, not hesitate to shop around and compare prices as rates may vary. They save lives and help avoid disability among their patients. For additional details on job requirements, skills, salary and employment benefits, feel free to browse our list of current vacancies and job opportunities in Dubai. Create an account to follow your favorite communities and start taking part in conversations. Doctors can specialize in certain areas such as pediatrucs (kids), cardiology (heart), or anesthesiology. However, rates may differ depending on location and company. This would be heavily dependant on where you a)studied and practiced (home country) b)did your specialisation and/or residency c)the years you have been a practicing medical professional d)what medical boards you are certified for and where. Your employer will apply for and cover the cost of a work permit which allows you to enter and work in the UAE for two months. There are numerous high profile healthcare projects being built across the region, both by governments and by private foreign healthcare investors, with big names like Cleveland Clinic and Kings College London, joining companies already established in the market, including Johns Hopkins, Imperial College London, Cornell University and Moorfields. Search on the Internet from their own country first, healthcare jobs are advertised on many websites by recruiters. Check if credentials are accred You can prepare the sample questions of the previous courses by contacting Coverdale. Many locals in Dubai dont separate personal and professional life; therefore, engaging in business revolves around family ties, relationship, and trust. Many American-trained physicians have asked us how they can live abroad and practice medicine in English. WebSpecialist and consultants in the medical fields are expected to earn even more. Studios and Apartments may cost you a pretty penny since they cost 4,000 AED monthly. Home Asia United Arab Emirates Work in Dubai Working in Dubai as a Doctor or Nurse What You Need to Know. Foreign investment paved the way for construction projects such as Palm Island or the Burj Khalifa skyscraper, the worlds tallest building. For the last 15 years she has practiced in Dubai and raised her two sons. Is the Economist Intelligence Unit credible? There you go, I hope that enlightens you. If you cant handle this, it can cause your downfall in your career. Bahrains medical system ranks fourth-best in the Arab world and 53rd globally. Positive Mental Attitude There are always difficult days and you need to always see the bigger picture. It is necessary because the residency is based on sponsorship which is your employment contract. , Bahrain. A small nation with just above six-hundred-thousand, Luxembourg offers a cultural mix between its neighbours Germany and France. Dubai is open to different beliefs and cultures. . As a general rule, womens clothing should cover the tops of the arms and legs.Anything that is revealing should be kept to the privacy of your home. Allergists/Immunologists Asthma, eczema, and food allergies are common forms of allergies that allergists or immunologists treat, along with other autoimmune diseases. The United Arab Emirates is formed by the seven emirates: Abu Dhabi, Dubai, Fujairah, Ras Al Kaimah, Sharjah, and Umm Al Quwain. The most important thing about the working conditions and migration of doctors to Dubai is to participate in the relevant entrance exams organized by the Dubai Health Department. The demand for general practitioners who can see patients in the comfort and safety of their homes through teleconferencing has also increased since the outbreak of Covid-19, according to recruitment experts. You need to be flexible. If you choose to buy a car and drive over there, make sure you exchange your drivers license from your country to a local one. This can include activities as minor as hand-holding. To qualify this, you have to prepare well before this exam by using the best study materials & also it is better to take the help of the best Healthcare consultants in the Middle East to clear this. Foreigners are required to have private health insurance to access private healthcare. The United Arab Emirates (UAE) is a federation of seven states: Abu Dhabi, Dubai, Ajman, Fujairah, Ras al Khaimah, Sharjah and Umm al Qaiwain. Digi Prime Tech can help you with your application for the MOH license, MOH exam for doctors that allows you to work in the Emirate of UAE respectively. Here are some CV templates for each profession: Here are other skills required among medical professionals: Strong Work Ethic Having a strong work ethic means going above and beyond the care and service of others. The license is valid for one year, subjected to renewal within 3 months before the expiry date. These doctors deal with people whove had an accident and are bound to have organ failure. Generally speaking, you must hold a medical qualification listed from a medical school listed in the International Medical Education Directory of the Foundation for Advancement of International Medical Education and Research. Self-Confidence You need to be confident of yourself. This city is considered an ideal destination for medical personnel due to its hospitals, medical centers and specialized medical institutes. 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