New MCAT Fuels Anxiety for Medical School Applicants

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Newswise One of the biggest hurdles that college students face if they want to go to medical school is the MCAT the Medical College Admission Test. The one-day standardized multiple-choice exam, which takes more than five hours to complete, is required for admission to nearly all medical schools in the United States. According to the Association of American Medical Colleges (AAMC), more than 85,000 students take the MCAT each year.

Every 20 years the MCAT undergoes a comprehensive review and overhaul. The latest changes in the test, which take effect next April, will include a new section that reflects a growing sense within the medical profession that doctors who are conscious of important issues in the humanities including the social sciences may be better physicians than those who are not, especially with a patient population that is ever more diverse.

The MCAT change is a bit of social engineering, says Carol A. Terregino, senior associate dean for education at Rutgers Robert Wood Johnson Medical School. Make students read more, make them be more broadly educated, make them study the social sciences and really understand the impact of those disciplines on caring for patients, and maybe well have a better product. The new MCAT also will have a greater emphasis on critical analysis and reasoning skills.

Rutgers Robert Wood Johnson Medical School is one of a small group of schools across the country chosen by AAMC to evaluate the change by studying the performance of the classes they admit over the next four years as it relates to students MCAT scores. Terregino, who also oversees admissions at the school, will lead its evaluation team.

Terregino says there is no way of knowing whether the new MCAT is an improvement until she and her colleagues have analyzed the data and that process wont be complete until after the last of the classes has graduated in 2022. But she says she may have a head start in identifying aspiring physicians who have these newly emphasized skills, because Robert Wood Johnson has actively recruited students with these qualities for years.

Terregino says Rutgers Robert Wood Johnson Medical School has an innovative interview process that focuses on finding students who have a knack for understanding the complete human being who will be in their care far beyond the patients medical symptoms. Whether those students majored in science but also appreciated humanities, or did majors as far afield as English or history, they demonstrated the core personal skills that are needed in medicine, and Terregino says the school is pleased with the results.

I say to students, The more experiences you have, the more opportunities youll have to make that one-to-one connection with the patient. And what is great, she adds, is that by selecting our medical students this way I have not seen performance in medical school drop. We have no more students failing courses than before we started emphasizing the core personal competencies and humanities. Students with this added breadth of knowledge will do extraordinarily well and be competitive for top tier residency programs.

But for many students now applying, those potential pluses may seem far in the future.

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New MCAT Fuels Anxiety for Medical School Applicants

Tuning light to kill deep cancer tumors

PUBLIC RELEASE DATE:

15-Oct-2014

Contact: Jim Fessenden james.fessenden@umassmed.edu 508-856-2688 University of Massachusetts Medical School @UMassMedNow

WORCESTER, MA An international group of scientists led by Gang Han, PhD, at the University of Massachusetts Medical School, has combined a new type of nanoparticle with an FDA-approved photodynamic therapy to effectively kill deep-set cancer cells in vivo with minimal damage to surrounding tissue and fewer side effects than chemotherapy. This promising new treatment strategy could expand the current use of photodynamic therapies to access deep-set cancer tumors.

"We are very excited at the potential for clinical practice using our enhanced red-emission nanoparticles combined with FDA-approved photodynamic drug therapy to kill malignant cells in deeper tumors," said Dr. Han, lead author of the study and assistant professor of biochemistry and molecular pharmacology at UMMS. "We have been able to do this with biocompatible low-power, deep-tissue-penetrating 980-nm near-infrared light."

In photodynamic therapy, also known as PDT, the patient is given a non-toxic light-sensitive drug, which is absorbed by all the body's cells, including the cancerous ones. Red laser lights specifically tuned to the drug molecules are then selectively turned on the tumor area. When the red light interacts with the photosensitive drug, it produces a highly reactive form of oxygen (singlet oxygen) that kills the malignant cancer cells while leaving most neighboring cells unharmed.

Because of the limited ability of the red light to penetrate tissue, however, current photodynamic therapies are only used for skin cancer or lesions in very shallow tissue. The ability to reach deeper set cancer cells could extend the use of photodynamic therapies.

In research published online by the journal ACS Nano of the American Chemical Society, Han and colleagues describe a novel strategy that makes use of a new class of upconverting nanoparticles (UCNPs), a billionth of a meter in size, which can act as a kind of relay station. These UCNPs are administered along with the photodynamic drug and convert deep penetrating near-infrared light into the visible red light that is needed in photodynamic therapies to activate the cancer-killing drug.

To achieve this light conversion, Han and colleagues engineered a UCNP to have better emissions in the red part of the spectrum by coating the nanoparticles with calcium fluoride and increasing the doping of the nanoparticles with ytterbium.

In their experiments, the researchers used the low-cost, FDA-approved photosensitizer drug aminolevulinic acid and combined it with the augmented red-emission UCNPs they had developed. Near-infrared light was then turned on the tumor location. Han and colleagues showed that the UCNPs successfully converted the near-infrared light into red light and activated the photodynamic drug at levels deeper than can be currently achieved with photodynamic therapy methods. Performed in both in vitro and with animal models, the combination therapy showed an improved destruction of the cancerous tumor using lower laser power.

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Tuning light to kill deep cancer tumors

School was locked down for medical procedure, not threat

FORSYTH COUNTY Parents, teachers and students all hope they never have to experience a real crisis situation at a school that causes a lockdown.

Thats why the procedures in place are frequently used to prepare and prevent the compromise of a schools safety, as was the case Wednesday morning.

A medical lockdown involving the need to assist a staff member at Whitlow Elementary led to concerns voiced to Forsyth County News and a reminder by Forsyth County school system that not every lockdown means a crisis is unfolding.

With more than 42,000 students and 4,300 staff members in schools throughout the district, Jennifer Caracciolo, a spokeswoman for the district, said this procedure happens daily.

Medical lockdowns are to ensure the person in the medical situation receives proper care and, if first responders are needed, that they can easily get to the individual, Caracciolo said. Learning still occurs within the classrooms.

The school system has procedures for medical lockdowns (code blue), as well as code yellow and code red lockdowns.

Code yellow procedures are used when there is a potentially dangerous situation on or near a campus, said Tim Monroe, assistant director of school safety and student discipline, in a You Tube video the system made to overview safety procedures.

During a code yellow, or medical lockdown, students remain in the classroom and continue to learn, as they are preventative procedures.

When there is an actual crisis, a code red is put into place, which involves a full lockdown of all doors on campus and instructs students to take cover. This rarely happens.

A separate code red siren is sounded for tornadoes.

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School was locked down for medical procedure, not threat

Diversity in Medical Education: It's Not So Black and White Anymore

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Newswise PHILADELPHIAA perspective piece in this weeks issue of the New England Journal of Medicine from a student at the University of Pennsylvanias Perelman School of Medicine addresses the evolution of diversity in medical education. Its not a numbers game anymore, says author Mark A. Attiah, a medical student pursuing both a Masters in translational research and bioethics. Diversity is a mindset that extends into the classroom and the hospital.

Achieving diversity in todays medical schools goes beyond bringing underrepresented students into the fold, he says. Its about creating an optimal learning environment, where people with different ideas, cultures, opinions, and experiences feel comfortable amongst each other and part of a larger dialogue to come together to solve tomorrows health care problems.

If the ultimate goal of diversity in medical schools and residency programs is to improve patient care, a good first step is to create a world where all trainees can feel supported while learning and working to the best of their ability, he writes. Establishing an inclusive learning environment means that people from all different walks of life can not only have a seat at the same table but also be comfortable in their chairs.

That, he says, can only be achieved with a commitment to diversity that is inseparable from an institutions identity and a fundamental part of its success.

For the past few decades, the definition of diversity in medical education has largely remained the same, as well as the social mandate to increase it. Many efforts have focused on improving access to the field for minorities, but this good intentions approach, he says, fails to critically examine diversitys true meaning and strips of its potential to advance the field of medicine.

The new approachcalled Diversity 3.0, a term coined by IBMfocuses on differences beyond race and ethnicity. Peoples worldviews may diverge for many reasonsowing to the experiences of military service, for example, or to sexual orientation or the language one speaks, he writes. All such characteristics and experiences figure into the new diversity, which acknowledges that shared experiences in this country no longer track simply with race. Diversity is not so black and white anymore.

The new definition shouldnt discount the old one, thoughit should build off of it, Attiah says. The definition of diversity is changing, he says. I think overall for the better, but people should keep in mind that the previous definition has merit, he says. There is still a shared narrative among minority students that has supported a collective consciousness for decades and helped improve patient care because of a rapport with patients rooted in racial or cultural similarities.

Over the last year, Penn Medicine has solidified its commitment to inclusion and diversity. Eve Higginbotham, SM, MD, Penn Medicines first Vice Dean for Inclusion and Diversity, joined last year to spearhead Penn Medicines Office of Inclusion and Diversity. Its efforts are aimed at supporting the many innovative programs underway, as well as exploring new opportunities to embrace diversity and broaden access to people of all ethnicities, historical traditions and economic backgrounds, genders, religions and disabilities, and respecting sexual orientation and veteran status.

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Diversity in Medical Education: It's Not So Black and White Anymore

Tampa Bay Lightning owner Jeff Vinik will donate land for downtown USF medical school

TAMPA Jeff Vinik wants the University of South Florida to build a new medical school on his downtown property so badly that he's willing to give the school an acre of his land to seal the deal.

The Tampa Bay Lightning owner made the offer this week to USF president Judy Genshaft and Dr. Charles Lockwood, senior vice president for USF Health and dean of the Morsani College of Medicine, according to a university spokesman.

"It would be a gift from Mr. Vinik to the university," said USF spokesman Adam Freeman, "and it would be contingent upon the Morsani College of Medicine and USF Health Heart Institute being built in that location."

Vinik's offer was made public during Wednesday's meeting of the USF Board of Trustees health workgroup, a committee that oversees USF Health's academic and medical programs. A Vinik spokesman declined to comment.

The donation from Vinik would satisfy a make-or-break condition for the project laid down by Genshaft: Last week she told the Tampa Bay Times that the university would build a downtown medical school only on donated land. She said USF would not buy any downtown property for the proposed project.

But bringing USF's new medical school to downtown would satisfy an important part of Vinik's plan to redevelop downtown Tampa.

The Lighting owner has amassed a significant chunk of southern downtown around the team's home at the Amalie Arena: the Channelside Bay Plaza outdoor mall, the Tampa Marriott Waterside Hotel & Marina and 24 empty acres around the arena.

By the end of the year, Vinik is set to unveil his plans to transform the area into a walkable entertainment district with room for retail, residential, hotel and office space. He's already planning to build a new high-rise hotel west of the arena.

But Vinik also wants to attract major employers in high-end industries to his redevelopment project, including a downtown medical school.

The land that Vinik has proposed donating to USF is "about an acre," Freeman said, at the corner of Channelside Drive and S Meridian Avenue, across the street from an arena parking lot Vinik owns next to the Tampa Bay History Center.

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Tampa Bay Lightning owner Jeff Vinik will donate land for downtown USF medical school

Policies on marketing gifts to medical students

PUBLIC RELEASE DATE:

14-Oct-2014

Contact: Maya Sandler medicinepress@plos.org PLOS

Interactions between health care professionals and the prescription drug and medical device industries are common in the United States, especially in academic medical centers, and may include gifts to medical students such as textbooks and interactions of marketing representatives with students. Such practices have been criticized as potentially conveying biased information and reducing the students' skepticism about potentially misleading claims. Numerous expert professional groups and medical societies support development of policies by medical schools to limit such interactions, and some medical schools have implemented such policies. However, whether such policies are effective remains unclear. James Yeh and colleagues (Brigham and Women's Hospital and Harvard Medical School, Boston, Massachusetts, USA) compared the 2011 survey results of a nationwide random sample of first and fourth year US medical students (1610 responses; 49.3% response rate) regarding interactions with and gifts from pharmaceutical marketing representatives with policy dimensions reported for 121 allopathic medical schools on the American Medical Student Association (AMSA) PharmFree Scorecard and the Institute on Medicine as a Profession (IMAP) Conflicts of Interest Policy Database for 2010. The policy dimensions included individualindustry interactions, institutionalindustry interactions, and industry involvement in educational activities.

The authors found that students from schools with the most stringent industry interaction policies were less likely to report receiving gifts (AMSA score, odds ratio [OR]: 0.37, 95% CI 0.190.72; IMAP score, OR 0.45, 95% CI 0.191.04) and less likely to interact with marketing representatives (AMSA score, OR 0.33, 95% CI 0.150.69; IMAP score, OR 0.37, 95% CI 0.140.95) than students from schools with the lowest ranked policy scores. Adjusting for year in training and medical school size did not change the relationship substantially, but when they adjusted for funding from the National Institutes of Health, the association was no longer found. The authors suggest this may have been because schools with NIH funding have more experience implementing policies to address institution-industry interactions and more funding for compliance officers, or because schools with less NIH funding may be more dependent on pharmaceutical company gifts to help fund educational activities. The study's limitations included that it was cross-sectional in nature and the survey was conducted a year after the policy dimensions were rated.

The authors state, "Policies banning gifts were associated not only with reduced reports of receipt of industry gifts by students, but also with fewer interactions with pharmaceutical marketing representatives overall and greater perception of adequate separation between the faculty and industry. These results suggest that as US academic medical centers look to create or reform regulations on industry interactions for medical students, limiting receipt of gifts should be a central feature of the policies. Medical trainees who receive even small-value gifts from marketing representatives have been found to have more favorable attitudes towards pharmaceutical products and marketing representatives and tend to believe they are immune to the biases that can arise from such interactions." They conclude, "As medical schools review policies regulating medical students' industry interactions, limitations on receipt of gifts and meals and participation of faculty in speaking bureaus should be emphasized, and policy makers should pay greater attention to less research-intensive institutions."

###

Research Article

Funding: Survey funded by a grant from the Edmond J. Safra Center for Ethics at Harvard University. Institute of Medicine as Profession's data were made possible by a grant from the state Attorney General Consumer and Prescriber Education Grant Program, which is funded by the multi-state settlement of consumer fraud claims regarding the marketing of the prescription drug Neurontin. ASK is supported by a Greenwall Faculty Scholarship in Bioethics, a Robert Wood Johnson Foundation Investigator Award in Health Policy Research, and a career development award from the Agency for Healthcare Research & Quality (K08HS18465). The funders had no role in study design, data collection and analysis, decision to publish, or preparation of the manuscript.

Competing Interests: KEA was a member of the American Medical Student Association (AMSA) at the time this study was carried out and received funding to attend conferences from AMSA. ASK is a member of the Editorial Board of PLOS Medicine. Preliminary results of this study were presented in a poster at the Eight Annual Massachusetts Medical Society Research Poster Symposium in the health policy/medical education category in December 2013 and received a second-place prize. An abstract of the study was presented orally and selected as a finalist for the Mack Lipkin Sr. Research Award at the Society of General Internal Medicine Annual Meeting in April 2014.

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Policies on marketing gifts to medical students

Medical school makes funding cuts manageable

Despite the John A. Burns School of Medicines (JABSOM) top funder receiving budget cuts, the school continues to maintain its forward momentum in the field of biogenetics research with help from its team of researchers and by using the money it is currently receving to build a self-sustaining research facility.

According to a National Insititutes of Health (NIH) fact sheet, in March 2013, President Barack Obama signed an order that initiated a process known as sequestration for the institutes fiscal year 2013 budget. This required the organization to cut its budget by five percent or $1.55 billion.

This cut affected research in universities nationwide, and according to Talia Ogliore, public information officer for the Office of the Vice Chancellor of Research at UH Mnoa, dropped the amount received by University of Hawaii at Mnoa during the federal stimulus years from $68 million to between $40-$44 million a year since 2012.

In recent years, UH Mnoa has increasingly sought to diversify our funding sources for health-related research, looking for additional opportunities with state, local and private health organizations and Hawaii non-profits, many of which have medical missions, Ogliore said in an email interview.

According to Ogliore, this research funding has come from various medical facilities such as the Queens Medical Center, Kapiolani Medical Center for Women and Children and Kuakini Medical Center.

Making cuts manageable

Tina Shelton, communications and government affairs director at JABSOM, explained that small changes, such as trips to academic meetings being replaced with conference calls, have made the cuts manageable.

The faculty itself has upped its pursuit of lesser-known funding with energetic and aggressive grants proposals that rely on the success of previous research such as the worlds first cloning of a mouse, Shelton said.

She added that these efforts to bring in the extra funding not only help with the discovery of new scientific breakthroughs but also help JABSOM as the medical campus is required to be completely self-sustaining. All maintenance of the buildings, salaries of the faculty and other expenses must be paid for by JABSOM. UH Mnoa and the UH system also benefit as 50 percent of outside funding acquired goes to help fund the other campuses.

Receiving grants

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Medical school makes funding cuts manageable

Jeff Vinik hires Tallahassee lobbyists amid talk of USF med school move

TAMPA Tampa Bay Lightning owner Jeff Vinik has hired heavy-hitting lobbyist Brian Ballard and two others to represent his interests in Tallahassee.

A Lightning spokesman would not comment Tuesday on the goals to be given the lobbyists, who weren't talking much, either.

But it would come as no surprise for them to lobby the Legislature for millions of dollars for a new downtown medical school for the University of South Florida a project USF is considering putting on Vinik's land near Amalie Arena.

Tampa Mayor Bob Buckhorn assumes Vinik hired the lobbyists for that purpose.

"I don't know that for a fact, but I've got to believe that he may try and help the process as best he can, as will I," he said.

On Monday, Buckhorn met with one of City Hall's lobbyists, William Peebles, telling him that funding for a downtown medical school is "the city's top priority" for next spring's legislative session.

USF assistant vice president for government relations Mark Walsh said he hadn't heard that Vinik had expanded his lobbying team, but "if they want to work with us,'' he said, "we always welcome the help."

Along with Ballard, Vinik's companies hired Ballard's associate Greg Turbeville and attorney-lobbyist Mark Logan, who has worked with Ballard in the past. Brandon-based lobbyist Ronald Pierce, who already had worked with the Lightning and the arena, also is part of the expanded team.

A state lobbying registry indicates Ballard, Turbeville and Logan will represent the Lightning, Strategic Property Partners, Vinik's real estate holding company, and Tampa Bay Sports & Entertainment LLC, the parent company of the Lightning, the Tampa Bay Storm and Amalie Arena.

Ballard said it's too early to start talking about the work, but he's impressed with Vinik.

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Jeff Vinik hires Tallahassee lobbyists amid talk of USF med school move

Medical courses in Damascus taught on the wild side — Gazette.Net

Dr. Ellen Smith, of Damascus, offers doctors and medical students the chance to take their knowledge and skills from inside the four walls of a hospital to the great outdoors.

For almost 10 years, Smith has been offering wilderness medicine courses to anyone interested whether they have a medical degree, are seeking a medical degree or just often find themselves outside.

There are a lot of educational gaps on how to handle stuff outside of the hospital, Smith said. You dont have the equipment that a paramedic has, but you have the knowledge of a doctor.

Smith estimates that she has taught her course, which she created utilizing her experience as an emergency medicine physician and sports medicine doctor, to more than 600 people ranging from doctors looking for continued medical education to Boy Scout leaders.

This is one of the most interesting and fun branches of medicine because it involves hands on movement and a less didactic [approach], Smith said.

On Saturday, Smith brought students from Virginia Commonwealth University School of Medicine and University of Maryland School of Medicine to a wooded area near Difference Makers Church in Damascus to take the course.

These students are in the first two or so years of medical school and are exploring all different types of medicine, Smith said, explaining that experiencing it is the best way to decide what path to take.

Smiths curriculum has been approved by the American College of Emergency Physicians as well as the American Medical Association and although her regular course gives certifications of completion, the course she taught last weekend was geared toward introducing the students to the field rather than giving them any sort of credit.

When I started med school I was very interested in wilderness medicine and VCU didnt have an interest group or any sort of elective, Phillip Sasser, a Virginia Commonwealth University medical student said. Me and a few people started a wilderness medicine interest group this year.

Sasser reached out to Smith because he and the group were looking for someone with experience that would be with them physically during a camping trip or full day lesson, similar to what they did last weekend. Sasser felt as if he needed to learn and practice this type of medicine outside and in the environment it would be used. Smith responded to his request immediately and told him to gather no more than 60 students who wanted to participate.

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Medical courses in Damascus taught on the wild side -- Gazette.Net

VA secretary looking for a few good medical students

By Wilson Ring The Associated Press October 13, 2014

BURLINGTON, Vt.

The new secretary of the Department of Veterans Affairs made an impassioned recruitment pitch to medical school and nursing students at the University of Vermont on Monday, urging them to consider careers in the VA.

It was the latest in a series of recruiting stops VA Secretary Robert McDonald has made since he took over at the end of July with a mission to overhaul an agency beleaguered by long waits for health care for the nation's veterans and by workers falsifying records to cover up delays.

Besides filling immediate needs of reducing wait times for people seeking treatment at VA facilities across the country, he said he sees the long-term way to improve the system and keep it vibrant as bringing in more staff.

"There is no higher calling," McDonald said to a conference room full of students at the College of Medicine, referencing the opportunity to care for the nation's veterans and, in some cases, their dependents.

But he also touted the practical benefits. A new law allows the VA to pay up to $120,000 in debt forgiveness for medical professionals. Last year, the average UVM medical graduate had $175,000 in debt.

After leaving Burlington, McDonald drove south to the Dartmouth-Hitchcock Medical Center, in Lebanon, New Hampshire, where he made a similar pitch to students.

In the last few weeks he's made stops in California and North Carolina. In the coming days he's going to the Boston area and then Maryland.

McDonald was accompanied during his visit to Burlington by U.S. Sen. Bernie Sanders, a Vermont independent who chairs the Senate Committee on Veterans' Affairs and has been a long-time advocate for veterans.

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VA secretary looking for a few good medical students

Alabama doctor has hopes of building library in Nigeria

Dr. Smithson Ahiabuike holds one of his books, Whispers of Love, on Oct. 6 at his home in Gadsden. Proceeds from book sales will be used to ship books to the Nigerian village Eluama-Isuikwuato, where he grew up.

GADSDEN | Dr. Smithson Buchi Ahiabuike, known as Dr. A.B. at Riverview Regional Medical Center, craved the written word when he was growing up in Nigeria.

But it was hard to come by.

"My father didn't go to school," Ahiabuike said. "We had very little."

There certainly was no money for books.

Books were a rarity at school, as well.

And there was no library within a 100-mile radius of his village of Eluama-Isuikwuato.

There still isn't.

That's something Ahiabuike wants to change.

The hospitalist is more than a doctor. He is a published poet. He plans to use proceeds from his second volume of verse, "Whispers of Love," to ship books to Eluama-Isuikwuato. If he collects enough books and raises enough money, he hopes to build a library.

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Alabama doctor has hopes of building library in Nigeria

Doctor has hopes of building library in Nigeria

GADSDEN, Ala. (AP) Dr. Smithson Buchi Ahiabuike, known as Dr. A.B. at Riverview Regional Medical Center, craved the written word when he was growing up in Nigeria.

But it was hard to come by.

"My father didn't go to school," Ahiabuike said. "We had very little."

There certainly was no money for books.

Books were a rarity at school, as well.

And there was no library within a 100-mile radius of his village of Eluama-Isuikwuato.

There still isn't.

That's something Ahiabuike wants to change.

The hospitalist is more than a doctor. He is a published poet. He plans to use proceeds from his second volume of verse, "Whispers of Love," to ship books to Eluama-Isuikwuato. If he collects enough books and raises enough money, he hopes to build a library.

Book donations can be dropped off at the Riverview gift shop, where "Whispers of Love" also is for sale.

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Doctor has hopes of building library in Nigeria