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You may notice a little bruising later

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Comment: CMS received numerous comments in support of our proposal to modify the definition of approved medical residency program so that accreditors may not require as part of accreditation, or otherwise encourage institutions to put in place, diversity, equity, and inclusion programs that encourage unlawful discrimination on the basis of race or other violations of Federal law

Even minor volume inconsistencies can change the desired concentration significantly if the volumes are tiny