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2026 How to Become a Dialysis Technician – Salary & Requirements

Imed Bouchrika, PhD

by Imed Bouchrika, PhD

Co-Founder and Chief Data Scientist

Table of Contents
  1. What does a dialysis technician do?
  2. How to become a dialysis technician step by step
  3. Skills dialysis technicians need
  4. Job outlook for dialysis technicians
  5. What you can do with dialysis technician training
  6. Dialysis technician salary
  7. How to advance as a dialysis technician
  8. Alternative career options
  9. Best certifications for dialysis technicians
  10. Can you get hired with only a certificate?
  11. Emerging dialysis technologies
  12. Medical billing and coding cross-training
  13. Using a biology degree in dialysis care
  14. Using public health training in dialysis care
  15. Affordable education options
  16. Pharm D online degree and medication management
  17. Healthcare administration degree benefits
  18. Educational pathways for specialization
  19. Other healthcare careers with additional training
  20. Common challenges in dialysis technician work
  21. Online graduate certificates for dialysis techniciansKey Insights

What is a dialysis technician?

A dialysis technician is a healthcare worker trained to help deliver dialysis treatment for people with kidney failure or severe kidney disease. The technician prepares dialysis equipment, connects patients to the machine, monitors vital signs, watches for complications, documents treatment details, and helps maintain a safe and clean treatment environment.

Dialysis technicians do not work alone. They usually operate under the supervision of nurses, physicians, nephrology teams, or clinic leaders. Their work supports patients who may receive dialysis several times per week, so consistency, accuracy, and compassion matter as much as technical skill.

Typical responsibilities include:

  • Preparing dialysis machines and treatment stations before patients arrive.
  • Checking patient identity, weight, blood pressure, and other pre-treatment information.
  • Connecting patients to hemodialysis equipment according to clinical protocols.
  • Monitoring machine readings and patient responses during treatment.
  • Reporting abnormal symptoms, equipment concerns, or safety issues to licensed clinical staff.
  • Cleaning, disinfecting, and maintaining equipment according to infection-control standards.
  • Helping patients understand what to expect during treatment and when to report symptoms.

Most aspiring technicians complete focused training rather than a long professional degree. Many programs last 12 to 18 months and cover renal function, dialysis principles, medical terminology, patient care, infection prevention, and hands-on clinical practice. Students who want broader healthcare advancement may later consider related credentials, including online graduate certificate programs in healthcare, leadership, public health, or quality improvement.

The visual below highlights a common scheduling pattern: dialysis technicians may work three days weekly in some settings, although actual schedules depend on employer needs, shift design, patient volume, and clinic hours.

63.1% – Proportion of designated health professional shortage areas in rural communities.

What graduates say about dialysis technician work

  • Choosing dialysis care changed how I viewed healthcare. The work can be demanding, but helping patients through treatment gives the job a real sense of purpose. -Mila
  • The online coursework helped me keep up with family responsibilities while preparing for clinical work. Certification gave me the confidence to step into a treatment setting. -Troy
  • This career gave me a way to combine patient interaction with technical healthcare skills. It also introduced me to other opportunities in the medical field. -Lee

How to Become a Dialysis Technician

The standard route into dialysis technology is straightforward: finish high school, complete dialysis training, gain clinical practice, and pursue certification if required or preferred by employers. Some technicians enter with a certificate, while others hold an associate or bachelor's degree. In the field, 31.81% of technicians are represented by associate degree holders, while 45.93% hold a bachelor's degree.

StepWhat to doWhy it matters
1. Finish high school or an equivalent credentialComplete a diploma or GED and strengthen science, math, communication, and health-related coursework when possible.Most training programs and employers require at least this baseline education.
2. Choose a dialysis technician programCompare certificate, diploma, associate degree, and bachelor's-level options. Look for clinical training, exam preparation, and employer recognition.The right program should prepare you for both patient care and dialysis equipment responsibilities.
3. Complete classroom and lab instructionStudy anatomy, physiology, kidney function, medical terminology, dialysis principles, infection control, and emergency procedures.Technicians must understand both the machine and the patient response to treatment.
4. Gain supervised clinical experiencePractice treatment setup, monitoring, documentation, and safety procedures in an approved healthcare environment.Employers expect technicians to be ready for real clinical workflows, not just classroom concepts.
5. Earn certification if required or recommendedConsider credentials such as CCHT, CHT, or CDT depending on your state, employer, and career goals.Certification can strengthen hiring prospects and may be required in some work settings.
6. Apply for entry-level dialysis rolesTarget dialysis centers, hospitals, outpatient clinics, and specialty care facilities.Entry-level work builds the experience needed for higher responsibility, specialization, or advancement.

Some healthcare students compare dialysis technology with other patient-care careers before committing. If you are interested in respiratory care, for example, you may also want to review how to become a respiratory therapist, since that path also combines technical equipment knowledge with direct patient care.

Certificate vs. degree: Which path makes sense?

PathBest forTrade-offs
Dialysis technician certificateStudents who want the fastest focused route into entry-level dialysis work.May be enough for many jobs, but advancement could require additional education later.
Associate degreeStudents who want broader healthcare coursework and potential transfer options.Takes longer than a short certificate but may support future healthcare education.
Bachelor's degreeStudents interested in management, research, public health, or future clinical pathways.Usually a bigger time and cost commitment than needed for entry-level technician work.

What skills do I need to become a dialysis technician?

Dialysis technicians need a balanced skill set. The role is not only about operating a machine; it also requires careful patient observation, clean technique, accurate documentation, and the ability to stay calm when a patient's condition changes.

Skill areaWhat it looks like on the jobWhy employers value it
Patient care and assessmentChecking vital signs, observing symptoms, listening to patient concerns, and reporting changes.Dialysis patients may experience complications that require quick escalation.
Dialysis equipment operationSetting up machines, monitoring readings, responding to alarms, and following treatment orders.Safe treatment depends on accurate setup and ongoing machine monitoring.
Manual dexterityHandling lines, supplies, and venipuncture-related tasks with precision.Small mistakes can affect patient comfort, safety, and treatment quality.
Infection controlUsing personal protective equipment, cleaning equipment, and following strict sanitation procedures.Dialysis involves blood exposure risk, so prevention protocols are essential.
CommunicationExplaining procedures clearly, calming anxious patients, and coordinating with nurses and physicians.Patients often return for repeated treatment, making trust and clarity important.
Physical staminaStanding for long periods, moving equipment, and working through busy treatment schedules.Dialysis shifts can be physically demanding and time-sensitive.
Attention to detailRecording treatment data, verifying orders, and noticing changes in patient condition.Documentation and accuracy protect patients and support clinical decision-making.

The importance of patient care is reflected in employer language: 14.05% of employers include the keyword "patient care" in dialysis technician job descriptions. Students who discover they prefer rehabilitation-focused care after gaining patient experience may also compare this route with the requirements for becoming an occupational therapist.

$78,980 – Estimated average annual salary for radiologic technologists.

What is the career outlook for dialysis technicians?

The job outlook for dialysis technicians is tied to several healthcare trends: chronic kidney disease, diabetes, hypertension, aging patient populations, and the ongoing need for outpatient dialysis services. The U.S. Bureau of Labor Statistics classifies this work within the broader clinical laboratory technologists and technicians category, which is projected to grow by 5% from 2024 to 2034. That is faster than the average for all occupations projected at 3%.

This does not guarantee a job for every graduate, and local demand can vary. However, dialysis remains a recurring treatment need for many patients, and facilities need trained workers who can support safe and efficient care. Candidates with certification, strong clinical references, flexible availability, and comfort with patient interaction may be better positioned in competitive markets.

Current trends affecting dialysis technician work

  • More data-driven treatment monitoring: Dialysis centers increasingly rely on machine data, electronic records, and treatment analytics to track patient response.
  • Stronger infection-control expectations: Dialysis technicians must follow rigorous procedures because treatment involves blood access and repeated patient visits.
  • Employer preference for certification: Even when a certificate is enough to begin training, recognized certification can help show readiness and commitment.
  • More cross-functional healthcare teams: Technicians often coordinate with nurses, nephrologists, dietitians, social workers, and administrative staff.

What can I do with a dialysis technician degree?

Dialysis technician education can lead directly to patient-care roles in kidney treatment settings. Depending on your education level, certification, and experience, it may also support movement into research, operations, nursing preparation, healthcare administration, or quality-focused positions.

  • Dialysis technician: Operate dialysis equipment, prepare treatment stations, monitor patients, and document care.
  • Hemodialysis technician: Focus specifically on hemodialysis treatment in outpatient or hospital settings.
  • Patient care technician in renal care: Support dialysis teams through direct patient assistance and clinical preparation tasks.
  • Clinical support role in a dialysis center: Assist with patient flow, supply preparation, equipment readiness, and treatment documentation.
  • Research or device support role: Use dialysis knowledge in pharmaceutical, medical equipment, or renal care product environments.

Education can influence earnings and advancement. According to Zippia, dialysis technicians with an associate degree make up 25% of the field. Zippia also reports that higher education levels, including a master's or doctorate, are associated with higher earnings, and a master's degree can lead to an average annual salary of $46,090.

If your long-term goal is a broader clinical scope, you may eventually compare dialysis technology with nursing pathways. For example, completing online RN to BSN programs can support a different level of clinical responsibility for registered nurses and may open nephrology nursing or supervisory opportunities.

How much do dialysis technicians make?

According to Zippia, dialysis technicians in the United States earn an average salary of $40,195 per year, or about $19.32 per hour. Entry-level technicians may start around $29,000 annually, while experienced technicians can earn up to $54,000 or more.

Salary factorHow it can affect pay
LocationPay can differ by state, city, cost of living, and regional healthcare demand.
ExperienceTechnicians with more years in dialysis care may qualify for higher pay or senior responsibilities.
CertificationRecognized credentials can improve competitiveness and may be required by certain employers.
Education levelAdditional degrees may support movement into leadership, research, nursing, or administration.
Work settingHospitals, specialty dialysis centers, outpatient clinics, and research environments may offer different compensation structures.

Further education can increase long-term career options, although it should be evaluated carefully against tuition, time, and opportunity cost. This is true across healthcare careers, from dialysis technology to longer pathways such as surgeon schooling, where additional education changes the scope of practice and career ceiling.

How can I advance my career as a dialysis technician?

Career growth in dialysis usually comes from a combination of experience, certification, specialized training, and leadership readiness. Some technicians stay in direct patient care and become highly skilled senior technicians. Others move toward quality assurance, training, management, clinical research, nursing, public health, or healthcare administration.

Advancement goalPossible next stepWhy it helps
Become more competitive for dialysis jobsEarn a recognized dialysis technician certification.Certification validates knowledge and may satisfy employer requirements.
Move into senior technician workBuild experience across shifts, patient types, and equipment systems.Employers often value technicians who can mentor others and troubleshoot safely.
Enter supervision or operationsStudy healthcare administration, quality improvement, or leadership.Management roles require budgeting, compliance, scheduling, and process oversight.
Transition into nursingComplete nursing prerequisites and pursue an approved nursing program.Dialysis experience can provide a strong patient-care foundation.
Work in research or quality managementPursue advanced coursework and build documentation, data, and compliance skills.Some advanced roles, such as Clinical Research Manager or Dialysis Program Director, can reach salaries up to $150,000.

The first career milestone is learning how to become a dialysis technician. The next is deciding what kind of healthcare professional you want to become after you have real patient-care experience.

What are alternative career options for a dialysis technician?

Dialysis technician training can make it easier to move into related healthcare support careers because the role builds patient interaction, documentation, safety, and technical equipment habits. Additional training or certification is usually required when changing specialties.

  • EKG Technician: Focuses on heart monitoring and diagnostic testing, with an average salary of approximately $50,000.
  • Phlebotomist: Draws blood for testing, transfusion, or donation and typically earns around $35,000 annually.
  • Medical Technologist: Performs more complex testing on blood and bodily fluids, with salaries averaging $69,000 per year.

Technicians who want a larger clinical role may also compare bridge or accelerated nursing options, including accelerated RN to NP programs, although nurse practitioner pathways require substantially more education, licensure, and clinical preparation than dialysis technician roles.

Which certification is best for dialysis technicians?

The best dialysis technician certification depends on your state, employer, and career goals. A commonly recognized option is the Certified Clinical Hemodialysis Technician credential from the Nephrology Nursing Certification Commission.

Other credentials include the Certified Hemodialysis Technician from the Board of Nephrology Examiners Nursing and Technology and the Certified Dialysis Technician from the National Nephrology Certification Organization. Before choosing an exam, ask local employers which credential they prefer and whether your training program prepares you for that specific certification.

Certification questionWhy to ask it
Is this credential accepted by employers in my area?Recognition can vary by facility, region, and hiring policy.
Does my program prepare me for the exam?Training should align with exam content and clinical expectations.
Are there renewal or continuing education requirements?Credentials may require ongoing professional development.
Will certification affect my pay or advancement?Some employers connect credentials to hiring, promotion, or wage steps.

Healthcare professionals who enjoy adding specialized credentials may later pursue other advanced options. For example, a speech pathology master's online represents a different healthcare specialization for students whose long-term interests shift toward communication disorders and clinical therapy.

Can you get a dialysis technician job with just a certificate?

Yes. Many dialysis centers and healthcare facilities consider applicants who have completed certificate programs in hemodialysis or a closely related area. A certificate can be enough for entry-level consideration when it includes relevant coursework, hands-on practice, and preparation for certification requirements.

However, not every certificate carries the same value. Before enrolling, confirm that the program is recognized by employers, includes clinical experience, prepares students for the certification used in your area, and clearly states its completion requirements. A low-cost or short program may not be worthwhile if it does not meet hiring expectations.

Questions to ask before choosing a dialysis technician certificate

  • Does the program include supervised clinical practice?
  • Which certification exam does it prepare students for?
  • Do local dialysis centers hire graduates from this program?
  • What are the total costs, including fees, supplies, background checks, immunizations, and exam costs?
  • Are classes online, in person, or hybrid?
  • Does the program help with job placement, resume preparation, or clinical site assignment?
  • What happens if I cannot complete clinical hours on the original schedule?

What emerging technologies can redefine dialysis technician roles?

Dialysis care is becoming more technology-supported, and technicians need to keep pace. Automated machine diagnostics, remote monitoring tools, electronic documentation, and real-time treatment data can change how technicians identify problems, communicate with clinical staff, and support patient safety.

This does not mean technology replaces the technician. It means the technician's role may require stronger data literacy, comfort with equipment interfaces, and the ability to follow updated protocols. Professionals who like technical healthcare work may also compare dialysis technology with other equipment-centered training options, such as online ultrasound tech schools.

Should I consider cross-training in medical billing and coding?

Cross-training in billing and coding can be useful if you want to understand the administrative side of dialysis care or eventually move into operations, documentation review, reimbursement support, or clinic management. Dialysis services require accurate records, correct coding, and compliance-focused billing processes.

This path is not necessary for every dialysis technician. It is most useful for technicians who enjoy detail-heavy administrative work or want a backup skill set beyond direct patient care. If that describes your goals, an affordable program that prepares you for work as a certified medical coder may help connect clinical knowledge with revenue-cycle responsibilities.

How can a biology degree enhance my dialysis technician career?

A biology degree can strengthen your understanding of anatomy, physiology, cellular processes, and scientific reasoning, all of which relate to kidney function and dialysis treatment. This background may help you interpret clinical concepts more quickly, communicate more effectively with healthcare teams, and prepare for research or advanced healthcare education.

Biology can be especially useful if you want to move beyond entry-level technical work into clinical research, quality improvement, physician assistant prerequisites, nursing, laboratory roles, or graduate study. To compare broader options, review potential jobs with a biology degree.

How can a public health background enhance my dialysis technician career?

Public health training can help dialysis technicians understand kidney disease at the population level. Instead of focusing only on one treatment session, public health examines prevention, risk factors, health education, community access, and chronic disease patterns.

This can be valuable for technicians interested in patient education, care coordination, community health programs, quality initiatives, or healthcare policy. An affordable bachelor's in public health degree may be a practical option for technicians who want to connect direct patient experience with broader health-system improvement.

How can I access affordable education while advancing my dialysis career?

Cost matters, especially for working technicians who want to advance without taking on unnecessary debt. Affordable online and part-time programs can help students continue working while building skills in healthcare management, public health, billing, quality improvement, or clinical support.

One possible route is comparing the cheapest online bachelor's degree healthcare administration options if your goal is management or operations. Also ask employers about tuition assistance, certification reimbursement, internal training, scholarships, and scheduling flexibility for clinical or practicum requirements.

Ways to reduce education costs

  • Choose a program that matches your exact career goal instead of paying for a degree you may not need.
  • Ask whether prior credits or healthcare experience can reduce program length.
  • Compare total program cost, not only advertised tuition.
  • Use employer reimbursement when available.
  • Prioritize programs with clear certification or career outcomes.

Can a Pharm D online degree enhance medication management in dialysis care?

Medication management is a major concern in kidney care because kidney function affects dosing, drug clearance, and potential interactions. Advanced pharmacy education can deepen understanding of medication safety, renal dosing principles, and interdisciplinary care.

For most dialysis technicians, a pharmacy doctorate is not required for the technician role. It may make sense only if your long-term goal is to move toward pharmacy practice, medication safety, clinical leadership, or a highly specialized interdisciplinary role. Students considering that path can explore a Pharm D online degree to understand program structure and expectations.

How does a healthcare administration degree benefit dialysis technicians?

A healthcare administration degree can help dialysis technicians move from bedside technical work into leadership, operations, compliance, scheduling, quality management, or facility oversight. This path is best for technicians who enjoy systems, people management, budgeting, and process improvement as much as patient care.

For those who already have a bachelor's degree or relevant preparation, 1 year MHA programs may offer a faster graduate route into healthcare leadership. An MHA can build skills in healthcare finance, policy, regulatory compliance, operations management, and strategic planning.

Dialysis experience can be a strong advantage in administration because you understand the treatment environment from the inside. Graduates may pursue roles such as dialysis center manager, clinical operations supervisor, or program coordinator, depending on experience, credentials, and employer requirements.

What are the educational pathways to further specialize in dialysis care?

Specialization depends on the direction you want your career to take. Some dialysis technicians deepen their renal-care expertise through certification and experience. Others use dialysis as a foundation for nursing, healthcare administration, public health, medical technology, research coordination, or quality management.

Career directionEducation or training to considerBest fit
Senior dialysis technicianAdvanced certification, employer training, and experience with multiple treatment workflows.Technicians who want to stay close to direct patient care.
Nephrology nursingNursing program, licensure, and renal-care experience.Technicians who want a broader clinical scope and nursing responsibilities.
Dialysis operations leadershipHealthcare administration degree or graduate certificate.Technicians interested in management, staffing, compliance, and clinic performance.
Clinical researchScience coursework, research methods, data documentation, and possibly graduate education.Technicians interested in studies, devices, treatment protocols, or quality data.
Public health or preventionPublic health degree or certificate.Technicians interested in chronic disease prevention and community education.

Working professionals who want a structured but faster academic option may compare 1 year online master's degrees in healthcare-related fields. The best choice depends on your current education level, time availability, budget, and the credential required for your target role.

What other healthcare careers can dialysis technicians pursue with additional training?

With additional education or certification, dialysis technicians can pursue several healthcare roles. Common options include EKG technician, patient care technician, medical assistant, phlebotomy technician, nursing assistant, licensed practical nurse, registered nurse, medical billing and coding specialist, and clinical research assistant.

If heart monitoring interests you, reviewing EKG technician salary and career information can help you compare income, training time, and daily responsibilities. The best transition is usually the one that builds on what you already enjoy: patient contact, technical equipment, lab work, administration, or long-term clinical care.

What are the most common challenges dialysis technicians face in their daily roles?

Dialysis technician work can be rewarding, but it is also physically, emotionally, and technically demanding. Understanding the challenges before enrolling in a program helps you decide whether the role fits your temperament and work style.

1. Troubleshooting dialysis machine issues

Challenge: Dialysis machines are complex, and alarms, setup errors, pressure changes, or equipment concerns can interrupt treatment.

Better approach:

  • Complete equipment checks before treatment begins.
  • Follow facility troubleshooting protocols instead of guessing.
  • Keep skills current as machines and software are updated.
  • Escalate problems promptly when patient safety could be affected.

2. Supporting patients through long-term treatment

Challenge: Many dialysis patients return repeatedly for treatment and may experience fatigue, anxiety, frustration, or fear.

Better approach:

  • Use clear, calm communication during each session.
  • Build trust without overstepping professional boundaries.
  • Report emotional or social concerns to nurses, social workers, or the appropriate care team member.
  • Recognize that consistency and kindness can improve the patient experience.

3. Handling physically demanding work

Challenge: Technicians may stand for long periods, repeat fine-motor tasks, move supplies, and work through busy shifts.

Better approach:

  • Use proper body mechanics and workplace ergonomics.
  • Take short breaks when the schedule allows.
  • Build stamina and protect against repetitive strain.
  • Ask for help when moving equipment or handling tasks that require support.

4. Managing tight schedules and multiple patients

Challenge: Dialysis units often run on strict treatment schedules, and delays can affect patients and staff throughout the day.

Better approach:

  • Prepare supplies and stations efficiently before patient turnover.
  • Prioritize safety steps even when the unit is busy.
  • Communicate delays early to the care team.
  • Develop routines that reduce avoidable errors.

5. Maintaining infection-control discipline

Challenge: Dialysis treatment involves blood access and repeated contact with equipment, making infection prevention a core responsibility.

Better approach:

  • Follow hand hygiene, disinfection, and PPE requirements every time.
  • Never shortcut cleaning procedures to save time.
  • Stay current with facility policies and regulatory expectations.
  • Report signs of infection or contamination concerns immediately.

Why should I consider online graduate certificates for dialysis technicians?

Online graduate certificates can be useful for dialysis technicians who already have the required undergraduate background and want focused career development without committing to a full degree. These programs may cover healthcare leadership, infection control, patient safety, public health, quality improvement, or care coordination.

Affordable options such as the cheapest online graduate certificate programs can be especially helpful for working professionals who need flexible scheduling. However, graduate certificates are not usually required for entry-level dialysis technician jobs. They are better suited for advancement, specialization, or transition into administrative and leadership roles.

Potential benefitWhen it is worth considering
Lower cost than a full degreeYou need targeted skills rather than a complete graduate program.
Flexible schedulingYou work shifts and need online or part-time study options.
Specialized knowledgeYou want to move into infection control, management, quality, or patient safety.
Career signalYou want to show readiness for leadership or advanced responsibility.

Common mistakes to avoid when becoming a dialysis technician

  • Choosing the cheapest program without checking employer recognition: A low price is not useful if local facilities do not value the credential.
  • Ignoring clinical experience: Dialysis is hands-on work, and clinical training is essential for job readiness.
  • Assuming certification rules are the same everywhere: Requirements can vary by employer and location.
  • Looking only at salary averages: Pay depends on region, experience, certification, shift, and setting.
  • Underestimating the emotional side of the role: Dialysis patients often face chronic illness, and technicians need patience and resilience.
  • Forgetting long-term goals: If you want nursing, administration, research, or public health later, choose education that can support transfer or advancement.

References

Key Insights

  • A dialysis technician career can be a relatively fast entry point into healthcare, with training commonly taking 12 to 18 months or about 1-2 years depending on the pathway.
  • The job is both technical and personal. Success requires dialysis machine competence, infection-control discipline, accurate documentation, and strong patient communication.
  • Certification matters. CCHT, CHT, and CDT credentials can improve credibility, but the best choice depends on employer and location requirements.
  • A certificate can be enough for some entry-level jobs, but program quality, clinical training, and certification preparation should drive your decision.
  • According to Zippia, dialysis technicians earn an average salary of $40,195 annually, with entry-level pay around $29,000 and experienced pay reaching $54,000 or more.
  • Advancement usually requires more than time on the job. Additional certification, leadership training, nursing education, public health study, or healthcare administration coursework can expand your options.
  • Before enrolling, ask whether the program is recognized by employers, includes clinical practice, prepares you for certification, and fits your long-term healthcare goals.

Other Things You Should Know About Becoming a Dialysis Technician

What is the average salary for a dialysis technician in 2026?

In 2026, the average salary for a dialysis technician in the United States is estimated to be around $42,000 per year. However, salaries can vary based on experience, location, and specific healthcare settings.

What is the average salary for a dialysis technician in 2026?

In 2026, the average salary for a dialysis technician in the United States is approximately $45,000 to $55,000 annually. This can vary based on factors such as geographical location, level of experience, and the healthcare facility in which they are employed.

What certifications are necessary to become a dialysis technician in 2026?

In 2026, dialysis technicians typically need certification from a recognized body like the Board of Nephrology Examiners Nursing and Technology (BONENT) or the Nephrology Nursing Certification Commission (NNCC). Completion of an accredited training program and passing an exam are usually required.

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