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Behaviorally-oriented CC training offered a robust foundation for culturally competent care. Behaviorally-oriented CC training offered a robust foundation for culturally competent care. Re-operative parathyroidectomy in patients with recurrent or persistent hyperparathyroidism can be challenging. We review our experience to determine the optimal number of localization studies prior to re-operation. From 2001 to 2019, 251 patients underwent re-operative parathyroidectomy. Parathyroidectomies were stratified to 4 groups based upon the