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In light of the recent studies, we will suggest that the interaction of visual and executive loops could strengthen or weaken learned associations following different reward values. Furthermore, we speculate that the overlap of the visual and executive loops can account for the switching between the associative vs. rule-based category learning systems. In 2018, the ACGME (Accreditation Council for Graduate Medical Education) made a change to the maximum permissible number of consecutive nights a resident trainee can be on "night float,"
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