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I have had to learn to be quiet. And I don’t always do that in groups … Usually if I were in a discussion group, I would have tended to be one of the more vocal participants. So I have had to learn to sit on my hands or bite my tongue or count to ten or something, and learn that every thought that comes into your head doesn’t have to be expressed to everybody... [Civic reflection] definitely taught me listening skills.

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--Attending Physician, Hospital