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The possibility of using the CNL to change microsystems outside of the USA was incorporated into one CNL program atthe University of Virginia where all students are required to take a course on culture and health, and also have an option in their community health course to elect an international practicum in Guatemala, South Africa, Lesotho, Denmark and Honduras. Through their coursework and international experiences, students apply skills honed in the CNL curriculum within anotherculture and health care system
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