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Atay Citron, who founded the medical clowning degree program at Haifa University, wrote in 2014 that after observing medical clowns in Canada, the United States, New Zealand and Australia, and interviewing clown doctors from the Netherlands, Germany, Russia and Brazil, he had not found stories resembling the Israeli Dream Doctors audacity and insane courage. He described their ethos as one of independent spirit, brash humor, bold innovation, risk-taking and creativity, alongside formal training that emphasizes careful listening, hospital rules and cooperation with medical staff

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