GET https://rct.dev.bbntimes.com/science/will-surgeons-lose-their-skills-in-the-age-of-automation

Response
200 OK
IP
3.17.75.8
Profiled on
Token
ca9cc3

ArticleController :: show

Request

GET Parameters

None

POST Parameters

None

Uploaded Files

None

Request Attributes

Key Value
_controller 
"App\Controller\ArticleController::show"
_firewall_context 
"security.firewall.map.context.main"
_links 
Symfony\Component\WebLink\GenericLinkProvider {#3627
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      -attributes: [
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    3745 => Symfony\Component\WebLink\Link {#3745
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      -attributes: [
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    3744 => Symfony\Component\WebLink\Link {#3744
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      ]
    }
    3741 => Symfony\Component\WebLink\Link {#3741
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      -rel: [
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      ]
      -attributes: [
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      ]
    }
    3740 => Symfony\Component\WebLink\Link {#3740
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      -rel: [
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      ]
      -attributes: [
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    }
    3739 => Symfony\Component\WebLink\Link {#3739
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      -rel: [
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      ]
    }
    3738 => Symfony\Component\WebLink\Link {#3738
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      -attributes: [
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      ]
    }
    3737 => Symfony\Component\WebLink\Link {#3737
      -href: "/build/term-condition-css.css"
      -rel: [
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      -attributes: [
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      ]
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    3736 => Symfony\Component\WebLink\Link {#3736
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      -rel: [
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      -attributes: [
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    3735 => Symfony\Component\WebLink\Link {#3735
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      -rel: [
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      -attributes: [
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      ]
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}
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"article_show"
_route_params 
[
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_security_firewall_run 
"_security_main"
_stopwatch_token 
"201cf5"
category 
"science"
slug 
"will-surgeons-lose-their-skills-in-the-age-of-automation"

Request Headers

Header Value
accept 
"*/*"
accept-encoding 
"gzip, br, zstd, deflate"
connection 
"close"
cookie 
"PHPSESSID=4ff0d4k4ugudjgc5n8r5m300i1; care_did=acb4c56c-eb88-47a8-9882-c06291e0172a"
host 
"rct.dev.bbntimes.com"
user-agent 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
x-php-ob-level 
"1"

Request Content

Request content not available (it was retrieved as a resource).

Response

Response Headers

Header Value
cache-control 
"no-cache, private"
content-type 
"text/html; charset=UTF-8"
date 
"Sat, 22 Feb 2025 13:31:26 GMT"
link 
"</build/runtime.js>; rel="preload"; as="script",</build/644.js>; rel="preload"; as="script",</build/502.js>; rel="preload"; as="script",</build/app.js>; rel="preload"; as="script",</build/view-more.js>; rel="preload"; as="script",</build/term-condition.js>; rel="preload"; as="script",</build/contact.js>; rel="preload"; as="script",</build/scroll-infinite-article.js>; rel="preload"; as="script",</build/app.css>; rel="preload"; as="style",</build/cookie-style.css>; rel="preload"; as="style",</build/term-condition-css.css>; rel="preload"; as="style",</build/contact-css.css>; rel="preload"; as="style",</build/comment-css.css>; rel="preload"; as="style""
x-debug-token 
"ca9cc3"

Cookies

Request Cookies

Key Value
PHPSESSID 
"4ff0d4k4ugudjgc5n8r5m300i1"
care_did 
"acb4c56c-eb88-47a8-9882-c06291e0172a"

Response Cookies

No response cookies

Session 6

Session Metadata

Key Value
Created 
"Sat, 22 Feb 25 13:31:09 +0000"
Last used 
"Sat, 22 Feb 25 13:31:24 +0000"
Lifetime 
0

Session Attributes

Attribute Value
_csrf/https-comment 
"6iOQB1jlKVv2P6i2OAtLubMcJDGdK25ZDxdX5fQ4YoI"
_csrf/https-cookie_accept 
"OwsiVaIGkuNqg3_YVGiMSakcwx6HqPqbZHdpa1NiY84"

Session Usage

6 Usages
Stateless check enabled
Usage
Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:76
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:79
Show trace 
[
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:52
Show trace 
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Symfony\Component\Security\Csrf\TokenStorage\SessionTokenStorage:56
Show trace 
[
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    "type" => "->"
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    "line" => 181
    "function" => "show"
    "class" => "App\Controller\ArticleController"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 76
    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/Kernel.php"
    "line" => 197
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/runtime/Runner/Symfony/HttpKernelRunner.php"
    "line" => 35
    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\Kernel"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    "line" => 29
    "function" => "run"
    "class" => "Symfony\Component\Runtime\Runner\Symfony\HttpKernelRunner"
    "type" => "->"
  ]
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
  ]
]
Symfony\Component\Security\Core\Authentication\Token\Storage\UsageTrackingTokenStorage:41
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-core/Authentication/Token/Storage/UsageTrackingTokenStorage.php"
    "line" => 41
    "function" => "getMetadataBag"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/twig-bridge/AppVariable.php"
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    "function" => "getToken"
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    "function" => "twig_get_attribute"
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    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
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  [
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    "function" => "show"
    "class" => "App\Controller\ArticleController"
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    "function" => "handleRaw"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
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  [
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    "function" => "handle"
    "class" => "Symfony\Component\HttpKernel\HttpKernel"
    "type" => "->"
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  [
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    "function" => "handle"
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    "function" => "run"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
    "line" => 5
    "args" => [
      "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/autoload_runtime.php"
    ]
    "function" => "require_once"
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]
Symfony\Component\Security\Http\Firewall\ContextListener:171
Show trace 
[
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/security-http/Firewall/ContextListener.php"
    "line" => 171
    "function" => "remove"
    "class" => "Symfony\Component\HttpFoundation\Session\Session"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/Debug/WrappedListener.php"
    "line" => 116
    "function" => "onKernelResponse"
    "class" => "Symfony\Component\Security\Http\Firewall\ContextListener"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 220
    "function" => "__invoke"
    "class" => "Symfony\Component\EventDispatcher\Debug\WrappedListener"
    "type" => "->"
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  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/event-dispatcher/EventDispatcher.php"
    "line" => 56
    "function" => "callListeners"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
  ]
  [
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    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\EventDispatcher"
    "type" => "->"
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    "function" => "dispatch"
    "class" => "Symfony\Component\EventDispatcher\Debug\TraceableEventDispatcher"
    "type" => "->"
  ]
  [
    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
    "line" => 202
    "function" => "filterResponse"
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    "file" => "/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/vendor/symfony/http-kernel/HttpKernel.php"
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]

Flashes

Flashes

No flash messages were created.

Server Parameters

Server Parameters

Defined in .env

Key Value
APP_ENV 
"dev"
APP_SECRET 
"0a988e63f011514eaabfc650b599af4d"
CORS_ALLOW_ORIGIN 
"*"
DATABASE_URL 
"mysql://bbndb_rctuser:33F5W25z40or0f7@localhost:3306/rct_bbntimes"
GOOGLE_RECAPTCHA_SECRET_KEY 
"6LdV5fgpAAAAANxzTG8ZMfIjil1wu-1vrQvnUt-x"
GOOGLE_RECAPTCHA_SITE_KEY 
"6LdV5fgpAAAAAENKcn73MJAhQrbtQeqgyC4wDLMP"
MAILER_DSN 
"smtp://no-reply%40rct.dev.bbntimes.com:Bl6%26gLD48%26Of919@rct.dev.bbntimes.com:465"
MARIADB_PASSWORD 
"i!87pK&!85ezc8"

Defined as regular env variables

Key Value
APP_DEBUG 
"1"
BASE 
"/public"
CONTEXT_DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
CONTEXT_PREFIX 
""
DOCUMENT_ROOT 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com"
FCGI_ROLE 
"RESPONDER"
GATEWAY_INTERFACE 
"CGI/1.1"
HTTPS 
"on"
HTTP_ACCEPT 
"*/*"
HTTP_ACCEPT_ENCODING 
"gzip, br, zstd, deflate"
HTTP_CONNECTION 
"close"
HTTP_COOKIE 
"PHPSESSID=4ff0d4k4ugudjgc5n8r5m300i1; care_did=acb4c56c-eb88-47a8-9882-c06291e0172a"
HTTP_HOST 
"rct.dev.bbntimes.com"
HTTP_USER_AGENT 
"Mozilla/5.0 AppleWebKit/537.36 (KHTML, like Gecko; compatible; ClaudeBot/1.0; +claudebot@anthropic.com)"
PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
PATH 
"/usr/local/sbin:/usr/local/bin:/usr/sbin:/usr/bin:/sbin:/bin:/snap/bin"
PHP_SELF 
"/public/index.php"
PP_CUSTOM_PHP_CGI_INDEX 
"plesk-php81-fastcgi"
PP_CUSTOM_PHP_INI 
"/var/www/vhosts/system/rct.dev.bbntimes.com/etc/php.ini"
QUERY_STRING 
""
REDIRECT_BASE 
"/public"
REDIRECT_HTTPS 
"on"
REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_HTTPS 
"on"
REDIRECT_REDIRECT_PASSENGER_COMPILE_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_PASSENGER_DOWNLOAD_NATIVE_SUPPORT_BINARY 
"0"
REDIRECT_REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/will-surgeons-lose-their-skills-in-the-age-of-automation"
REDIRECT_REDIRECT_SCRIPT_URL 
"/science/will-surgeons-lose-their-skills-in-the-age-of-automation"
REDIRECT_REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_REDIRECT_STATUS 
"200"
REDIRECT_REDIRECT_UNIQUE_ID 
"Z7nRrbiBoyj8JZ8-HGyDIAAAAAI"
REDIRECT_SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/will-surgeons-lose-their-skills-in-the-age-of-automation"
REDIRECT_SCRIPT_URL 
"/science/will-surgeons-lose-their-skills-in-the-age-of-automation"
REDIRECT_SSL_TLS_SNI 
"rct.dev.bbntimes.com"
REDIRECT_STATUS 
"200"
REDIRECT_UNIQUE_ID 
"Z7nRrbiBoyj8JZ8-HGyDIAAAAAI"
REDIRECT_URL 
"/public/science/will-surgeons-lose-their-skills-in-the-age-of-automation"
REMOTE_ADDR 
"3.17.75.8"
REMOTE_PORT 
"37121"
REQUEST_METHOD 
"GET"
REQUEST_SCHEME 
"https"
REQUEST_TIME 
1740231085
REQUEST_TIME_FLOAT 
1740231085.9812
REQUEST_URI 
"/science/will-surgeons-lose-their-skills-in-the-age-of-automation"
SCRIPT_FILENAME 
"/var/www/vhosts/dev.bbntimes.com/rct.dev.bbntimes.com/public/index.php"
SCRIPT_NAME 
"/public/index.php"
SCRIPT_URI 
"https://rct.dev.bbntimes.com/science/will-surgeons-lose-their-skills-in-the-age-of-automation"
SCRIPT_URL 
"/science/will-surgeons-lose-their-skills-in-the-age-of-automation"
SERVER_ADDR 
"5.196.1.209"
SERVER_ADMIN 
"[no address given]"
SERVER_NAME 
"rct.dev.bbntimes.com"
SERVER_PORT 
"443"
SERVER_PROTOCOL 
"HTTP/1.1"
SERVER_SIGNATURE 
"<address>Apache Server at rct.dev.bbntimes.com Port 443</address>\n"
SERVER_SOFTWARE 
"Apache"
SSL_TLS_SNI 
"rct.dev.bbntimes.com"
SYMFONY_DOTENV_VARS 
"APP_ENV,APP_SECRET,DATABASE_URL,MARIADB_PASSWORD,CORS_ALLOW_ORIGIN,MAILER_DSN,GOOGLE_RECAPTCHA_SECRET_KEY,GOOGLE_RECAPTCHA_SITE_KEY"
UNIQUE_ID 
"Z7nRrbiBoyj8JZ8-HGyDIAAAAAI"

Sub Requests 6

CookieController :: renderAnalysis (token = 8ca635)

Key Value
_controller 
"App\Controller\CookieController::renderAnalysis"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"e5182f"

AppController :: renderHeader (token = 92365f)

Key Value
_controller 
"App\Controller\AppController::renderHeader"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"582873"
slug 
"home"

ArticleController :: trendingArticle (token = 595df2)

Key Value
_controller 
"App\Controller\ArticleController::trendingArticle"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"fdc378"
category 
"Science"

ArticleController :: relatedArticles (token = 672153)

Key Value
_controller 
"App\Controller\ArticleController::relatedArticles"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"24ff56"
current_article 
App\Entity\Article {#1094
  -id: 3290
  -title: "Will Surgeons Lose their Skills in the Age of Automation?"
  -slug: "will-surgeons-lose-their-skills-in-the-age-of-automation"
  -introtext: """
    <div id="ember83" class="ember-view">\r\n
    <div class="reader-article-content" dir="ltr">\r\n
    <p><span style="color: #000000;">The sick care industry has a lot to learn from the airline industry, like flight operations (OR scheduling and turnover), cockpit management (check lists, time outs and huddles) and demand management and pricing (new models of charging for unused OR time, particularly on off peak hours and week-ends).</span></p>\r\n
    """
  -content: """
    \r\n
    <p><span style="color: #000000;">The most recent example is the crash of Lion Air Flight 610. The pilots of&nbsp;Lion Air Flight 610&nbsp;were engaged in a futile tug-of-war with the plane's automatic systems in the minutes before it plunged into the ocean, killing all 189 people on board.</span></p>\r\n
    <p><span style="color: #000000;">But investigators say they are at a loss to explain why the pilots didn't follow the same procedure performed by another flight crew the previous day when they encountered a similar issue. A different flight crew had experienced the same issue on a flight from Denpasar to Jakarta the previous day, but had turned off the automatic safety feature, known as the manoeuvring characteristics augmentation system (MCAS) and took manual control of the plane.</span></p>\r\n
    <p><span style="color: #000000;">"Flying the plane" in the OR has become increasingly automated and, like the airline issue, it raises important questions about how we educate and train future surgeons, anaesthesiologists and surgical teams. Yes, surgical simulators are more common but cannot duplicate all situations.&nbsp;The use of robotic devices challenges the conventional&nbsp;see one, do one, teach one surgical training model.&nbsp;The internet of medical things, using multiple medical devices and monitors in the OR, presents its own challenges.</span></p>\r\n
    <p><span style="color: #000000;">Every surgical specialty accreditation group defines the numbers and types of procedures a trainee is required to do and demonstrate competency doing it by the end of their training to be eligible to sit for board accreditation exams. However, the system is not foolproof, poorly tracked and subject to "the luck of the draw" when it comes to how many of a given case an applicant has done and whether they have done it as the operating surgeon (sitting in the left seat) or as an assistant (co-pilot). Flying solo on a surgical robot is different than doing a procedure with an experienced attending holding your hands. It is also a self reporting and tracking system by each applicant and thus subject to mistakes, fraud or abuse.</span></p>\r\n
    <p><span style="color: #000000;">The problem goes way beyond technical skills, pervading cognitive skills as well. In this age of AI, machine learning and neural networks,&nbsp;how do we know when to switch from auto-pilot to manual over ride?</span></p>\r\n
    <p><span style="color: #000000;">Just think about it. How many times has that comforting voice on Google Maps taken you in the wrong direction? Did you disable it and just pull out a map?&nbsp;We need to study surgical automation and how to train for it.</span></p>\r\n
    <p><span style="color: #000000;">Please be sure your tray tables are in the upright position and that your seat belts are securely fashioned. Enjoy your flight and&nbsp;be sure to disable your cell phones during take off.</span></p>\r\n
    <p><span style="color: #000000;">Arlen Meyers, MD, MBA is the President and CEO of the&nbsp;Society of Physician Entrepreneurs.</span></p>\r\n
    </div>\r\n
    </div>
    """
  -user: Proxies\__CG__\App\Entity\User {#1092 …}
  -createdAt: DateTime @1546448731 {#1145
    date: 2019-01-02 17:05:31.0 UTC (+00:00)
  }
  -updatedAt: DateTime @1621417822 {#1150
    date: 2021-05-19 09:50:22.0 UTC (+00:00)
  }
  -deletedAt: null
  -category: App\Entity\Category {#445 …}
  -status: "published"
  -imageCard: Proxies\__CG__\App\Entity\File {#1184 …}
  -ImageHeader: Proxies\__CG__\App\Entity\File {#1184 …}
  -featured: false
  -mainView: false
  -clicks: 2223
  -comments: Doctrine\ORM\PersistentCollection {#1125 …}
  -reviewed_at: DateTime @1546448725 {#1148
    date: 2019-01-02 17:05:25.0 UTC (+00:00)
  }
  -metakey: ""
  -metadesc: "The sick care industry has a lot to learn from the airline industry, like flight operations (OR scheduling and turnover), cockpit management (check lists, time outs and huddles) and demand management and pricing (new models of charging for unused OR time, particularly on off peak hours and week-ends)."
  -robots: null
  -publishedAt: DateTime @1546448725 {#1147
    date: 2019-01-02 17:05:25.0 UTC (+00:00)
  }
  -canonical: null
  -superTag: null
}

AppController :: renderFooter (token = 939313)

Key Value
_controller 
"App\Controller\AppController::renderFooter"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"494f15"

CookieController :: renderCookie (token = 06637a)

Key Value
_controller 
"App\Controller\CookieController::renderCookie"
_format 
"html"
_locale 
"en"
_stopwatch_token 
"8b00b4"