PROVIDENCE, R.I. (AP) — A plan by Rhode Island's largest health system to save between $100 million and $150 million over the next two and a half years through significant job cuts will also include cuts to its physician training program.

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Lifespan says it is eliminating a total of 122 positions. Many are already vacant, but the number also includes layoffs. The health system will also reduce the number of residents it trains beginning in July 2014.

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Lifespan hasn't yet identified which resident and fellowship positions will be cut. None of its current 590 residents will be affected.

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CEO Timothy Babineau said in March Lifespan was facing a significant budget shortfall, in part because of declining reimbursements, and warned of cuts. He tells employees the system is working to identify "additional efficiencies and consolidations."

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