1M. Suneja is director, Internal Medicine Residency Program, and professor, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

2K.D. Hanrahan is director, Family Medicine Faculty Development Fellowship, and professor, Department of Family Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

3C. Kreiter is professor, Department of Family Medicine and Office of Consultation and Research in Medical Education, Roy A. and Lucille J. Carver College of Medicine, University of Iowa, Iowa City, Iowa.

4J. Rowat is director of educational development, Department of Internal Medicine, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Correspondence should be addressed to Manish Suneja, Department of Internal Medicine, University of Iowa Hospitals and Clinics, 200 Hawkins Dr., E-323GH, Iowa City, IA 52242; telephone: (319) 356-1734; email: [email protected].

Supplemental digital content for this article is available at https://links.lww.com/ACADMED/B555.

Acknowledgments: The authors thank Teresa Ruggle for graphic designs of the figure and tables.

Funding/Support: This study was funded in part by an innovative grant from the Office of Graduate Medical Education, University of Iowa Hospitals and Clinics, Iowa City, Iowa.

Other disclosures: None reported.

Ethical approval: This project was deemed exempt by the University of Iowa Institutional Review Board, December 15, 2022; #202211201.