From the ∗Department of Internal Medicine, Virginia Tech School of Medicine, Roanoke, VA

†Department of Orthopedic Surgery, LSU Health Shreveport, Shreveport, LA

‡Department of Internal Medicine, Christus St Vincent Medical Center, Santa Fe, NM.

Correspondence to: Christopher J. Peterson, MD, MS, Department of Medical Education, P.O. Box 13367, Roanoke, VA 24033-3367. E-mail: [email protected].

The authors have no funding or conflicts of interest to disclose.

Supplementary Materials: Not applicable.

Institutional Review Board Statement: Not applicable.

Informed Consent Statement: Not applicable.

Data Availability Statement: Not applicable.