Tamara S Ritsema, MPH, MMSc, PA-C/R, Assistant Professor, Department of Physician Assitant Studies, George Washington University School of Medicine and Health Sciences, Washington, DC; Adjunct Senior Lecturer, Physician Assistant Programme, St. George's University of London, London, United Kingdom, Daniel Vetrosky, PA-C, PhD, DFAAPA, Associate Professor (Ret.) and Part Time Instructor, University of South Alabama, Department of Physician Assistant Studies, Pat Capps Covey College of Allied Health Professions, Mobile, Alabama, Darwin Brown, MPH, PA-C, DFAAPA, Physician Assistant Educator, Omaha, Nebraska and Ruth Ballweg, MPA, PA-C Emeritus, DFAAPA, Professor Emeritus, Department of Family Medicine, University of Washington School of Medicine, Seattle, Washington; Director of International Affairs, National Commission on Certification of Physician Assistants, Johns Creek, Georgia