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, Darwin Brown, MPH, PA-C, DFAAPA, Assistant Professor, Creighton University School of Medicine, Physician Assistant Program, Omaha, Nebraska and 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