1 At the University of Maryland Baltimore, Shani Fleming is an associate professor, Gerald Kayingo is executive director of the PA Leadership and Learning Academy and a professor, Karen L. Gordes is chief learning officer and an associate professor, Violet Kulo is an associate professor, Hyun-Jin Jun is an assistant professor, and James F. Cawley is a scholar-in-residence and visiting professor. The authors have disclosed no potential conflicts of interest, financial or otherwise.