1 At the time this abstract was written, Cameron Catherine, Stacie Henderson, Millie Oldroyd , and Cari Sanyer were students in the PA program at the University of Utah in Salt Lake City. Leigh Elrod is a clinical assistant professor, Rod Handy is a professor, and Jennifer Coombs is a professor in the PA program at the University of Utah. The authors have disclosed no potential conflicts of interest, financial or otherwise.