1 Senior university physician, Kent State University, Kent, Ohio, fellow in academic medicine, clinical assistant professor in family medicine, Northeast Ohio Medical University, Rootstown, Ohio, clinical associate professor/adjunct faculty, Ohio University Heritage College of Osteopathic Medicine, Athens, Ohio, and adjunct clinical faculty, Kent State University College of Nursing, Kent, Ohio; jendabreau@gmail.com; ORCID: https://orcid.org/0000-0002-3488-8373.