1 At the time this abstract was written, Melanie Barber, Meggan Chappell, Landon Henriksen , and Jenna Whippen were students in the PA program at the University of Utah in Salt Lake City. Leigh Elrod is a clinical assistant 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.