Author Contributions: Dr Reed had full access to all of the data in the study and takes responsibility for the integrity of the data and the accuracy of the data analysis.
Study concept and design: Reed, Cook, Beckman, Levine, Kern, Wright.
Acquisition of data: Reed, Cook, Beckman.
Analysis and interpretation of data: Reed, Cook, Beckman.
Drafting of the manuscript: Reed, Beckman, Levine, Kern, Wright.
Critical revision of the manuscript for important intellectual content: Cook, Beckman, Levine, Kern, Wright.
Statistical analysis: Reed, Beckman.
Obtained funding: Reed, Cook.
Administrative, technical, or material support: Cook, Beckman.
Study supervision: Cook, Levine, Kern, Wright.
Financial Disclosures: None reported.
Funding/Support: Dr Wright received support as an Arnold P. Gold Foundation Associate Professor of Medicine. Dr Wright is a Miller-Coulson Scholar; the support is associated with the Johns Hopkins Center for Innovative Medicine. Drs Reed and Wright received support from the Society of General Internal Medicine Research and Education Mentorship Award.
Role of the Sponsor: No funding organization or sponsor had any role in the design and conduct of the study; collection, management, analysis, or interpretation of the data; nor in the preparation, review, or approval of the manuscript.
Additional Contributions: We would like to thank Larry Gruppen, PhD, University of Michigan Medical School, and Addeane Caelleigh, MA, University of Virginia School of Medicine, for providing expert quality ratings, and Stephen Cha, MS, Mayo Clinic College of Medicine for assistance with data analysis. These colleagues received compensation for their contributions.