Author Contributions: Dr Panda had full access to all 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: Panda, Heath, Desbiens.
Acquisition of data: Moffitt.
Analysis and interpretation of data: Panda, Desbiens, Moffitt.
Drafting of the manuscript: Panda, Desbiens, Moffitt.
Critical revision of the manuscript for important intellectual content: Panda, Heath, Desbiens.
Financial Disclosures: None reported.
Funding/Support: University of Tennessee College of Medicine and Internal Medicine Education Foundation, Inc provided financial salary support for Mr Moffitt.
Role of the Sponsors: The sponsors had no role in the design and conduct of the study; collection, management, analysis, and interpretation of the data; or preparation, review, or approval of the manuscript.