1. H. Gene Hern Jr, MD, MS, is Vice Chair, Education, Department of Emergency Medicine, Highland Hospital, Alameda Health System; Charlotte P. Wills, MD, is Residency Director, Department of Emergency Medicine, Highland Hospital, Alameda Health System; Harrison J. Alter, MD, MS, is Vice Chair, Research, Department of Emergency Medicine, Highland Hospital, Alameda Health System; Steven H. Bowman, MD,