1. All authors are with the University of Toledo. Yousef Abdel-Aziz, MD, is Chief Medical Resident, Internal Medicine Residency; Zubair Khan, MD, is Chief Medical Resident, Internal Medicine Residency; William R. Barnett, MS, is Quality Improvement & Patient Safety Educational Officer, Internal Medicine Residency; Nezam Altorok, MD, is Associate Program Director, Internal Medicine Residency; and Rag