1. From the Department of Emergency Medicine Yale University School of Medicine New Haven CT United States
2. the Department of Internal Medicine National Clinician Scholars ProgramYale University School of Medicine New Haven CT
3. the College of Our Lady of the Elms Chicopee MA
4. the Department of Health Services, Policy and Practice Brown University School of Public Health Providence RI United States
5. the Department of Psychiatry and Human Behavior Centers for Behavioral and Preventive Medicine Miriam HospitalThe Warren Alpert Medical School of Brown University Providence RI
6. and the Department of Emergency Medicine The Warren Alpert Medical School of Brown University Providence RI