1. From the Departments of Medicine, Surgery, and Community and Family Medicine, and The Dartmouth Institute for Health Policy and Clinical Practice, Dartmouth-Hitchcock Medical Center, Lebanon, NH (D.S.L., J.B.G., A.W.D., S.D.S., T.A.M., D.J.M., E.M.O., C.S.R.); Division of Cardiothoracic Surgery, Maine Medical Center, Portland, ME (R.S.K., R.C.G.), Department of Surgery, Fletcher Allen Health Care, Burlington, VT (B.J.L.); Department of Surgery, Catholic Medical Center, Manchester, NH (Y.R.B., D.C.C....