1R. Ortiz Worthington is assistant professor, Section of General Internal Medicine, University of Chicago Medical Center, University of Chicago Pritzker School of Medicine, Chicago, Illinois.

2D. Sekar is assistant professor, Division of General Internal Medicine and Geriatrics, Emory University School of Medicine, Atlanta, Georgia.

3M. McNeil is professor, Clinician Educator, Department of Medicine, The Warren Alpert School of Medicine, Brown University Rhode Island Hospital, Providence, Rhode Island.

4S. Rothenberger is assistant professor, Center for Research on Health Care Data Center, Department of Medicine, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania.

5S. Merriam is clinical assistant professor, Department of Medicine, VA Pittsburgh Healthcare System, Pittsburgh, Pennsylvania.

Correspondence should be addressed to Rebeca Ortiz Worthington, Section of General Internal Medicine, University of Chicago Medical Center, 5758 S. Maryland Ave, MC 3051, Chicago, IL 60637; email: [email protected].

Supplemental digital content for this article is available at https://links.lww.com/ACADMED/B488.

Acknowledgments: The authors wish to thank Jennifer Corbelli, MD, MS, Carla Spagnoletti, MD, MS, and Reed VanDeusen, MD, MS for their early support of this project, the VA Pittsburgh Simulation Center, and the University of Pittsburgh WISER Institute.

Funding/Support: Competitive Research Fund of the University of Pittsburgh Medical Center (UPMC) Shadyside Hospital Foundation; UPMC Division of General Internal Medicine Fellow and Faculty Award funds; VA Pittsburgh Healthcare.

Other disclosures: None reported.

Ethical Approval: Deemed exempt by University of Pittsburgh and VA Pittsburgh institutional review boards, December 2020.

Previous presentations: A version of this data was presented as a poster at the Society of General Internal Medicine national meeting, April 6–9, 2022, Orlando, Florida.