1 VCU-Shenandoah Family Practice Residency, Front Royal, VA, USA; Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, USA.
2 VCU-Shenandoah Family Practice Residency, Front Royal, VA, USA.
3 Department of Family Medicine and Population Health, Virginia Commonwealth University, Richmond, VA, USA; Larry A. Green Center, Richmond, VA, USA.