Omar Y S Mousa1, Rushikesh Shah2, Amit S Dhamoon3. 1. PGY-4 Fellow, Department of Medicine, State University of New York Upstate Medical University. 2. PGY-4 Quality Chief Resident, Department of Internal Medicine, State University of New York Upstate Medical University. 3. Assistant Professor of Medicine and Associate Program Director of Residency Training, State University of New York Upstate Medical University.