Michael Sjoding1, Theodore J Iwashyna2. 1. Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109-5360, USA; Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI 48109-5360, USA. Electronic address: msjoding@med.umich.edu. 2. Department of Internal Medicine, University of Michigan, Ann Arbor, MI 48109-5360, USA; Institute for Healthcare Policy & Innovation, University of Michigan, Ann Arbor, MI 48109-5360, USA; Veterans Affairs Center for Clinical Management Research, University of Michigan, Ann Arbor, MI 48109-5360, USA; Institute for Social Research, University of Michigan, Ann Arbor, MI 48109-5360, USA.