Oren Berkowitz1, Carolyn J L Kussmaul. 1. Oren Berkowitz, PhD, PA-C, is a senior lecturer for the Department of Health Systems Management at Ariel University, Ariel, Israel. Carolyn J. L. Kussmaul, MS, PA-C, is a physician assistant for the Department of Family Medicine at Cambridge Health Alliance, Revere, Massachusetts. Dr. Berkowitz received partial funding for his faculty position from the Israel Ministry of Integration, Center for Absorption in Science.