1 Division of General, Geriatric and Hospital Medicine, Stony Brook University, Renaissance School of Medicine, NY(Dr. Marti-Amarista); New York Institute of Technology College of Osteopathic Medicine, Old Westbury(Dr Rali); Zucker Schoolof Medicine at Hofstra/Northwell, Hempstead,NY (Dr Rali); and Family Medicine Residency Program, Good Samaritan University Hospital/St Joseph Hospital, Catholic Health, Bethpage, NY (Dr. Rali).