1 Deborah J. Fritz, PhD, FNP, is a Nurse Practitioner, Primary care, Compensation & Pension, VA St. Louis Health Care System, St. Louis, Missouri. Mary P. Curtis, PhD, FNP, is a Professor, Goldfarb School of Nursing, Barnes Jewish College, St. Louis, Missouri. Allyn Kratzer, MSN, MA, FNP, is a Specialty Exams Clinician, Compensation & Pension, VA St. Louis Health Care System, St. Louis, Missouri.