Editor's Note:The Virtual Water Cooler is kept filled by AMRSO, a moderated listserve whose membership, by group consent, is restricted for size considerations to RSOs or a designee at medical and academic/research institutions only. Inquiries concerning the listserve may be made to Marc Martz at [email protected]. Suggestions for future discussions at the water cooler can be sent to Marc Martz, or to Susan Masih at [email protected]. Please indicate in your subject line if you are suggesting or requesting a discussion topic, otherwise we will delete it unread. The opinions expressed in this column should not be interpreted as representing the official policy and/or opinions of the employers of the individual contributors.