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.
The authors declare no conflicts of interest.
Address for correspondence: Deborah J. Fritz, PhD, FNP, VA St. Louis Health Care System, 915 N. Grand Blvd., St. Louis, MO 63106 ([email protected]).