aUniversity of Louisville Hospital, Department of Surgery, University of Louisville School of Medicine and Quality, Louisville, KY
bSurgical Solutions, PLLC, Louisville, KY
cHealthcare Excel of Kentucky, Louisville, KY
dDepartment of Surgery, University of California, East Bay, Oakland, CA
Competing Interests Declared: None.
Portions of this work were supported by grants and contracts from Anthem Blue Cross and Blue Shield of Kentucky and the University of Louisville Hospital. Dr Polk is one of 37 surgeon-owners of Quality Surgical Solutions, PLLC.
*Correspondence address: Hiram C Polk Jr, MD, Department of Surgery, University of Louisville, Louisville, KY 40292.
Submitted December 22, 2006; accepted January 3, 2007.