Author Affiliations: Associate Clinical Professor (Dr Serembus) and Assistant Clinical Professor (Ms Murphy), Drexel University, Philadelphia, Pennsylvania.

The authors declare no conflicts of interest.

Correspondence: Dr Serembus, 2102 Eton Ct, West Chester, PA 19382 ([email protected]).

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Accepted for publication: April 15, 2019

Published ahead of print: May 30, 2019