1 Doctor of Medicine Program, American University of Antigua, Antigua (Ms Vaishnav); Doctor of Medicine Program, Medical University of the Americas, Nevis (Ms Patel); Captain James A. Lovell Federal Health Care Center, Rosalind Franklin University of Medicine and Science, Department of Psychiatry and Behavioral Sciences, Chicago, Illinois (Dr Varghese); Sheppard Pratt Health System, Baltimore, Maryland (Drs McCagh); and Clinical Research Program, Sheppard Pratt Health System and Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Dr Koola).