1 From the Departments of Emergency Medicine, Family Medicine, and Surgery, Yukon-Kuskokwim Delta Regional Hospital, Bethel, AK (AWS); Faculty Physician, Full Circle Health, Family Medicine Residency of Idaho, Nampa, ID (KK); Associate Professor, Department of Family, Internal and Rural Medicine, Director, Rural Programs; Co-Director, University of Alabama-Tuscaloosa Family Medicine Integrated Residency, The University of Alabama, Tuscaloosa, AL (DL).