1 Author Affiliations: Research Associate (Mss ElChamaa and Jeong), Professor (Dr Kitto), Department of Innovation in Medical Education, and Research Associate (Mss ElChamaa and Jeong), Director of Research (Dr Kitto), Office of Continuing Professional Development, Faculty of Medicine, University of Ottawa, Ontario, Canada; Senior Vice President (Dr Chappell), Accreditation, Certification, Measurement, Quality, and Senior Vice President (Dr Chappell), Director (Dr Lundmark), Institute for Credentialing Research, American Nurses Credentialing Center, Silver Spring, Maryland.