None of the authors has any affiliation or financial involvement that conflicts with the material presented in this report.

Disclosure of Relevant Financial Relationships: As a provider accredited by the Accreditation Council for Continuing Medical Education (ACCME), the University of California, Davis, Health must ensure balance, independence and objectivity in all its CME activities to promote improvements in health care and not proprietary interests of a commercial interest. Authors, reviewers and others in a position to control the content of this activity are required to disclose relevant financial relationships with ineligible companies related to the subject matter of this educational activity. The Accreditation Council for Continuing Medical Education (ACCME) defines an ineligible company as “as any entity whose primary business is producing, marketing, selling, reselling, or distributing healthcare products used by or on patients” and relevant financial relationships as “financial relationships in any amount occurring within the past 24 months that create a conflict of interest.

Debra Bakerjian, PhD, RN; Christian Bohringer, MBBS; Patrick Romano, MD, MPH; Ulfat Shaik, MD and Jaijeet Toor, MD and for this Spotlight Case and Commentary have disclosed no relevant financial relationships with ineligible companies related to this CME activity.