Received: 14 June 2019
Accepted: 27 September 2019
First Online: 6 November 2019
Ethics approval and consent to participate
: The Institutional Review Board at Roseman University determined that the use of de-identified, retrospective accreditation database was not human research.
: There are no details, images or videos relating to any individual person in this publication.
: We have no financial, non-financial, or commercial interests associated with this manuscript. Citations – all materials have been cited and are available in the reference section for readers. Text recycling – no text has been recycled.