1Resident, Internal Medicine Residency Program, University of Alabama at Birmingham, Birmingham, AL 2Associate professor, Division of Gastroenterology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL 3Assistant professor, Division of Gastroenterology, Department of Medicine, University of Alabama at Birmingham, Birmingham, AL aCorresponding Author: Thomas Ruli, Jr., M.D, Resident, Internal Medicine Residency Program, University of Alabama at Birmingham, Birmingham, AL,[email protected]