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A big thank you to the staff and students of the University of Kentucky—this project would never have been accomplished without your assistance and support.

To my wife Becky and sons Matthew and Mark—thanks for your encouragement and love.


To Kristie, for tolerating my long hours.


To my loving wife, Rebecca, and wonderful children, Kayla, Emily, and Megan. Thank you for your support and encouragement.

Michael (Dada)

To the Duke University Physician Assistant Program faculty, staff, and students; it has been an honor and a privilege to serve as a faculty member of this great program for the past 35-plus years.


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