In Reply to Signer and Curtin and to Goyal et al

Sonia N Chimienti¹, Deborah M DeMarco, Terence R Flotte+1

• ¹Associate professor of medicine, vice provost for student life and enrollment, and associate dean for student affairs, School of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts. Professor of medicine, senior associate dean for clinical affairs, and associate dean for graduate medical education, School of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts. Professor of pediatrics, Celia and Isaac Haidak Professor, executive deputy chancellor, provost, and dean, School of Medicine, University of Massachusetts Medical School, Worcester, Massachusetts; terry.flotte@umassmed.edu. Professor of quantitative health sciences, professor of medicine, and chancellor, University of Massachusetts Medical School, and senior vice president for the health sciences, University of Massachusetts, Worcester, Massachusetts.