Professionally, I would like to begin by gratefully acknowledging the exceptional professors and supervisors at Vanderbilt and UCLA who invested in my training throughout my graduate school career. My adviser, Dr. Lynn Walker, and dissertation committee were integral in the creation and completion of this research; I am incredibly appreciative of their efforts and support. Many thanks to Dr. Joseph Gigante who generously donated his time and talents to film the vignettes for this study. Thank you to the physicians who helped create the vignettes and to Tony Maupin for filming and editing. Much gratitude goes to my research assistant Lindsey Franks, whose expert study coordination enabled worry-free data collection from afar. Thank you to th...