Margarita E. Pena, MD FACEP is the Medical Director of the Clinical Decision Unit and Associate Program Director at Ascension St. John Hospital, and a professor of Emergency Medicine at the Wayne State University School of Medicine in Detroit, Michigan. She has published manuscripts and book chapters in Observation and Emergency Medicine, is co-director of the Observation Medicine - Science and Solutions conference, and recipient of the 2010 Emergency Physician of the Year Award by the Michigan College of Emergency Physicians.Anwar Osborne MD MPM FACEP is an Assistant Program Director for Emergency Medicine at Emory University School of Medicine, Observation Medicine Rotation director, and Director of Resident Research Contributions. As an Associate Professor of both Emergency Medicine and Emergency Medicine, he has worked extensively with national cardiac quality initiatives with both the American College of Cardiology and the Societyof Cardiovascular Patient Care. He is a past chair of the Observation Medicine Section of ACEP and is a co-director of the Observation Medicine Science and Solutions conference.W. Frank Peacock IV, MD, FACEP, FACC, FESC is a Professor of Emergency Medicine and Vice Chair for Research in the department of Emergency Medicine at Baylor College of Medicine, in Houston, Texas. With >600 publications, he is a two-time winner of the Best Research Paper of the Year Award from the American College of Emergency Physicians, and the 2019 Ray Bahr Award for Excellence from the American College of Cardiology. Finally, he is the founder of Comprehensive Research Associates, LLC, and Emergencies in Medicine, LLC.