Recruitment and Consent Potential research participants will be identified through the Rheumatology clinics at the Sunnybrook Health Science Centre (SHSC). They will be approached by Dr. Mary Bell (Principal Investigator), staff Rheumatologist, who will introduce the study to eligible individuals and obtain their verbal consent to be contacted by the medical student co-investigator assigned to the project. The name of the individual will then be forwarded to the Office Manager who will schedule an interview at the Rheumatology clinic. At the interview, medical students will go over an information letter on the study and a consent form with each eligible patient to ensure that the potential research participant understands the study and what he/she is being asked to do. Once written consent is obtained, a copy will be provided to the participant. A confirmation letter (Appendix 4 - Confirmation Letter to Research Participants) with time and location of the interview/focus group will be mailed to the participant. The day before the interview is scheduled to take place the medical student will telephone the individual to remind them of the time and location of the interview using a Telephone Script (Appendix 5 - Telephone Script to Confirm Interview). At the beginning of the interview, prior to asking any questions, the medical student will obtain written consent and answer any further questions the participants may have.