Guidelines Oriented Approach to Lipid Lowering (Goal) Medical Practice Activity (Mpa) to Achieve Low Density Lipoprotein Cholesterol (Ldl-C) Targets

Abstract

PGY-1 and three were in PGY-2 or above. Nine (69.2%) had performed less than 10 sternotomies. On the pre-sim1 questionnaire, "injuring the heart and other structures" and "going off midline" were equally top-ranked as main sources of concern. Inter-rater reliability was 75.0% (k¼0.47) and 69.2% (k¼0.37) for sim1 and sim2, respectively. Participants took longer to complete the sternotomy in sim2 (227.5AE16.1 vs. 187.9AE14.3 seconds, ¼0.003) and had significantly higher scores (14.3AE0.6 vs. 8.0AE0.9, P<0.001). After sim2, all participants rated the simulation sessions as either "very helpful" or "extremely helpful". Eight participants (61.5%) described the sternotomy model as "very realistic".