The percentages of residents appropriately achieving A-case composite clinical goals for glucose , blood pressure , and lipids were as follows : A-case 1 : SimDE = 21.2 % , CG = 1.8 % , P = .002 ; A-case 2 : SimDE = 15.7 % , CG = 4.7 % , P = .02 ; A-case 3 : SimDE = 48.0 % , CG = 10.4 % , P < .001 ; and A-case 4 : SimDE = 42.1 % , CG = 18.7 % , P = .004 .