Finally, simulators must become more robust, with perhaps computer-enhanced clinical sce- narios, before the residents who train on them are qualified to care for patients. Staff American College of Cardiology Foundation David R. Holmes, Jr, MD, FACC, President John C. Lewin, MD, Chief Executive Officer Janet Wright, MD, FACC, Senior Vice President, Science and Quality Charlene May, Senior Director, Science and Clinical Policy Erin A. Barrett, MPS, Senior Specialist, Science and Clinical Policy American College of Cardiology Foundation/American Heart Association Lisa Bradfield, CAE, Director, Science and Clinical Policy Debjani Mukherjee, MPH, Associate Director, Evidence- Based Medicine Sue Keller, BSN, MPH, Senior Specialist, Evidence-Based Medicine Maria Koinis, Specialist, Science and Clinical Policy Jesse M. Welsh, Specialist, Science and Clinical Policy American Heart Association Ralph L. Sacco, MS, MD, FAAN, FAHA, President Nancy Brown, Chief Executive Officer Rose Marie Robertson, MD, FAHA, Chief Science Officer Gayle R. Whitman, PhD, RN, FAHA, FAAN, Senior Vice President, Office of Science Operations Cheryl L. Perkins, MD, RPh, Science and Medicine Advisor, Office of Science Operations References 1. ACCF/AHA Task Force on Practice Guidelines. Methodologies and Policies from the ACCF/AHA Task Force on Practice Guideline. Available at http:// assets.cardiosource.com/Methodology_Manual_for_ACC_AHA_Writing_ Committees.pdf and http://circ.ahajournals.org/site/manual/index.xhtml. Accessed July 1, 2011. 2. Institute of Medicine. Finding What Works in Health Care: Standards for Systematic Reviews. Washington, DC: The National Academies Press, 2011. 3. Institute of Medicine. Clinical Practice Guidelines We Can Trust. Washington, DC: The National Academies Press, 2011. 4. Hawkes CA, Dhileepan S, Foxcroft D. Early extubation for adult cardiac surgical patients. Cochrane Database Syst Rev. 2003; CD003587 10.1002/14651858.CD003587. 5. Myles PS, Daly DJ, Djaiani G, et al. A systematic review of the safety and effectiveness of fast-track cardiac anesthesia. Anesthesiology. 2003;99:982 7. 6. van Mastrigt GA, Maessen JG, Heijmans J, et al. 