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. Author manuscript; available in PMC: 2014 Dec 1.
Published in final edited form as: J Thorac Cardiovasc Surg. 2013 Sep 24;146(6):1387–1392.e1. doi: 10.1016/j.jtcvs.2013.07.077

Figure 1.

Figure 1

Example risk-adjusted cumulative sum (Cusum) graphs. Positive deflections indicate failed attempts, negative deflections indicate successful attempts. Horizontal lines demarcate unacceptable and acceptable thresholds. From left to right, graphs depict a subpar performer, a performer in the process of training, and a learner reverting to inadequacy after a period of proficiency.