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Compliance with 13 SOC, tracked using hospital databases and encounter forms completed by residents, compared between residents in the reminder group vs those in the control group. The decision aid arm has greater knowledge of menopausal symptom management compared with the control arm, although the difference is small. Our objective was to assess the validity of this risk assessment at a large-volume, tertiary cardiac surgical center. An awareness of this rare and frequently fatal complication is essential for proper diagnosis and treatment.