Curriculumoutline2018-19.pdf

SCORE Curriculum Outline 2018-2019 - Patient Care Module Not on Portal (x)

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Patient Care Category

Type

Level

Patient Care Topic

Abdomen - General Abdomen - General Abdomen - General Abdomen - General Abdomen - General Abdomen - General Abdomen - Hernia Abdomen - Hernia Abdomen - Hernia Abdomen - Hernia Abdomen - Hernia Abdomen - Hernia Abdomen - Hernia Abdomen - Hernia Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Biliary Abdomen - Liver Abdomen - Liver Abdomen - Liver Abdomen - Liver Abdomen - Liver Abdomen - Liver Abdomen - Liver Abdomen - Liver Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas

Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure

Core Core Advanced Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Advanced Advanced Core Core Core Core Advanced Advanced Advanced Advanced Advanced Core Core Core Advanced Core Core Advanced Advanced Core Core Core Core Advanced Advanced Advanced Core Core Core Advanced

Abdominal Pain – Acute and Chronic Rectus Sheath Hematoma Peritoneal Neoplasms* Abdominal Exploration* Intra-abdominal Abscess - Drainage Peritoneal Dialysis Catheter Insertion Inguinal and Femoral Hernia Miscellaneous Hernias Umbilical and Epigastric Hernias Ventral Hernia Diaphragmatic Hernia - Repair Inguinal and Femoral Hernia - Repair Miscellaneous Hernias - Repair Ventral Hernia – Repair Bile Duct Injury - Iatrogenic Benign Biliary Obstruction Biliary Neoplasms* Cholecystitis Choledochal Cyst Functional Biliary Disorders Primary Sclerosing Cholangitis Cholecystectomy with or without Cholangiography Cholecystostomy Choledochoenteric Anastomosis Common Bile Duct Exploration and Choledochoscopy Bile Duct Cancer - Operation Bile Duct Injury, Iatrogenic - Acute Repair Bile Duct Neoplasms - Operation Gallbladder Cancer - Operation Ultrasound of the Biliary Tree Hepatic Abscess Hepatic Neoplasms - Metastatic Primary Hepatic Neoplasms – Benign and Malignant Cirrhosis/Portal Hypertension (Ascites)* Hepatic Abscess - Drainage Hepatic Biopsy Hepatic Ultrasound- Intraoperative Segmentectomy/Lobectomy* Cystic Lesions of the Pancreas* Pancreatic Neoplasms - Endocrine Pancreatic Neoplasms - Exocrine Pancreatitis – Acute/Pancreatic Necrosis/Abscess* Intraductal Papillary Mucinous Neoplasms Pancreas Divisum Pancreatitis - Chronic (Including Hereditary Pancreatitis)/Pancreatic Insufficiency Pancreatectomy - Distal Pancreatic Debridement Pancreatic Pseudocyst - Drainage Ampullary Resection for Tumor

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SCORE Curriculum Outline 2018-2019 - Patient Care Module Not on Portal (x)

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Patient Care Category

Type

Level

Patient Care Topic

Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Pancreas Abdomen - Spleen Abdomen - Spleen Abdomen - Spleen Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Esophagus Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Stomach Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Small Intestine Alimentary Tract - Large Intestine

Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition

Advanced Advanced Advanced Advanced Advanced Advanced Core Core Core Core Core Core Advanced Core Advanced Advanced Advanced Advanced Advanced Core Core Core Core Core Core Core Advanced Core Core Core Core Advanced Advanced Core Core Core Core Core Core Core Core Core Advanced Advanced Core Core Core Core

Pancreatectomy - Total Pancreatic Ultrasound - Intraoperative Pancreaticoduodenectomy Pancreatitis, Chronic – Operative Management* Hematologic Diseases of the Spleen Splenic Abscess, Cysts and Neoplasms Splenectomy* Esophageal Motility Disorders Esophageal Neoplasms – Benign and Malignant Esophageal Perforation Gastroesophageal Reflux/Barrett's Esophagus Hiatal Hernias Esophageal Caustic Ingestion and Foreign Bodies Antireflux Procedures Cricopharyngeal Myotomy with Zenker's Diverticulum - Excision Esophageal Perforation - Repair/Resection Esophagectomy/Esophagogastrectomy Esophagomyotomy (Heller) Paraesophageal Hernia – Repair Gastric Adenocarcinoma Gastric Foreign Bodies Gastrointestinal Bleeding - Upper GIST and Miscellaneous Neoplasms* Morbid Obesity Peptic Ulcer Disease Stress Gastritis Functional Disorders of the Stomach* Gastrectomy - Partial/Total Gastroduodenal Perforation - Repair Gastrostomy Vagotomy and Drainage Morbid Obesity - Operation Postgastrectomy Syndromes - Revisional Procedures Enterocutaneous Fistula Meckel's Diverticulum Mesenteric Ischemia - Acute (Arterial, Venous, and Nonocclusive) Paralytic Ileus Pneumatosis Radiation Enteritis Crohn Disease – Surgical Management Small Intestinal Neoplasms* Small Intestinal Obstruction Enteric Infections/Blind Loop Syndrome Short Bowel Syndrome Adhesiolysis Ileostomy and Ileostomy Closure* Small Intestinal Resection Appendicitis

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SCORE Curriculum Outline 2018-2019 - Patient Care Module Not on Portal (x)

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Patient Care Category

Type

Level

Patient Care Topic

Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Large Intestine Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Alimentary Tract - Anorectal Endoscopy Endoscopy Endoscopy Endoscopy Breast Breast Breast Breast Breast Breast Breast Breast Breast Breast Breast Breast Breast Breast

Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition

Core Core Core Core Core Core Core Core Advanced Advanced Core Core Core Core Core Core Core Core Core Core Advanced Advanced Core Core Core Core Core Advanced Advanced Advanced Advanced Advanced Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core

C. difficile Colitis Colitis - Ischemic Colon Cancer Colonic Polyps Colonic Volvulus and Obstruction Diverticulitis Gastrointestinal Bleeding - Lower Ulcerative Colitis - Surgical Management Functional Disorders of the Intestine Polyposis Syndromes Appendectomy Colectomy - Partial Colectomy – Total and Subtotal Colostomy and Colostomy Closure Anal Cancer Anal Dysplasia and STDs Anal Fissure Anorectal Abscess and Fistulae Hemorrhoids Rectal Cancer Fecal Incontinence Rectal Prolapse Anal Sphincterotomy - Internal Anorectal Abscess - Drainage Anorectal Fistula – Repair* Hemorrhoids – Management Perianal Condylomas - Excision Anal Cancer - Excision Rectal Cancer - Abdominoperineal Resection and Pelvic Exenteration Rectal Cancer - Transanal Resection Rectal Prolapse - Repair Aerodigestive Tract Foreign Bodies Bronchoalveolar Lavage and Bronchoscopy* Esophagogastroduodenoscopy Lower GI Endoscopy* Atypical Hyperplasia and Lobular Carcinoma in Situ Benign Disease – Fat Necrosis, Fibrocystic Changes, and Radial Scar Benign Inflammatory Disease – Mastitis, Abscess, and Mondor Disease Breast Cancer - Hereditary Breast Cancer - Inflammatory Breast Cancer - Invasive Carcinoma (Ductal, Lobular, All Variants) Breast Cancer - Paget's Disease of the Nipple Breast Disease During Pregnancy and Lactation* Breast Mass Ductal Carcinoma in Situ Fibroadenoma and Phyllodes Tumors Male Breast Disease: Gynecomastia and Breast Cancer Nipple Discharge and Intraductal Papilloma Radiographic Abnormalities

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SCORE Curriculum Outline 2018-2019 - Patient Care Module Not on Portal (x)

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Category # 13 13 13 13 13 13 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 14 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 15 16 16 16 16 16 16 16

Patient Care Category

Type

Level

Patient Care Topic

Breast Breast Breast Breast Breast Breast Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Endocrine Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Skin and Soft Tissue Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care

Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition

Advanced Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Advanced Advanced Advanced Core Core Advanced Advanced Core Core Core Core Core Core Core Core Advanced Advanced Advanced Advanced Core Core Core Core Core Advanced Advanced Core Core Core Core Core Core Core

Postmastectomy Reconstruction Options Axillary Sentinel Lymph Node Biopsy and Lymphadenectomy Duct Excision Excisional Breast Biopsy and Partial Mastectomy* Mastectomy - Simple, Modified Radical, and Radical Percutaneous Breast Biopsy and Cyst Aspiration* Adrenal Mass - Incidental Hyperaldosteronism - Primary Hypercortisolism - Cushing Syndrome/Disease Hyperparathyroidism Hyperthyroidism Hypothyroidism - Postoperative Pheochromocytoma Thyroid Cancer Thyroid Nodule Thyroiditis Adrenal Cancer Multiple Endocrine Neoplasias Parathyroid Cancer Parathyroidectomy Thyroidectomy - Partial or Total Adrenalectomy Ultrasound of the Thyroid Cellulitis Hidradenitis Melanoma and Nevi Necrotizing Soft Tissue Infections Nonmelanoma Skin Cancers Paronychia and Felon Pilonidal Cyst/Sinus Soft Tissue Masses - Evaluation Decubitus Ulcer Desmoids/Fibromatoses Lymphedema/Lymphangitis Soft Tissue Sarcomas Melanoma - Wide Excision Pilonidal Cystectomy Sentinel Lymph Node Biopsy for Melanoma Skin/Soft Tissue Lesions - Excisional and Incisional Biopsy Soft Tissue Infections - Incision, Drainage, Debridement Ilioinguinal-Femoral Lymphadenectomy Soft Tissue Sarcoma - Resection Abdominal Compartment Syndrome Anaphylaxis Acute Respiratory Distress Syndrome (ARDS) Brain Death Cardiac Arrest* Cardiac Arrhythmias - Common Cardiac Failure and Cardiogenic Shock*

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SCORE Curriculum Outline 2018-2019 - Patient Care Module Not on Portal (x) x

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Category # 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 16 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17 17

Patient Care Category

Type

Level

Patient Care Topic

Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Surgical Critical Care Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma

Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure

Core Core Core Core Core Core Core Core Core Core Core Advanced Core Core Core Core Advanced Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Core Advanced Advanced Advanced Advanced Advanced Advanced Core Core Core

Derangements of Electrolytes and Acid Base Balance* Endocrine Dysfunction Hepatic Failure and Hepatorenal Syndrome Hypovolemic Shock Hypoxemic Syndromes (PE, Pneumonia) Neurogenic Shock Neurologic Dysfunction Postoperative Delirium Renal Failure Respiratory Failure Sepsis and Septic Shock Organ Donors and Selection Criteria Intubation and Difficult Airway* Nutritional Support Ultrasound Use for Intravascular Access Vascular Access* Non-invasive and Invasive Cardiac Pacing* Burns* Chest Wall, Pleural and Diaphragm Injuries* Cardiac Injury* Colon and Rectal Injury Duodenal and Pancreatic Injury* Esophageal Injury Frostbite and Hypothermia Gastric and Small Intestinal Injury* Geriatric Trauma Hepatic Injury Initial Assessment and Management of Trauma Lower Urinary Tract Injuries* Pediatric Trauma Pelvic Fractures and Retroperitoneal Hematoma* Splenic Injury Tracheobronchial and Lung Injury* Trauma in Pregnancy Upper Aerodigestive Tract Injury Upper Urinary Tract Injuries* Vascular Injury - Abdomen Vascular Injury - Extremities Vascular Injury - Neck Vascular Injury - Thorax Bite and Envenomation Injuries Brachial Plexus Injury Extremity Injuries* Head Injury - Penetrating and Closed Smoke Inhalation Injury and Carbon Monoxide Poisoning Spine Fracture Abdominal Exploration for Trauma Cardiac Injury - Repair Duodenal and Pancreatic Injury – Operations

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SCORE Curriculum Outline 2018-2019 - Patient Care Module Not on Portal (x)

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Category # 17 17 17 17 17 17 17 17 17 17 17 17 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 18 19 19 19 19 19 19 19 20 20 20

Patient Care Category

Type

Level

Patient Care Topic

Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Trauma Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Arterial Disease Vascular - Venous Vascular - Venous Vascular - Venous Vascular - Venous Vascular - Venous Vascular - Venous Vascular - Venous Vascular - Access Vascular - Access Vascular - Access

Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Disease/Condition Operation/Procedure Operation/Procedure

Core Core Core Core Core Core Core Core Core Core Advanced Advanced Core Core Core Core Core Core Advanced Advanced Advanced Advanced Advanced Advanced Advanced Advanced Core Core Core Advanced Advanced Advanced Advanced Advanced Advanced Advanced Advanced Advanced Advanced Core Core Core Core Core Core Core Core Core Core

Esophageal Injury - Repair Focused Assessment with Sonography for Trauma (FAST) Gastrointestinal Tract Injury - Repair Hepatic Injury – Packing and Repair/Resection* Lower Extremity Fasciotomy Neck Exploration for Injury* Splenectomy/Splenorrhaphy Urinary Tract Injuries – Operations* Vascular Injuries – Operations* Wounds, Major - Debride/Suture Tendon - Repair Thermal Injuries – Operations* Acute Thrombosis and Ischemia* Cerebrovascular Disease Compartment Syndromes Diabetic Foot Infections Peripheral Arterial Emboli Peripheral Vascular Occlusive Disease* Aortic Dissection Arterial Aneurysms - Aortic Arterial Aneurysms - Peripheral Arterial Aneurysms - Visceral Nonatherosclerotic Occlusive Diseases Renal Artery Disease Thoracic Outlet Syndrome Vascular Graft Infections Amputations - Lower Extremity Embolectomy/Thrombectomy - Arterial Lower Extremity Bypass* Abdominal and Aortoiliac Aneurysm – Repair* Aortoiliac Reconstruction for Occlusive Disease* Carotid Endarterectomy Endovascular Intervention Principles Extra-anatomic Bypass Graft-enteric Fistula - Management Mesenteric Occlusive Disease - Operation Peripheral Aneurysms – Repair* Superior Mesenteric Artery Embolectomy/Thrombectomy Ultrasound in the Diagnosis and Management of Vascular Diseases Evaluation of the Swollen Leg Thrombophlebitis Varicose Veins Venous Stasis/Chronic Venous Insufficiency Venous Thromboembolism Vena Caval Filter - Insertion Venous Insufficiency/Varicose Veins – Operation Vascular Access for Dialysis Arteriovenous Graft/Fistula Vascular Exposure – Principles

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SCORE Curriculum Outline 2018-2019 - Patient Care Module Not on Portal (x) x

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Category # 20 21 21 21 21 21 21 21 22 22 22 22 22 22 22 22 22 22 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23 23

Patient Care Category

Type

Level

Patient Care Topic

Vascular - Access Transplantation Transplantation Transplantation Transplantation Transplantation Transplantation Transplantation Thoracic Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Thoracic Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery

Operation/Procedure Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure

Core Advanced Advanced Advanced Advanced Advanced Advanced Advanced Core Core Advanced Advanced Advanced Advanced Advanced Core Core Core Core Core Core Core Core Core Core Core Core Core Advanced Advanced Advanced Advanced Advanced Advanced Advanced Advanced Advanced Advanced Core Core Core Core Core Core Advanced Advanced Advanced Advanced Advanced

Venous Access Devices - Insertion* Organ Preservation En Bloc Abdominal Organ Retrieval Live Donor Hepatectomy Live Donor Nephrectomy Liver Transplantation Pancreas Transplantation Renal Transplantation Pleural Effusion/Empyema Pneumothorax and Pleurodesis Chylothorax Mediastinal Tumors and Cysts Mediastinitis Malignant Tumors of the Lung: Primary and Metastatic Superior Vena Cava Syndrome Exploratory Thoracotomy – Open and Thoracoscopic Partial Pulmonary Resections - Open and Thoracoscopic Tube Thoracostomy and Thoracentesis Abdominal Mass Abdominal Pain - Acute Appendicitis Gastrointestinal Bleeding - Lower Hypertrophic Pyloric Stenosis Inguinal Hernia Intussusception Malrotation Meckel's Diverticulum Umbilical Hernia Biliary Atresia Choledochal Cysts Congenital Agangliosis (Hirschsprung Disease) Congenital Diaphragmatic Hernia Cryptorchidism Neonatal Small Bowel Obstruction Esophageal Atresia/Tracheoesophageal Fistula Gastroschisis/Omphalocele Imperforate Anus Necrotizing Enterocolitis Inguinal Hernia - Repair Intussusception - Operation Malrotation - Operation Meckel's Diverticulum - Excision Pyloromyotomy Umbilical Hernia - Repair Branchial Cleft Anomaly - Excision Chest Wall Deformity - Repair Diaphragmatic Hernia - Repair Esophageal Atresia/Tracheoesophageal Fistula - Repair Hirschsprung's Disease - Operation

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SCORE Curriculum Outline 2018-2019 - Patient Care Module Not on Portal (x)

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Category # 23 23 23 23 23 23 23 24 24 25 25 25 25 25 25 26 26 26 26 26 26 27 27 27 27 27 27 27

Patient Care Category

Type

Level

Patient Care Topic

Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Pediatric Surgery Plastic Surgery Plastic Surgery Genitourinary Genitourinary Genitourinary Genitourinary Genitourinary Genitourinary Gynecology and Obstetrics Gynecology and Obstetrics Gynecology and Obstetrics Gynecology and Obstetrics Gynecology and Obstetrics Gynecology and Obstetrics Head and Neck Head and Neck Head and Neck Head and Neck Head and Neck Head and Neck Head and Neck

Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition Disease/Condition Disease/Condition Operation/Procedure Operation/Procedure Operation/Procedure Operation/Procedure

Advanced Advanced Advanced Advanced Advanced Advanced Advanced Core Core Core Core Advanced Advanced Core Core Core Core Advanced Core Core Advanced Core Core Advanced Core Core Advanced Advanced

Imperforate Anus - Operation Intestinal Atresia/Stenosis - Repair Meconium Ileus - Operation Necrotizing Enterocolitis - Operation Omphalocele/Gastroschisis - Repair Orchiopexy Thyroglossal Duct Cyst - Excision Complex Wound Closure Skin Grafting Hydrocele Scrotal Pain and Masses Acute Urinary Retention Genitourinary Neoplasms Cystostomy Nephrectomy Ectopic Pregnancy Pelvic Inflammatory Disease Gynecologic Neoplasms Hysterectomy and Salpingo-oophorectomy Surgical Considerations of the Pregnant Patient Cesarean Section Neck Mass - Evaluation Upper Airway Obstruction Oral Cavity/Pharynx, Laryngeal, and Salivary Gland Cancer Lymph Node Biopsy Tracheostomy Modified Neck Dissection Parotidectomy

* These topics are currently split over multiple modules on the SCORE Portal; the modules are scheduled to be combined in the future. See Changes to Patient Care for more details.

Core: Diseases and procedures encountered in general surgery for which a graduate of training will possess significant knowledge and be able to provide comprehensive care, including procedural competency. Advanced: Diseases and procedures that are not consistently part of general surgery practice for which a graduate of training should have sufficient knowledge to make a diagnosis and provide initial management. In some instances, graduates of training will have sufficient knowledge and experience to provide comprehensive care. SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

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CHANGES TO PATIENT CARE - 2018-2019 Category #

Patient Care Category 1 Abdomen - General

Type Disease/Condition

Level Core

1 Abdomen - General

Disease/Condition

Advanced Peritoneal Neoplasms

1 Abdomen - General

Operation/Procedure

Core

Abdominal Exploration

2 Abdomen - Hernia

Operation/Procedure

Core

Ventral Hernia – Repair

3 Abdomen - Biliary

Disease/Condition

Core

Benign Biliary Obstruction

3 Abdomen - Biliary

Disease/Condition

Core

Biliary Neoplasms

3 Abdomen - Biliary

Disease/Condition

Core

Cholecystitis

3 Abdomen - Biliary

Disease/Condition

Advanced Functional Biliary Disorders

3 Abdomen - Biliary

Operation/Procedure

Core

3 Abdomen - Biliary 4 Abdomen - Liver

Operation/Procedure Disease/Condition

Advanced Bile Duct Injury, Iatrogenic - Acute Repair Core Primary Hepatic Neoplasms – Benign and Malignant

4 Abdomen - Liver

Disease/Condition

Advanced Cirrhosis/Portal Hypertension (Ascites)

4 Abdomen - Liver

Operation/Procedure

Advanced Segmentectomy/Lobectomy

5 Abdomen - Pancreas

Disease/Condition

Core

Cystic Lesions of the Pancreas

5 Abdomen - Pancreas

Disease/Condition

Core

Pancreatitis – Acute/Pancreatic Necrosis/Abscess

5 Abdomen - Pancreas

Operation/Procedure

Advanced Pancreatitis, Chronic – Operative Management

6 Abdomen - Spleen

Disease/Condition

Advanced Hematologic Diseases of the Spleen

6 Abdomen - Spleen

Operation/Procedure

Core

Splenectomy

7 Alimentary Tract - Esophagus Disease/Condition

Core

Esophageal Motility Disorders

7 Alimentary Tract - Esophagus Disease/Condition

Core

Esophageal Neoplasms – Benign and Malignant

7 Alimentary Tract - Esophagus Disease/Condition

Core

Esophageal Perforation

7 Alimentary Tract - Esophagus Operation/Procedure

Core

Antireflux Procedures

7 Alimentary Tract - Esophagus Operation/Procedure

Advanced Paraesophageal Hernia – Repair

8 Alimentary Tract - Stomach

Disease/Condition

Core

Gastric Foreign Bodies

8 Alimentary Tract - Stomach

Disease/Condition

Core

Gastrointestinal Bleeding - Upper

8 Alimentary Tract - Stomach

Disease/Condition

Core

GIST and Miscellaneous Neoplasms

8 Alimentary Tract - Stomach

Disease/Condition

Advanced Functional Disorders of the Stomach

9 Alimentary Tract—Small Intestine

Disease/Condition

Core

Crohn Disease – Surgical Management

Core

Small Intestinal Obstruction

Core

Small Intestinal Neoplasms

Core

Ileostomy and Ileostomy Closure

Consolidation of the following modules: Peritoneal Neoplasms - Carcinomatosis; Peritoneal Neoplasms - Pseudomyxoma Peritonei Consolidation of the following modules: Diagnostic Laparoscopy; Peritoneal Lesion - Biopsy; include info re: Endometriosis; Mesenteric Cyst Consolidation of the following modules: Ventral Hernia - Repair; Abdominal Wall Reconstruction - Components Separation; Prosthetic Mesh Infections - Management Consolidation of the following modules: Jaundice - Obstructive; Cholangitis; Choledocholithiasis Consolidation of the following modules: Bile Duct Neoplasms; Gallbladder Cancer; Gallbladder Polyps Consolidation of the following modules: Cholecystitis - Acalculous; Cholecystitis - Acute and Chronic Renamed: formerly Ampullary Stenosis/Sphincter of Oddi Dysfunction; expanded to include Biliary Dyskinesia Consolidation of the following modules: Choledoscopy; Common Bile Duct Exploration Open; Common Bile Duct Exploration - Laparoscopic; Transduodenal Sphincteroplasty Renamed to include iatrogenic Consolidation of the following modules: Hepatic Mass - Evaluation; Hepatic Neoplasms Benign; Hepatic Neoplasms - Malignant Consolidation of the following modules: Cirrhosis/Portal Hypertension (Ascites); Bacterial Peritonitis - Spontaneous; Budd-Chiari syndrome; Ascites - Chylous; Paracentesis; and Esophageal Varices Consolidation of the following modules: Segmentectomy/Lobectomy - Laparoscopic; Segmentectomy/Lobectomy - Open Consolidation of the following modules: Pancreatic Neoplasms - Cystic; Pancreatic Pseudocyst Consolidation of the following modules: Pancreatitis - Acute/Pancreatic Necrosis/Abscess; Pancreatitis - Autoimmune; Pancreatitis - Biliary Consolidation of the following modules: Pancreaticojejunostomy - Longitudinal; Pancreatectomy - Frey and Beger Procedures Consolidation of the following modules: Idiopathic Thrombocytopenic Purpura; Hemolytic Anemias; Hypersplenism - Secondary and Splenomegaly Consolidation of the following modules: Splenectomy; Splenectomy/Splenorrhaphy - Partial; Postsplenectomy Sepsis Consolidation of the following modules: Achalasia; Dysphagia; Esophageal Diverticula; Esophageal Motility Disorders other than Achalasia; Stricture Consolidation of the following modules: Esophageal Neoplasms - Benign; Esophageal Neoplasms - Malignant Consolidation of the following modules: Esophageal Perforation - Iatrogenic; Esophageal Perforation - Spontaneous Consolidation of the following modules: Antireflux Procedures - Laparoscopic; Antireflux Procedures - Open Consolidation of the following modules: Paraesophageal Hernia - Laparoscopic Repair; Paraesophageal Hernia - Open Repair Renamed; originally Gastric Bezoars and Foreign Bodies; Bezoars to be covered in another module (Functional Disorders of the Stomach) Consolidation of the following modules: Gastrointestinal Bleeding - Upper; Mallory-Weiss Syndrome Consolidation of the following modules: GIST and Miscellaneous Neoplasms; Colon Neoplasms - Miscellaneous; Appendiceal Neoplasms; Small Intestinal GISTs Consolidation of the following modules: Gastroparesis; Postgastrectomy Syndromes; include bezoars. Consolidation of the following modules: Small Intestinal Crohn's Disease - Surgical Management; Colonic Crohn's Disease - Surgical Management; Stricturoplasty for Crohn's Disease Consolidation of the following modules: Small Intestinal Obstruction; Intussusception; Gallstone Ileus Consolidation of the following modules: Miscellaneous Small Intestinal Neoplasms (lymphoma, carcinoid), Small Intestinal Polyps, and Small Intestinal Adenocarcinoma Consolidation of the following modules: Ileostomy; Ileostomy Closure

Core

Colonic Volvulus and Obstruction

Consolidation of the following modules: Obstruction - Large Intestinal; Colonic Volvulus

9 Alimentary Tract—Small Disease/Condition Intestine 9 Alimentary Tract—Small Disease/Condition Intestine 9 Alimentary Tract—Small Operation/Procedure Intestine 10 Alimentary Tract—Large Disease/Condition Intestine 10 Alimentary Tract—Large Intestine Disease/Condition

Patient Care Topic Abdominal Pain – Acute and Chronic

Changes for 2018-2019 Edition Consolidation of the following modules: Abdominal Pain - Acute; Abdominal Pain - Chronic

Common Bile Duct Exploration and Choledochoscopy

Advanced Functional Disorders of the Intestine

Consolidation of the following modules: Constipation - Functional; Irritable Bowel Syndrome

Page 9 of 19

CHANGES TO PATIENT CARE - 2018-2019 Category #

Patient Care Category Type 10 Alimentary Tract—Large Intestine Operation/Procedure

Level Core

Patient Care Topic Colectomy – Total and Subtotal

10 Alimentary Tract—Large Intestine 11 Alimentary Tract - Anorectal

Operation/Procedure

Core

Colostomy and Colostomy Closure

Disease/Condition

Core

Anal Dysplasia and STDs

11 Alimentary Tract - Anorectal

Operation/Procedure

Core

Anorectal Fistula – Repair

11 Alimentary Tract - Anorectal

Operation/Procedure

Core

Hemorrhoids – Management

11 12 12 13

Operation/Procedure Operation/Procedure Operation/Procedure Disease/Condition

Advanced Core Core Core

Incontinence/Constipation - Operation Bronchoalveolar Lavage and Bronchoscopy Lower GI Endoscopy Atypical Hyperplasia and Lobular Carcinoma in Situ

13 Breast

Disease/Condition

Core

Benign Disease – Fat Necrosis, Fibrocystic Changes, and Radial Scar

13 Breast

Disease/Condition

Core

Benign Inflammatory Disease – Mastitis, Abscess, and Mondor Disease

13 Breast

Disease/Condition

Core

Fibroadenoma and Phyllodes Tumors

13 Breast

Disease/Condition

Core

Male Breast Disease: Gynecomastia and Breast Cancer

13 Breast

Disease/Condition

Core

Nipple Discharge and Intraductal Papilloma

13 Breast

Disease/Condition

Core

Radiographic Abnormalities

13 Breast

Disease/Condition

Core

Breast Disease During Pregnancy and Lactation

13 Breast

Operation/Procedure

Core

Excisional Breast Biopsy and Partial Mastectomy

13 Breast

Operation/Procedure

Core

Percutaneous Breast Biopsy and Cyst Aspiration

15 Skin and Soft Tissue

Disease/Condition

Core

Nonmelanoma Skin Cancers

15 Skin and Soft Tissue 15 Skin and Soft Tissue 16 Surgical Critical Care

Disease/Condition Operation/Procedure Disease/Condition

Core Core Core

Surgical Site Infection Melanoma - Wide Excision Acute Respiratory Distress Syndrome (ARDS)

16 Surgical Critical Care 16 Surgical Critical Care 16 Surgical Critical Care

Disease/Condition Disease/Condition Disease/Condition

Core Core Core

Cardiac Arrest Cardiac Failure and Cardiogenic Shock Derangements of Electrolytes and Acid Base Balance

16 Surgical Critical Care 16 Surgical Critical Care

Disease/Condition Operation/Procedure

Core Core

Hypoxemic Syndromes (PE, Pneumonia) Intubation and Difficult Airway

16 Surgical Critical Care

Operation/Procedure

Core

Nutritional Support

16 Surgical Critical Care

Disease/Condition

Core

Pneumonia - Hospital-Acquired

16 Surgical Critical Care

Disease/Condition

Core

Respiratory Failure

16 Surgical Critical Care

Disease/Condition

Core

Sepsis and Septic Shock

16 Surgical Critical Care

Operation/Procedure

Core

Vascular Access

16 Surgical Critical Care 16 Surgical Critical Care

Operation/Procedure Operation/Procedure

Core Compartment Pressures (Abdomen, Extremity) - Measurement Advanced Non-invasive and Invasive Cardiac Pacing

17 Trauma 17 Trauma 17 Trauma

Disease/Condition Disease/Condition Disease/Condition

Core Core Core

Aortic Injury Burns Cardiac Injury

17 Trauma

Disease/Condition

Core

Chest Wall, Pleura & Diaphragm Injuries

Alimentary Tract - Anorectal Endoscopy Endoscopy Breast

Changes for 2018-2019 Edition Consolidation of the following modules: Colectomy - Subtotal (with Ileorectal Anastomosis/Ileostomy); Coloproctectomy - Total (with Ileorectal Pull-through). Consolidation of the following modules: Colostomy; Colostomy Closure

Page 10 of 19

Combined "Anal Dysplasia/Sexually Transmitted Diseases" and "Perianal Condylomas" into 1 module. Consolidation of the following modules: Anal Fistulotomy/Seton Placement; Anorectal Fistulae - Complex Repair Consolidation of the following modules: Banding for Internal Hemorrhoids; Hemorrhoidectomy eliminate; beyond scope of general surgery Consolidation of the following modules: Bronchoalveolar Lavage; Bronchoscopy. Consolidation of the following modules: Colonoscopy; Proctoscopy and Sigmoidoscopy Combined "Atypical Ductal Hyperplasia" and "Atypical Lobular Hyperplasia and Lobular Carcinoma in Situ" into 1 module Consolidation of the following modules: Benign Disease - Fat Necrosis; Benign Disease Fibrocystic Breast Changes; Benign Disease - Radial Scar; Breast Pain Consolidation of the following modules: Benign Inflammatory Disease - Mastitis and Abscess; Benign Inflammatory Disease - Mondor Disease Consolidation of the following modules: Benign Disease - Fibroadenoma; Phyllodes Tumor Consolidation of the following modules: Benign Disease - Gynecomastia; Breast Cancer Male Consolidation of the following modules: Benign Disease - Intraductal Papilloma; Nipple Discharge Renamed and expanded to include more than just mammography; originally Mammographic Abnormalities Consolidation of the following modules: Benign Disease - Galactocele; Breast Cancer During Pregnancy and Lactation Consolidation of the following modules: Breast Biopsy with or without Needle Localization; Mastectomy - Partial Consolidation of the following modules: Breast Cyst - Aspiration; Breast Biopsy - ImageGuided Consolidation of the following modules: Adnexal Tumors of the Skin; Nonmelanoma Skin Cancers (basal cell, squamous cell); and Dermatofibrosarcoma Protuberans (DFSP) Move to Medical Knowledge, Infection and Antimicrobial Therapy Renamed: originally Melanoma - Wide Local Excision Split ARDS and Respiratory Failure module into 2: 1 module on ARDS; 1 on Respiratory Failure Renamed and content modified; originally titled "Defibrillation and Cardioversion" Consolidation of the following modules: Cardiac Failure; Cardiogenic Shock Consolidation of the following modules: Derangements of Electrolytes and Acid-Base Balance; Body Fluid Compartments and Fluid Homeostasis (moved from Medical Knowledge, Fluids and Electrolytes) New module Consolidation of the following modules: Airway Management; Endotracheal Intubation; Laryngoscopy; Cricothyroidotomy Consolidation of the following modules: Enteral Feeding Tube Placement; Nutritional Support - Long Term; and Feeding Jejunostomy Consolidated with Infections - Healthcare-acquired; moved to Medical Knowledge - Infection and Antimicrobial Therapy Split ARDS and Respiratory Failure module into 2: 1 module on ARDS; 1 on Respiratory Failure Consolidation of the following modules: Septic Shock; Pathophysiology of Sepsis (formerly in "Infection and Antimicrobial Therapy"; Medical Knowledge); Sepsis/SIRS Syndrome (formerly in "Infection and Antimicrobial Therapy"; Medical Knowledge) Consolidation of the following modules: Arterial Catheter Placement; Central Venous Catheter Placement; Invasive Hemodynamic Monitoring; AND Pulmonary Artery Catheter Placement Eliminate; covered in Abdominal Compartment Syndrome and Extremity Injuries Consolidation of the following modules: Cardiac Pacing; Temporary Transvenous Pacemaker. Eliminate; cover in Vascular Injury – Thorax; Vascular Injury – Abdomen Incorporate chemical burns into module Consolidation of the following modules: Myocardial Contusion; Cardiac Tamponade; Pericardial Window for Drainage Consolidation of the following modules: Diaphragmatic Injury; Hemothorax and Pneumothorax; Rib and Sternal Fractures

CHANGES TO PATIENT CARE - 2018-2019 Category #

Type Disease/Condition Disease/Condition Disease/Condition Disease/Condition

Level Core Core Core Core

Patient Care Topic Gastric and Small Intestinal Injury Lower Urinary Tract Injuries Pelvic Fractures and Retroperitoneal Hematoma Tracheobronchial and Lung Injury

17 Trauma

Disease/Condition

Core

Upper Urinary Tract Injuries

17 Trauma 17 Trauma

Disease/Condition Disease/Condition

Advanced Bite and Envenomation Injuries Advanced Extremity Injuries

17 Trauma

Operation/Procedure

Core

Abdominal Exploration for Trauma

17 Trauma

Operation/Procedure

Core

Duodenal and Pancreatic Injury – Operations

17 Trauma

Operation/Procedure

Core

Hepatic Injury – Packing and Repair/Resection

17 Trauma

Operation/Procedure

Core

Neck Exploration for Injury

17 Trauma

Operation/Procedure

Core

Urinary Tract Injuries – Operations

17 Trauma

Operation/Procedure

Core

Vascular Injuries – Operations

17 Trauma

Operation/Procedure

Advanced Thermal Injuries – Operations

18 Vascular - Arterial Disease

Disease/Condition

Core

Acute Thrombosis and Ischemia

18 Vascular - Arterial Disease

Disease/Condition

Core

Peripheral Vascular Occlusive Disease

18 Vascular - Arterial Disease 18 Vascular - Arterial Disease

Operation/Procedure Operation/Procedure

Core Lower Extremity Bypass* Advanced Abdominal and Aortoiliac Aneurysm – Repair

18 Vascular - Arterial Disease

Operation/Procedure

Advanced Aortoiliac Reconstruction for Occlusive Disease

18 Vascular - Arterial Disease

Operation/Procedure

Advanced Peripheral Aneurysms – Repair

19 Vascular - Venous 19 Vascular - Venous

Disease/Condition Operation/Procedure

Core Core

Evaluation of the Swollen Leg Venous Insufficiency/Varicose Veins – Operation

20 Vascular - Access

Operation/Procedure

Core

Venous Access Devices - Insertion

21 Transplantation 22 Thoracic Surgery

Disease/Condition Disease/Condition

Advanced Post-Transplant Malignancies Core Pleural Effusion/Empyema

22 Thoracic Surgery 22 Thoracic Surgery 22 Thoracic Surgery

Disease/Condition Disease/Condition Operation/Procedure

Core Pneumothorax and Pleurodesis Advanced Malignant Tumors of the Lung: Primary and Metastatic Core Tube Thoracostomy and Thoracentesis

23 Pediatric Surgery 23 Pediatric Surgery

Disease/Condition Disease/Condition

Core Abdominal Mass Advanced Neonatal Small Bowel Obstruction

25 25 25 26

Genitourinary Genitourinary Genitourinary Gynecology and Obstetrics

Disease/Condition Disease/Condition Disease/Condition Disease/Condition

Core Core Advanced Advanced

Hydrocele Scrotal Pain and Masses Acute Urinary Retention Gynecologic Neoplasms

26 27 27 28

Gynecology and Obstetrics Head and Neck Head and Neck Nervous System

Operation/Procedure Disease/Condition Operation/Procedure Operation/Procedure

Core Advanced Core Core

Hysterectomy and Salpingo-oophorectomy Lymphoma/Hodgkin's Disease Tracheostomy Nerve Block - Digital

28 Nervous System

Operation/Procedure

Core

Nerve Block - Intercostal

28 Nervous System

Operation/Procedure

Advanced Nerve Block(s) - Peripheral other than Digital

17 17 17 17

Patient Care Category Trauma Trauma Trauma Trauma

Page 11 of 19

Changes for 2018-2019 Edition Consolidation of the following modules: Gastric Injury; Small Intestinal Injury Consolidation of the following modules: Bladder Injury; Urethral Injury Consolidation of the following modules: Retroperitoneal Hematoma; Pelvic Fractures Consolidation of the following modules: Pulmonary Injury (Pulmonary Laceration, Pulmonary Contusion); Tracheal and Bronchial Injury Consolidation of the following modules: Renal Injury; Ureteral Injury; Ureteral Injury Iatrogenic Consolidation of the following modules: Animal and Insect Bites and Stings; Human Bites Consolidation of the following modules: Extremity Fractures and Traumatic Amputations; Sprains, Strains, and Dislocations; include info re: Compartment Pressures (Extremity) Measurement Consolidation of the following modules: Exploratory Laparotomy; Exploratory Laparoscopy; Temporary Closure of the Abdomen; Damage Control Laparotomy and Management of the Open Abdomen Consolidation of the following modules: Duodenal Trauma – Management; Pancreatic Injury Operation Consolidation of the following modules: Hepatic Injury – Packing and Repair; Hepatic Injury – Resection Consolidation of the following modules: Neck Exploration for Injury; Carotid Artery Injury – Repair Consolidation of the following modules: Bladder Injury – Repair; Renal Injury – Repair/Resection; Ureteral Injury – Repair Consolidation of the following modules: Abdominal Aorta or Vena Cava Injury – Repair; Truncal and Peripheral Vessels – Repair Consolidation of the following modules: Escharotomy for Burn Injury; Burn Debridement and Grafting of Major Burns Consolidation of the following modules: Acute Arterial Thrombosis; Acute Limb Ischemia; Aortic Thrombosis Consolidation of the following modules: Peripheral Vascular Disease and Claudication; Aortoiliac Disease Consolidation of the following modules: Femoral-popliteal Bypass; Infrapopliteal Bypass Consolidation of the following modules: Abdominal Aortic Aneurysm - Endovascular/Open Repair; Infrarenal and Aortoiliac Aneurysm - Repair; AND Suprarenal Abdominal Aortic Aneurysm - Repair Consolidation of the following modules: Aortofemoral Bypass; Arterial Occlusive Disease Endarterectomy modules; adding aortoiliac to module Consolidation of the following modules: Femoral Aneurysm - Repair; Popliteal Aneurysm Repair; Pseudoaneurysm - Repair New module Consolidation of the following modules: Venous Insufficiency/Varicose Veins - Operation; Sclerotherapy - Peripheral Vein Consolidation of the following modules: Venous Access Devices - Insertion; Venous Access for Long-Term Therapy Eliminate; cover in individual transplantation modules in long-term follow-up sections Consolidation of the following modules: Pleural Effusion/Empyema; Empyema Management Consolidation of the following modules: Pneumothorax; Pleurodesis Consolidation of the following modules: Lung Cancer; Metastatic Tumors of the Lung Consolidation of the following modules: Chest Tube Placement and Management; Thoracentesis Consolidation of the following modules: Abdominal Mass; Neuroblastoma; Wilms Tumor Consolidation of the following modules: Duodenal Atresia/Stenosis; Intestinal Atresia/Meconium Ileus Consolidation of the following modules: Hydrocele; Hydrocelectomy Renamed: originally Orchiectomy; revised and made into a disease/condition module Renamed and modified; originally, "Obstructive Uropathy and Urolithiasis" Consolidation of the following modules: Ovarian Neoplasms - Benign/Malignant; Ovarian Mass/Cyst - Incidental; Uterine Neoplasms - Benign and Malignant Combined "Hysterectomy" and "Salpingo-oophorectomy" into 1 module. Consolidate with Neck Mass - Evaluation Consolidation of the following modules: Tracheostomy; Tracheoinnominate Fistula Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks - Peripheral, other than Digital; Moved to Medical Knowledge - Anesthesia Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks - Peripheral, other than Digital; Moved to Medical Knowledge - Anesthesia Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks - Peripheral, other than Digital; Moved to Medical Knowledge - Anesthesia

SCORE Curriculum Outline 2018-2019 - Medical Knowledge Category # 1 1 1 1 1 1 1 1 1 2 2 2 2 2 2 2 2 3 3 3 3 4 4 4 4 4 5 5 5 5 6 6 6 6 6 6 6 6 7 7 8 8 8 8 9 9

Medical Knowledge Category

Medical Knowledge Topic

Anesthesia Anesthesia Anesthesia Anesthesia Anesthesia Anesthesia Anesthesia Anesthesia Anesthesia Biostatistics and Evaluation of Evidence Biostatistics and Evaluation of Evidence Biostatistics and Evaluation of Evidence Biostatistics and Evaluation of Evidence Biostatistics and Evaluation of Evidence Biostatistics and Evaluation of Evidence Biostatistics and Evaluation of Evidence Biostatistics and Evaluation of Evidence Fluids, Electrolytes, and Acid-Base Balance Fluids, Electrolytes, and Acid-Base Balance Fluids, Electrolytes, and Acid-Base Balance Fluids, Electrolytes, and Acid-Base Balance Geriatric Surgery and End of Life Care Geriatric Surgery and End of Life Care Geriatric Surgery and End of Life Care Geriatric Surgery and End of Life Care Geriatric Surgery and End of Life Care Immunology Immunology Immunology Immunology Infection and Antimicrobial Therapy Infection and Antimicrobial Therapy Infection and Antimicrobial Therapy Infection and Antimicrobial Therapy Infection and Antimicrobial Therapy Infection and Antimicrobial Therapy Infection and Antimicrobial Therapy Infection and Antimicrobial Therapy Minimally Invasive Surgery - Principles Minimally Invasive Surgery - Principles Nutrition and Metabolism Nutrition and Metabolism Nutrition and Metabolism Nutrition and Metabolism Oncology and Tumor Biology Oncology and Tumor Biology

Anesthesia, General - Agents and Techniques Anesthesia, Regional and Local - Agents and Techniques Best Practices in Prescribing Opioids Choice of Anesthesia Conscious Sedation - Agents and Techniques Intraoperative Monitoring and Common Intraoperative Problems Nerve Blocks – Digital and Peripheral* Pain, Acute - Management Pain, Chronic - Management Clinical Trials Evaluating the Quality and Applicability of a Study How Data is Expressed and Summarized Levels of Evidence Outcomes Research Design Surveys and Qualitative Research Tests of Significance Hypocalcemia and Hypercalcemia Hypokalemia and Hyperkalemia Hyponatremia and Hypernatremia Magnesium and Phosphorous Disorders Advance Directives, DNR Orders, and Power of Attorney Frailty Goal Setting with Elderly Patients and Families Palliative and Hospice Care Perioperative Management of Geriatric Patients Components of the Immune System Immune Response to Injury and Infection Surgery and Surgical Conditions in Immunocompromised Hosts Transplant Immunology Antimicrobial Stewardship Diagnostic Approach to Infection Infections - Hospital-Acquired Infections - Opportunistic Intra-abdominal Abscess Intra-abdominal Infections Prevention and Treatment of Surgical Site Infection Preoperative Assessment and Management of Coexisting Infection Minimally Invasive Surgery (MIS) Principles Robotic Surgery - Principles Effect of Surgery, Illness and Injury on Nutritional Requirements Nutritional Assessment Nutritional Pharmacology and Immunonutrition Nutritional Requirements Adjunctive Therapy for Cancer Genetic Susceptibility

Page 12 of 19

SCORE Curriculum Outline 2018-2019 - Medical Knowledge Category # 9 9 10 10 10 10 10 10 11 11 11 11 12 12

Medical Knowledge Category

Medical Knowledge Topic

Oncology and Tumor Biology Oncology and Tumor Biology Preoperative Evaluation and Perioperative Care Preoperative Evaluation and Perioperative Care Preoperative Evaluation and Perioperative Care Preoperative Evaluation and Perioperative Care Preoperative Evaluation and Perioperative Care Preoperative Evaluation and Perioperative Care Transfusion and Disorders of Coagulation Transfusion and Disorders of Coagulation Transfusion and Disorders of Coagulation Transfusion and Disorders of Coagulation Wound Healing Wound Healing

Screening and Biomarkers Tumor Immunology Common Postoperative Problems Evaluation of Surgical Risk Management of Perioperative Risk Postoperative Pain Management Prophylaxis of Venous Thromboembolism Ventilatory Support/Management Evaluation of Ongoing Bleeding and Laboratory Assessment of Coagulation Inherited and Acquired Disorders of Coagulation Normal Mechanisms of Hemostasis and Coagulation Transfusion - Indications, Risks, Type and Crossmatch, and Component Therapy Wound Closure and Postoperative Care Wound Healing

* These topics ar *These topics are currently split over multiple modules on the SCORE Portal; the modules are scheduled to be combined in the future. See Changes to Patient Care for more details. SCORE® Curric SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 13 of 19

CHANGES TO MEDICAL KNOWLEDGE - 2018-2019 Category #

Medical Knowledge Category 1 Anesthesia 1 Anesthesia

Medical Knowledge Topic Best Practices in Prescribing Opioids Nerve Blocks – Digital and Peripheral

3 Fluids, Electrolytes, and Acid-Base Balance 4 Geriatric Surgery and End of Life Care

Body Fluid Compartments and Fluid Homeostasis

4 Geriatric Surgery and End of Life Care

Perioperative Management of Geriatric Patients

6 Infection and Antimicrobial Therapy

Antimicrobial Stewardship

6 Infection and Antimicrobial Therapy

Diagnostic Approach to Infection

6 Infection and Antimicrobial Therapy

Infections - Hospital-Acquired

6 Infection and Antimicrobial Therapy

Pathophysiology of Sepsis

6 Infection and Antimicrobial Therapy

Sepsis/SIRS Syndrome

7 Minimally Invasive Surgery - Principles

MIS Principles

8 Nutrition and Metabolism

Nutritional Support - Long Term

9 Oncology and Tumor Biology

Adjunctive Therapy for Cancer

Frailty

10 Preoperative Evaluation and Perioperative Care

Evaluation of Surgical Risk

10 Preoperative Evaluation and Perioperative Care 10 Preoperative Evaluation and Perioperative Care 12 Wound Healing

Management of Perioperative Risk

12 Wound Healing

Wound Healing

Ventilatory Support/Management Wound Closure and Postoperative Care

Page 14 of 19

Changes for 2018-2019 NEW Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks Peripheral, other than Digital; Moved from Patient Care - Nervous System Moved to Patient Care, Surgical Critical Care; consolidated with Derangements of Electrolytes and Acid-Base Balance Consolidation of the following modules: Functional Decline of Aging; Natural and Clinical Impact of Physiologic Effects Associated with Aging Consolidation of the following modules: Medication and Dosing Issues in the Elderly; Preoperative Evaluation of Geriatric Patients. Consolidation of the following modules: Principles of Antimicrobial Resistance; Perioperative Antimicrobial Prophylaxis Consolidation of the following modules: Host Defense and Infection; Infection Control Avoiding Risk to Self and Others; Infections - Bacterial, Common; Infections Diagnostic Approach; Infections - Fungal, Common; Infections - Viral, Common. Consolidation of the following modules: Infections - Healthcare-acquired; Pneumonia Hospital-Acquired (formerly in Patient Care - SCC). Moved to Patient Care, Surgical Critical Care; revised title: Sepsis and Septic Shock; consolidation of the following modules: Septic Shock; Pathophysiology of Sepsis; Sepsis/SIRS Syndrome Moved to Patient Care, Surgical Critical Care; revised title: Sepsis and Septic Shock; consolidation of the following modules: Septic Shock; Pathophysiology of Sepsis; Sepsis/SIRS Syndrome Consolidation of the following modules: MIS Equipment and Troubleshooting; Physiologic Changes Associated with Pneumoperitoneum; Principles and Techniques of Abdominal Access. Moved to Patient Care, Surgical Critical Care; renamed Nutritional Support; Consolidation of the following modules: Enteral Feeding Tube Placement; Nutritional Support - Long Term; and Feeding Jejunostomy Consolidation of the following modules: Chemotherapy - Principles; Radiation Therapy Principles Consolidation of the following modules: Evaluation of Surgical Risk; Preoperative Assessment and Management of Cardiac Risk; Preoperative Assessment and Management of Pulmonary Risk. Consolidation of the following modules: Perioperative Management of the Patient on Steroids; Perioperative Management of the Therapeutically Anticoagulated Patient. NEW; SCC module on Airway Management/Ventilator Management split into 2 modules; Airway management staying in SCC; ventilator moved to MK Consolidation of the following modules: Wound Care - Adjunctive, Wound Care Postoperative, and Wound Closure Consolidation of the following modules: Disturbances of Wound Healing and Chronic Wounds; Physiology of Normal Wound Healing

SCORE Curriculum Outline 2018-2019 - Professionalism Category #

Professionalism Category

Professionalism Topic

1

Ethical Issues in Clinical Surgery: Competition of Interests

Accepting Gifts from Vendors

1

Ethical Issues in Clinical Surgery: Competition of Interests

Clinical Research - Case 1

1

Ethical Issues in Clinical Surgery: Competition of Interests

Clinical Research - Case 2

1

Ethical Issues in Clinical Surgery: Competition of Interests

Clinical Research - Case 3

1

Ethical Issues in Clinical Surgery: Competition of Interests

Confronting Problem Behavior

1

Ethical Issues in Clinical Surgery: Competition of Interests

Non-Patient Care Obligations

1

Ethical Issues in Clinical Surgery: Competition of Interests

Personal Investments

1

Ethical Issues in Clinical Surgery: Competition of Interests

Refusal to Care for Patients

1

Ethical Issues in Clinical Surgery: Competition of Interests

Reimbursement Incentives - Case 1

1

Ethical Issues in Clinical Surgery: Competition of Interests

Reimbursement Incentives - Case 2

1

Ethical Issues in Clinical Surgery: Competition of Interests

Reimbursement Incentives - Case 3

2

Ethical Issues in Clinical Surgery: Truth Telling

Dealing with Complications and Poor Outcomes

2

Ethical Issues in Clinical Surgery: Truth Telling

Informed Consent

2

Ethical Issues in Clinical Surgery: Truth Telling

Listening and the Surgeon-Patient Relationship

2

Ethical Issues in Clinical Surgery: Truth Telling

Respecting Cultural Diversity and Individual Sensitivities

2

Ethical Issues in Clinical Surgery: Truth Telling

Truth Telling and the Surgeon–Patient Relationship

2

Ethical Issues in Clinical Surgery: Truth Telling

Use of the Internet and E-mail for Communication - Case 1

2

Ethical Issues in Clinical Surgery: Truth Telling

Use of the Internet and E-mail for Communication - Case 2

3

Ethical Issues in Clinical Surgery: Confidentiality

Concern for the Safety of Identifiable Others

3

Ethical Issues in Clinical Surgery: Confidentiality

Conversations about Patients in Public

3

Ethical Issues in Clinical Surgery: Confidentiality

Duty to Report Patients to Public Authorities

3

Ethical Issues in Clinical Surgery: Confidentiality

Relaying Genetic Test Results to Family Members

3

Ethical Issues in Clinical Surgery: Confidentiality

Revealing Confidential Information

3

Ethical Issues in Clinical Surgery: Confidentiality

Surgeons Infected with Blood-Borne Diseases

4

Ethical Issues in Clinical Surgery: Professional Obligations

Obligations to Other Professionals

4

Ethical Issues in Clinical Surgery: Professional Obligations

Obligations to Patients: Commitment

4

Ethical Issues in Clinical Surgery: Professional Obligations

Obligations to Patients: Competence

4

Ethical Issues in Clinical Surgery: Professional Obligations

Obligations to Society: Allocation of Resources

4

Ethical Issues in Clinical Surgery: Professional Obligations

Obligations to Society: Teaching and Learning Surgery

5

Ethical Issues in Clinical Surgery: End-of-Life Issues

Advance Directives and the Surgical Patient

5

Ethical Issues in Clinical Surgery: End-of-Life Issues

DNR Orders in the Operating Room

5

Ethical Issues in Clinical Surgery: End-of-Life Issues

Euthanasia and Physician-assisted Suicide

5

Ethical Issues in Clinical Surgery: End-of-Life Issues

Futility

5

Ethical Issues in Clinical Surgery: End-of-Life Issues

Maintaining Contact

5

Ethical Issues in Clinical Surgery: End-of-Life Issues

Palliative Care

5

Ethical Issues in Clinical Surgery: End-of-Life Issues

Talking About Death

5

Ethical Issues in Clinical Surgery: End-of-Life Issues

Withdrawing and Withholding Treatment

Page 15 of 19

SCORE Curriculum Outline 2018-2019 - Professionalism Category #

Professionalism Category

Professionalism Topic

6

Ethical Issues in Clinical Surgery: Substitute Decision Making

By What Criteria Should Substitute Decision Makers Decide?

6

Ethical Issues in Clinical Surgery: Substitute Decision Making

Substitute Decision Makers and DNR Orders

6

Ethical Issues in Clinical Surgery: Substitute Decision Making

Substitute Decisions for Children

6

Ethical Issues in Clinical Surgery: Substitute Decision Making

Unclear Competence and Decision-Making Capacity

6

Ethical Issues in Clinical Surgery: Substitute Decision Making

Who Decides When the Patient Cannot?

SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 16 of 19

SCORE Curriculum Outline 2018-2019 - Interpersonal and Communication Skills

Category #

Interpersonal & Communication Skills Category

Interpersonal & Communication Skills Topic

1

NOTSS

Cognitive Skills (Situation Awareness and Decision Making)

1

NOTSS

Social Skills (Communication, Teamwork and Leadership)

2

SPICE

Admitting Mistakes - Ethical Choices and Reasoning

2

SPICE

Advanced Communication Skills for Surgical Practice

2

SPICE

Cultural Diversity - Working Through the Barriers of Language and Differing Customs

2

SPICE

Delivering Bad News - Your Chance to Become a Master Surgeon

2

SPICE

Giving and Getting Feedback

2

SPICE

Managing Your Career - Making the Professional and Personal Choices that will Define You

2

SPICE

Medical Errors and Apology

2

SPICE

Safe Handoff of Patient Care Duties

2

SPICE

The Stress of Surgical Practice - The Signs of Stress, Depression, and Suicide in You and Your Surgical Colleagues

2

SPICE

Working with Professionals Around You - Team Communication and Respect

NOTSS = Non-Technical Skills for Surgeons SPICE = Surgical Professionalism and Interpersonal Communication Program SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 17 of 19

SCORE Curriculum Outline 2018-2019 - Practice-Based Learning and Improvement

Category #

Practice-Based Learning & Improvement Category

Practice-Based Learning & Improvement Topic

1

Quality Improvement

Inspiring a Healthy Culture for Patient Care

1

Quality Improvement

Local Engagement in Quality Improvement

1

Quality Improvement

Problem-Based Quality Improvement

1

Quality Improvement

Understanding the Data and Methods to Evaluate Performance

SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 18 of 19

SCORE Curriculum Outline 2018-2019 - Systems-Based Practice

Category #

Systems-Based Practice Topic

1

Advocating for Quality Patient Care

1

Coordinating Patient Care

1

Cost Awareness and Risk-Benefit Analysis

1

Identifying Systems Errors – Root Cause Analysis

1

Working Effectively in Various Healthcare Delivery Settings and Systems

1

Working in Interprofessional Teams

SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 19 of 19