Junior Resident SCORE Curriculum: 2019-2020 » Junior Resident SCORE Curriculum » Department of Surgery » College of Medicine

This conference will replace surgery 101& 201, and will meet on Wednesday afternoon from 4:00pm-5:00pm. Each week the group will review the modules assigned for the This Week in Score Curriculum (TWIS). With each TWIS assignment the all residents will be expected to:

Complete the quiz associated with the weekly assignment in advance
Review the modules assigned with particular focus on the two bolded modules and any italicized modules on the calendar below
Come to class prepared to discuss the conference prep questions in class

Each week one resident will be assigned to lead the discussion of the conference prep questions. One faculty member with expertise in the subject of interest will be assigned as the curriculum mentor for that week. Presenting residents should review their presentation with that faculty member in advance of the session. The curriculum mentor for the week will also attend SCORE conference as schedules permit to assist in facilitating discussion and to answer any questions that arise from the presentation.

You will be expected to sign out your clinical work to you other teammates who are not attending conference and this will represent true protected time. Residents rotating on non-Department of Surgery rotations are not required to attend this conference, but are encouraged to attend. All other PGY 1&2 residents and PA residents are required to attend conference.

2020-2021 SCORE Conference Curriculum

Week #	Week Starting	Topic	Associated Modules
1	June 21, 2020	OFF	Summer/New Academic Year
2	June 28	Preoperative Evaluation, Part 1 of 2	Evaluation of Surgical Risk Preoperative Assessment and Management Ventilatory Support/ Management
3	July 5	Preoperative Evaluation, Part 2 of 2	Common Postoperative Problems Management of Perioperative Risk Prophylaxis for Venous Thromboembolism
4	July 12	Fluids and Electrolytes	Hypokalemia and Hyperkalemia Hypocalcemia and Hypercalcemia Hyponatremia and Hypernatremia Magnesium and Phosphorous Disorders
5	July 19	Benign Biliary, Part 1 of 2	Ultrasound of the Biliary Tree Cholecystitis Cholecystostomy Cholecystectomy with or without Cholangiography Benign Biliary Obstruction Common Bile Duct Exploration and Choledochoscopy
6	July 26	Benign Biliary, Part 2 of 2	Bile Duct Injury – Iatrogenic Bile Duct Injury, Iatrogenic – Acute Repair Choledochoenteric Anastomosis Pancreatitis – Biliary Choledochal Cyst Primary Sclerosing Cholangitis
7	August 2	Liver	Hepatic Abscess Hepatic Abscess – Drainage Hepatic Biopsy Primary Hepatic Neoplasms – Benign and Malignant Hepatic Ultrasound – Intraoperative
8	August 9	Wound Healing and Soft Tissue Trauma	Wound Healing Wound Closure and Postoperative Care Wounds, Major – Debride/Suture Bite and Envenomation Injuries
9	August 16	Inguinal and Femoral Hernias	Inguinal and Femoral Hernia Inguinal and Femoral Hernia – Repair
10	August 23	Surgical Infection	Infections – Hospital-Acquired Diagnostic Approach to Infection Antimicrobial Stewardship Prevention and Treatment of Surgical Site Infection Antimicrobial Agents in Surgical Infections Intra-abdominal Infections
11	August 30	Spleen	Hematologic Diseases of the Spleen Splenectomy Splenectomy/Splenorrhaphy – Partial Splenic Abscesses, Cysts and Neoplasms
12	September 6	Ethics, Part 1 of 2	Approaching Ethical Issues in Surgery Informed Consent Futility Medical Decisions for Pediatric Patients Ethics in Global Surgery and Volunteerism
13	September 13	Esophagus, Part 1 of 3	Esophagectomy/Esophagogastrectomy Esophageal Perforation – Repair/Resection Esophageal Perforation Esophageal Neoplasms – Benign and Malignant
14	September 20	Pediatrics, Part 1 of 4	Biliary Atresia Branchial Cleft Anomaly – Excision Chest Wall Deformity – Repair Choledochal Cysts Congenital Diaphragmatic Hernia Congenital Diaphragmatic Hernia – Repair Neonatal Small Bowel Obstruction Meckel’s Diverticulum Meckel’s Diverticulum – Excision Appendicitis
15	September 27	Soft Tissue Neoplasm, Part 1 of 2	Nonmelanoma Skin Cancers Melanoma – Wide Excision Melanoma and Nevi Sentinel Lymph Node Biopsy for Melanoma Ilioinguinal-Femoral Lymphadenectomy
16	October 4	Small Intestine, Part 1 of 3	Adhesiolysis Enterocutaneous Fistula Radiation Enteritis Small Intestinal Obstruction Small Intestinal Resection Short Bowel Syndrome
17	October 11	Appendicitis and Diverticulitis	Appendectomy Appendicitis Diverticulitis Colostomy and Colostomy Closure
18	October 18	Interpersonal Skills, Part 1	Social Skills (Communication & Teamwork and Leadership) Cognitive Skills (Situation Awareness and Decision Making)
19	October 25	Colon Cancer	Colon Cancer Colonic Polyps Polyposis Syndromes
20	November 1	Benign Anorectal, Part 1 of 2	Anal Sphincterotomy Anorectal Abscess – Drainage Anorectal Abscess and Fistulae Anorectal Fistulae – Repair Anal Fissure Pilonidal Cyst/Sinus Pilonidal Cystectomy
21	November 8	Anorectal Neoplasm	Rectal Cancer Rectal Cancer – Abdominoperineal Resection and Pelvic Exenteration Rectal Cancer – Transanal Resection Anal Cancer Anal Cancer – Excision
22	November 15	Breast, Part 1 of 3	Breast Mass Radiographic Abnormalities Benign Disease – Fat Necrosis, Fibrocystic Changes, and Radial Scar Fibroadenoma and Phyllodes Tumors Male Breast Disease: Gynecomastia and Breast Cancer Benign Inflammatory Disease – Mastitis, Abscess, and Mondor Disease Nipple Discharge and Intraductal Papilloma Duct Excision
23	November 22	OFF	Thanksgiving (November 26, 2020)
24	November 29	Adrenal	Adrenal Mass – Incidental Hyperaldosteronism – Primary Hypercortisolism – Cushing Syndrome/Disease Pheochromocytoma Adrenal Cancer Adrenalectomy
25	December 6	Systems- Based Practice	Advocating for Quality Patient Care Coordinating Patient Care Cost Awareness and Risk-Benefit Analysis Identifying Systems Errors – Root Cause Analysis Working Effectively in Various Healthcare Delivery Settings and Systems Working in Interprofessional Teams
26	December 13	Dysmotility	Functional Disorders of the Intestine Paralytic Ileus Functional Biliary Disorders Gastric Foreign Bodies
27	December 20	OFF	Holidays
28	December 27	Organ System Dysfunction, Part 1 of 3	Acute Respiratory Distress Syndrome (ARDS) Respiratory Failure Endocrine Dysfunction
29	January 3, 2021	Organ System Dysfunction, Part 2 of 3	Derangements of Electrolytes and Acid-Base Balance Renal Failure
30	January 10	Pain/ Anesthesia	Anesthesia, General – Agents and Techniques Anesthesia, Regional and Local – Agents and Techniques Choice of Anesthesia Conscious Sedation – Agents and Techniques Intraoperative Monitoring and Common Intraoperative Problems Postoperative Pain Management Best Practices in Prescribing Opioids
31	January 17	Organ System Dysfunction, Part 3 of 3	Neurologic Dysfunction Pain, Agitation, and Delirium Hepatic Failure and Hepatorenal Syndrome
32	January 24	OFF	ABSITE®
33	January 31	Abdominal Trauma, Part 3 of 3	Initial Assessment and Management of Trauma Abdominal Exploration for Trauma
34	February 7	Nutrition	Effect of Surgery, Illness, and Injury on Nutritional Requirements Nutritional Support Nutritional Assessment Nutritional Pharmacology and Immunonutrition Nutritional Requirements
35	February 14	Vascular- Arterial, Part 1 of 2	Acute Thrombosis and Ischemia Amputations – Lower Extremity Compartment Syndromes Diabetic Foot Infections Nonatherosclerotic Occlusive Diseases
36	February 21	Vascular- Arterial, Part 2 of 2	Vascular Graft Infections Acute Aortic Dissection Graft-enteric Fistula – Management Thoracic Outlet Syndrome
37	February 28	Cerebrovascular Disease	Carotid Endarterectomy Cerebrovascular Disease Ultrasound in the Diagnosis and Management of Vascular Diseases
38	March 7	Large Intestine: Colitis, Obstruction	C. difficile Colitis Colectomy – Total and Subtotal Colectomy – Partial Colitis – Ischemic Colonic Volvulus and Obstruction Gastrointestinal Bleeding – Lower
39	March 14	Vascular- Venous	Evaluation of the Swollen Leg Venous Insufficiency/Varicose Veins – Operation Thrombophlebitis Varicose Veins Vena Cava Filter Insertion Venous Stasis/Chronic Venous Insufficiency Venous Thromboembolism
40	March 21	Thoracic, Part 1 of 2	Mediastinal Tumors and Cysts Mediastinitis Malignant Tumors of the Lung: Primary and Metastatic Exploratory Thoracotomy – Open and Thorascopic Partial Pulmonary Resection – Open and Thoracoscopic
41	March 28	Thoracic, Part 2 of 2	Tube Thoracostomy and Thoracentesis Superior Vena Cava Syndrome Pleural Effusion/Empyema Pneumothorax and Pleurodesis Chylothorax
42	April 4	Urology	Hydrocele Genitourinary Neoplasms Acute Urinary Retention Cystostomy Nephrectomy Scrotal Pain and Masses
43	April 11	Esophagus, Part 2 of 3	Esophagomyotomy (Heller) Esophageal Motility Disorders Cricopharyngeal Myotomy with Zenker’s Diverticulum – Excision Esophageal Caustic Ingestion and Foreign Bodies
44	April 18	Pediatrics, Part 2 of 4	Intestinal Atresia/Stenosis – Repair Meconium Ileus – Operation Necrotizing Enterocolitis Necrotizing Enterocolitis – Operation Orchiopexy Thyroglossal Duct Cyst – Excision Malrotation Malrotation – Operation Aerodigestive Tract Foreign Bodies
45	April 25	Transplantation/ Immunology 1	Brain Death Organ Donors and Selection Criteria En Bloc Abdominal Organ Retrieval Organ Preservation Live Donor Hepatectomy Live Donor Nephrectomy
46	May 2	Transplantation/ Immunology 2	Liver Transplantation Pancreas Transplantation Renal Transplantation Infections – Opportunistic
47	May 9	Esophagus, Part 3 of 3	Hiatal Hernias Gastroesophageal Reflux/Barrett’s Esophagus Antireflux Procedures Paraesophageal Hernia – Repair
48	May 16	Soft Tissue Neoplasm, Part 2 of 2	Soft Tissue Masses – Evaluation Skin/Soft Tissue Lesions – Excisional and Incisional Biopsy Soft Tissue Sarcomas Soft Tissue Sarcoma – Resection
49	May 23	Gynecology and Obstetrics	Hysterectomy and Salpingo-Oophorectomy Ectopic Pregnancy Pelvic Inflammatory Disease Gynecologic Neoplasms Cesarean Section Surgical Considerations in the Pregnant Patient
50	May 30	Transplantation/ Immunology 3	Transplant Immunology Components of the Immune System Immune Response to Injury and Infection Surgery and Surgical Conditions in Immunocompromised Hosts
51	June 6	Interpersonal Skills, Part 2 of 4	Admitting Mistakes – Ethical Choices and Reasoning Advanced Communication Skills for Surgical Practice – and The Challenge of Informed Consent Delivering Bad News – Your Chance to Become a Master Surgeon Working with Professionals – Team Communication and Respect
52	June 13	Head and Neck	Lymph Node Biopsy Neck Mass – Evaluation Modified Neck Dissection Oral Cavity/Pharynx, Laryngeal, and Salivary Gland Cancer Parotidectomy