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	7/7/23	Patient Safety and Outcomes	Inspiring a Healthy Culture for Patient Care Understanding the Data and Methods to Evaluate Performance Problem-Based Quality Improvement Local Engagement in Quality Improvement Principles of Disparities in Surgical Care
2	7/14/23	Thyroid	Thyroid Nodule Ultrasound of the Thyroid Thyroid Cancer Thyroidectomy – Partial or Total Hyperthyroidism Thyroiditis Hypothyroidism – Postoperative
3	7/21/23	Benign Biliary, Part 2 of 2	Bile Duct Injury – Iatrogenic Bile Duct Injury, Iatrogenic – Acute Repair Choledochoenteric Anastomosis Choledochal Cyst Primary Sclerosing Cholangitis
4	7/28/23	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
5	8/4/23	Organ System Dysfunction, 1 of 2	Derangements of Electrolytes and Acid-Base Balance Renal Failure
6	8/11/23	Professional Development Planning
7	8/18/23	Biliary Neoplasms and Jaundice	Benign Biliary Obstruction Benign and Malignant Neoplasms of the Gallbladder (formerly Biliary Neoplasms) Cholangiocarcinoma (formerly Biliary Neoplasms) Extended Cholecystectomy for Gallbladder Cancer (formerly Gallbladder Cancer – Operation) Bile Duct Cancer- Operation Cholangiocarcinoma Resection (formerly Bile Duct Neoplasms – Operation)
8	8/25/23	Benign Anorectal, Part 2 of 2	Hemorrhoids Hemorrhoids – Management Anal Dysplasia and STDs Perianal Condylomas – Excision Fecal Incontinence Rectal Prolapse Rectal Prolapse – Repair
9	9/1/23	Liver Neoplasms and Portal Hypertension	Cirrhosis/Portal Hypertension (Ascites) Hepatic Neoplasms – Metastatic Segmentectomy/Lobectomy
10	9/8/23	Pancreas and Pancreatitis	Acute Pancreatitis Chronic Pancreatitis Pancreas Divisum Pancreatic Ultrasound – Intraoperative
11	9/15/23	Stomach, Part 1 of 2	Gastrectomy – Partial/Total Vagotomy and Drainage Gastric Adenocarcinoma Peptic Ulcer Disease Gastroduodenal Perforation – Repair Postgastrectomy Syndromes – Revisional Procedures
12	9/22/23	Abdominal Trauma, Part 1 of 3	Colon and Rectal Injury Duodenal and Pancreatic Injury Gastric and Small Intestinal Injury Gastrointestinal Tract Injury – Repair
13	9/29/23	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 Diversity in the US Surgical Workforce
14	10/6/23	Small Intestine, Part 2 of 2	Ileostomy and Ileostomy Closure Meckel Diverticulum Enteric Infections and Blind Loop Syndrome Small Intestinal Neoplasms Mesenteric Ischemia – Acute (Arterial, Venous, and Nonocclusive) Superior Mesenteric Artery Embolectomy/Thrombectomy
15	10/13/23	Nutrition	Access Procedures for Nutritional Support Nutritional Support Nutritional Assessment Nutritional Requirements
16	10/20/23	Cancelled – Mock Orals
17	10/27/23	Endoscopy	Esophagogastroduodenoscopy Lower GI Endoscopy Bronchoscopy and Bronchoalveolar Lavage
18	11/3/23	Inflammatory Bowel Disease	Crohn Disease – Surgical Management Ulcerative Colitis – Surgical Management
19	11/10/23	Off – Veterans Day
20	11/17/23	Miscellaneous Trauma	Geriatric Trauma Pediatric Trauma Trauma in Pregnancy Traumatic Brain Injury
21	11/24/23	Off – Thanksgiving
22	12/1/23	Pancreatic Tumors	Pancreatic Cystic Neoplasms (this module is a combination of Cystic Lesions of the Pancreas and Intraductal Papillary Mucinous Neoplasms) Pancreatic Neoplasms – Endocrine Pancreatic Neoplasms – Exocrine
23	12/8/23	Parathyroid	Hyperparathyroidism Multiple Endocrine Neoplasias Parathyroid Cancer Parathyroidectomy
24	12/15/23	Pediatrics, Part 3 of 4	Hypertrophic Pyloric Stenosis Pyloromyotomy Inguinal Hernia Inguinal Hernia – Repair Umbilical Hernia Umbilical Hernia – Repair Abdominal Mass Gastroschisis/Omphalocele
25	12/22/23	Off- Holiday Schedule
26	12/29/23	Off- Holiday Schedule
27	1/5/24	Gynecology and Obstetrics	Ectopic Pregnancy Pelvic Inflammatory Disease Gynecologic Neoplasms Cesarean Section Hysterectomy and Salpingo-oophorectomy Surgical Considerations in the Pregnant Patient
28	1/12/24	Critical Care, Part 2 of 3	Ultrasound Use for Intravascular Access Vascular Access Anaphylaxis Abdominal Compartment Syndrome
29	1/19/24	Aneurysms	Arterial Aneurysms – Aortic Abdominal and Aortoiliac Aneurysm – Repair Arterial Aneurysms – Peripheral Peripheral Aneurysms – Repair
30	1/26/24	Off – ABSITE
31	2/2/24	Abdominal Trauma, Part 2 of 3	Initial Assessment and Management of Trauma Abdominal Exploration for Trauma
32	2/9/24	Extremity and Spinal Trauma	Extremity Injuries Hand Tendon Repairs Brachial Plexus Injury Spinal Cord Injury
33	2/16/24	Ethics, Part 2 of 2	Decision-Making Capacity Surrogate Decision Making Advance Directives Do Not Resuscitate Withdrawing and Withholding Life-Sustaining Treatments
34	2/23/24	Biostats	Study Design Tests of Significance and Measures of Long-term Survival Bias in Research Design and Studies
35	3/1/24	Organ System Dysfunction, 2 of 2	Hypovolemic Shock Neurogenic Shock Sepsis and Septic Shock Endocrine Dysfunction
36	3/8/24	Stomach, Part 2 of 2	Gastrointestinal Bleeding – Upper Stress Gastritis Morbid Obesity Morbid Obesity – Operation GISTs and Miscellaneous Neoplasms
37	3/15/24	Neck Trauma	Upper Airway Obstruction Initial Diagnosis and Management of Neck Trauma Management of Airway Injuries of the Neck (formerly Upper Aerodigestive Tract Injury) Neck Exploration for Trauma (formerly Neck Injuries – Management)
38	3/22/24	Vascular Access	Vascular Exposure – Principles Venous Access Devices – Insertion Arteriovenous Graft/Fistula Vascular Access for Dialysis
39	3/29/24	Off – Visiting Professor
40	4/5/24	Preoperative Evaluation, Part 1 of 2	Evaluation of Surgical Risk Preoperative Assessment and Management of Coexisting Infection
41	4/12/24	Abdominal Vascular Disease	Renal Artery Disease Mesenteric Occlusive Disease – Operation Arterial Aneurysms – Visceral
42	4/19/24	Pediatrics, Part 4 of 4	Gastrointestinal Bleeding – Lower Intussusception Intussusception – Operation Esophageal Atresia/Tracheoesophageal Fistula Esophageal Atresia/Tracheoesophageal Fistula – Repair Anorectal Malformations Anorectal Malformations – Operation Congenital Aganglionosis (Hirschsprung Disease)
43	4/26/24	Plastics	Esophagomyotomy (Heller) Esophageal Motility Disorders Cricopharyngeal Myotomy with Zenker’s Diverticulum – Excision Esophageal Caustic Ingestion and Foreign Bodies
44	5/3/24	Critical Care Part 3	Respiratory Failure: Acute Respiratory Distress Syndrome (ARDS), Pulmonary Embolism (PE), and Pneumonia Airway Access: Intubation and Surgical Airways Mechanical Ventilation
45	5/10/24	Breast, Part 3 of 3	Breast Cancer – Paget Disease of the Nipple Atypical Hyperplasia, Flat Epithelial Atypia, and Lobular Carcinoma in Situ Excisional Breast Biopsy and Partial Mastectomy Mastectomy – Simple, Modified Radical, and Radical Postmastectomy Reconstruction Options
46	5/17/24	Pancreatic Resections	Pancreatectomy – Total Pancreaticoduodenectomy Management of Ampullary Tumors Pancreatectomy – Distal
47	5/24/24	Pain Management	Pain, Acute – Management Pain, Chronic – Management Nerve Blocks – Digital and Peripheral
48	5/31/24	Arterial Occlusive Disease, Part 2 of 3	Peripheral Arterial Emboli Embolectomy/Thrombectomy – Arterial Endovascular Intervention Principles
49	6/7/24	Soft Tissue Infection	Soft Tissue Infections (this will be a consolidation of Cellulitis and Necrotizing Soft Tissue Infections) Hidradenitis Suppurativa Soft Tissue Infections – Incision, Drainage, Debridement Paronychia and Felon
50	6/14/24	Geriatrics/End of Life	Frailty Goal Setting with Elderly Patients and Families Perioperative Management of Geriatric Patients Advance Directives, DNR Orders, and Power of Attorney Palliative and Hospice Care
51	6/21/24	Oncology and Tumor Biology	Tumor Immunology Adjunctive Therapy for Cancer
52	6/28/24	Interpersonal Skills, Part 3 of 3	Giving and Getting Feedback Safe Handoff of Patient Care Duties Communicating Medical Errors (formerly Medical Errors and Apology) Social Skills (Communication & Teamwork and Leadership) Cognitive Skills (Situation Awareness and Decision Making) Allyship and Bystander Intervention