Junior Resident SCORE Curriculum

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
1June 21, 2020OFFSummer/New Academic Year
2June 28Preoperative Evaluation, Part 1 of 2Evaluation of Surgical Risk
Preoperative Assessment and Management

Ventilatory Support/ Management
3July 5 Preoperative Evaluation, Part 2 of 2 Common Postoperative Problems 
Management of Perioperative Risk
Prophylaxis for Venous Thromboembolism
4July 12Fluids and ElectrolytesHypokalemia and Hyperkalemia
Hypocalcemia and Hypercalcemia
Hyponatremia and Hypernatremia

Magnesium and Phosphorous Disorders
5July 19Benign Biliary, Part 1 of 2Ultrasound of the Biliary Tree
Cholecystectomy with or without Cholangiography
Benign Biliary Obstruction

Common Bile Duct Exploration and Choledochoscopy
6July 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
7August 2LiverHepatic Abscess
Hepatic Abscess – Drainage
Hepatic Biopsy
Primary Hepatic Neoplasms – Benign and Malignant
Hepatic Ultrasound – Intraoperative 
8August 9Wound Healing and Soft Tissue TraumaWound Healing
Wound Closure and Postoperative Care

Wounds, Major – Debride/Suture
Bite and Envenomation Injuries
9August 16Inguinal and Femoral HerniasInguinal and Femoral Hernia
Inguinal and Femoral Hernia – Repair
10August 23Surgical InfectionInfections – Hospital-Acquired
Diagnostic Approach to Infection
Antimicrobial Stewardship
Prevention and Treatment of Surgical Site Infection
Antimicrobial Agents in Surgical Infections
Intra-abdominal Infections
11August 30SpleenHematologic Diseases of the Spleen

Splenectomy/Splenorrhaphy – Partial
Splenic Abscesses, Cysts and Neoplasms
12September 6Ethics, Part 1 of 2Approaching Ethical Issues in Surgery
Informed Consent

Medical Decisions for Pediatric Patients
Ethics in Global Surgery and Volunteerism
13September 13Esophagus, Part 1 of 3Esophagectomy/Esophagogastrectomy
Esophageal Perforation – Repair/Resection
Esophageal Perforation
Esophageal Neoplasms – Benign and Malignant
14September 20Pediatrics, Part 1 of 4Biliary 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
15September 27Soft Tissue Neoplasm, Part 1 of 2Nonmelanoma Skin Cancers
Melanoma – Wide Excision 
Melanoma and Nevi
Sentinel Lymph Node Biopsy for Melanoma

Ilioinguinal-Femoral Lymphadenectomy
16October 4Small Intestine, Part 1 of 3Adhesiolysis
Enterocutaneous Fistula
Radiation Enteritis
Small Intestinal Obstruction
Small Intestinal Resection

Short Bowel Syndrome
17October 11Appendicitis and DiverticulitisAppendectomy

Colostomy and Colostomy Closure
18October 18Interpersonal Skills, Part 1Social Skills (Communication & Teamwork and Leadership)
Cognitive Skills (Situation Awareness and Decision Making)
19October 25Colon CancerColon Cancer
Colonic Polyps
Polyposis Syndromes
20November 1Benign Anorectal, Part 1 of 2Anal Sphincterotomy
Anorectal Abscess – Drainage
Anorectal Abscess and Fistulae
Anorectal Fistulae – Repair
Anal Fissure
Pilonidal Cyst/Sinus

Pilonidal Cystectomy
21November 8Anorectal NeoplasmRectal Cancer
Rectal Cancer – Abdominoperineal Resection and Pelvic Exenteration
Rectal Cancer – Transanal Resection
Anal Cancer
Anal Cancer – Excision
22November 15Breast, Part 1 of 3Breast 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
23November 22OFF Thanksgiving (November 26, 2020)
24November 29AdrenalAdrenal Mass – Incidental
Hyperaldosteronism – Primary 
Hypercortisolism – Cushing Syndrome/Disease
Adrenal Cancer
25December 6Systems- Based PracticeAdvocating 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
26December 13DysmotilityFunctional Disorders of the Intestine
Paralytic Ileus
Functional Biliary Disorders

Gastric Foreign Bodies
27December 20 OFF Holidays
28December 27Organ System Dysfunction, Part 1 of 3Acute Respiratory Distress Syndrome (ARDS)
Respiratory Failure

Endocrine Dysfunction
29January 3, 2021 Organ System Dysfunction, Part 2 of 3 Derangements of Electrolytes and Acid-Base Balance
Renal Failure
30January 10Pain/ 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
31January 17 Organ System Dysfunction, Part 3 of 3 Neurologic Dysfunction
Pain, Agitation, and Delirium
Hepatic Failure and Hepatorenal Syndrome
32January 24 OFF ABSITE®
33January 31Abdominal Trauma, Part 3 of 3Initial Assessment and Management of Trauma
Abdominal Exploration for Trauma
34February 7NutritionEffect of Surgery, Illness, and Injury on Nutritional Requirements
Nutritional Support
Nutritional Assessment

Nutritional Pharmacology and Immunonutrition
Nutritional Requirements
35February 14Vascular- Arterial, Part 1 of 2Acute Thrombosis and Ischemia
Amputations – Lower Extremity

Compartment Syndromes
Diabetic Foot Infections
Nonatherosclerotic Occlusive Diseases
36February 21 Vascular- Arterial, Part 2 of 2 Vascular Graft Infections
Acute Aortic Dissection

Graft-enteric Fistula – Management
Thoracic Outlet Syndrome
37February 28Cerebrovascular DiseaseCarotid Endarterectomy
Cerebrovascular Disease
Ultrasound in the Diagnosis and Management of Vascular Diseases
38March 7Large Intestine: Colitis, ObstructionC. difficile Colitis
Colectomy – Total and Subtotal
Colectomy – Partial
Colitis – Ischemic 
Colonic Volvulus and Obstruction
Gastrointestinal Bleeding – Lower
39March 14Vascular- VenousEvaluation of the Swollen Leg
Venous Insufficiency/Varicose Veins – Operation
Varicose Veins
Vena Cava Filter Insertion
Venous Stasis/Chronic Venous Insufficiency
Venous Thromboembolism
40March 21Thoracic, Part 1 of 2Mediastinal Tumors and Cysts
Malignant Tumors of the Lung: Primary and Metastatic
Exploratory Thoracotomy – Open and Thorascopic
Partial Pulmonary Resection – Open and Thoracoscopic
41March 28 Thoracic, Part 2 of 2 Tube Thoracostomy and Thoracentesis
Superior Vena Cava Syndrome
Pleural Effusion/Empyema
Pneumothorax and Pleurodesis

42April 4UrologyHydrocele
Genitourinary Neoplasms
Acute Urinary Retention
Scrotal Pain and Masses
43April 11Esophagus, Part 2 of 3Esophagomyotomy (Heller)
Esophageal Motility Disorders
Cricopharyngeal Myotomy with Zenker’s Diverticulum – Excision
Esophageal Caustic Ingestion and Foreign Bodies
44April 18Pediatrics, Part 2 of 4Intestinal Atresia/Stenosis – Repair
Meconium Ileus – Operation
Necrotizing Enterocolitis
Necrotizing Enterocolitis – Operation
Thyroglossal Duct Cyst – Excision
Malrotation – Operation
Aerodigestive Tract Foreign Bodies
45April 25Transplantation/ Immunology 1Brain Death
Organ Donors and Selection Criteria
En Bloc Abdominal Organ Retrieval

Organ Preservation
Live Donor Hepatectomy
Live Donor Nephrectomy
46May 2 Transplantation/ Immunology 2Liver Transplantation
Pancreas Transplantation
Renal Transplantation
Infections – Opportunistic
47May 9 Esophagus, Part 3 of 3 Hiatal Hernias
Gastroesophageal Reflux/Barrett’s Esophagus
Antireflux Procedures
Paraesophageal Hernia – Repair
48May 16Soft Tissue Neoplasm, Part 2 of 2Soft Tissue Masses – Evaluation
Skin/Soft Tissue Lesions – Excisional and Incisional Biopsy
Soft Tissue Sarcomas
Soft Tissue Sarcoma – Resection
49May 23Gynecology and ObstetricsHysterectomy and Salpingo-Oophorectomy
Ectopic Pregnancy
Pelvic Inflammatory Disease
Gynecologic Neoplasms
Cesarean Section
Surgical Considerations in the Pregnant Patient
50May 30Transplantation/ Immunology 3Transplant Immunology
Components of the Immune System
Immune Response to Injury and Infection

Surgery and Surgical Conditions in Immunocompromised Hosts
51June 6Interpersonal Skills, Part 2 of 4Admitting 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
52June 13Head and NeckLymph Node Biopsy
Neck Mass – Evaluation

Modified Neck Dissection
Oral Cavity/Pharynx, Laryngeal, and Salivary Gland Cancer