Junior Resident SCORE Curriculum
2019-2020

This conference will replace surgery 101& 201, and will meet on both Wednesday and Thursday mornings from 7AM to 8 AM.  Half of the PGY-1 and 2 residents will meet each day, based on the service that you are currently assigned to.  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 two of the four PGY-2s in each group will lead the discussion of the conference prep questions, one person responsible for each of the highlighted modules.  A faculty member will be present to moderate the discussion.

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.

The assignments for the Wednesday and Thursday groups are as follows:

WednesdayThursday
ACS PGY-1s (2)Trauma and ACS PGY-2s (2)
VA Lake City PGY-1Shands Vascular PGY-1
Pediatric Surgery PGY-1Pediatric Surgery PGY-2
Burns PGY-2Burns PGY-1
VA nights PGY-2BMSE PGY-2
VA Lake City PGY-2VA Gen PGY-1
SCCM PGY-2VA ICU PGY-1
VA Vascular PGY-1North Tower night float
ST night floatSurg Onc PGY-1
GI Surg PGY-1Transplant PGY-1

2019-2020 SCORE Conference Curriculum

Week # Week Starting Topic Associated Modules
1June 24, 2019OFFSummer/New Academic Year
2July 8Umbilical and Epigastric Hernias Ventral Hernia Ventral Hernia – Repair Miscellaneous Hernias Miscellaneous Hernias – Repair Diaphragmatic Hernia – Repair 
3July 15Transfusion & CoagulationEvaluation 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
4July 22Abdomen – GeneralAbdominal Exploration Intra-abdominal Abscess Peritoneal Dialysis Catheter Insertion Intra-abdominal Abscess – Drainage 
5July 29Thermal TraumaBurns Thermal Injuries – Operations Lower Extremity Fasciotomy Frostbite and Hypothermia Smoke Inhalation Injury and Carbon Monoxide Poisoning
6August 5Biliary Neoplasms & JaundiceBenign Biliary ObstructionBiliary Neoplasms Gallbladder Cancer – Operation Bile Duct Cancer- Operation Bile Duct Neoplasms – Operation
7August 12Abdominal Neoplasms & PainAbdominal Pain – Acute and Chronic Desmoids/Fibromatoses Peritoneal Neoplasms
8August 19Liver Neoplasms & Portal HypertensionCirrhosis/Portal Hypertension (Ascites) Hepatic Neoplasms – Metastatic Segmentectomy/Lobectomy
9August 26Pancreas & PancreatitisPancreatitis – Acute/Pancreatic Necrosis/Abscess Pancreatic Debridement Pancreatic Pseudocyst – Drainage Pancreatitis – Chronic (Including Hereditary Pancreatitis)/Pancreatic Insufficiency Pancreaticojejunostomy – Longitudinal  Pancreatectomy – Frey and Beger Procedures Pancreas Divisum Pancreatic Ultrasound – Intraoperative
10September 2Stomach, Part 1 of 2Gastroduodenal Perforation – Repair Gastrectomy – Partial/Total  Vagotomy and Drainage Gastric Adenocarcinoma Peptic Ulcer Disease
11September 9Interpersonal Skills, Part 3 of 4Cultural Diversity: Working through Barriers of Language and Differing Customs The Stress of Surgical Practice: The Signs of Stress, Depression, and Suicide  Managing Your Career: Making Professional and Personal Choices
12September 16Stomach, Part 2 of 2Gastrointestinal Bleeding – Upper Stress Gastritis Morbid Obesity Morbid Obesity – Operation Gastrostomy Gastroparesis Postgastrectomy Syndromes GISTs and Miscellaneous Neoplasms
13September 23Small Intestine – Part 2 of 3Pneumatosis Ileostomy and Ileostomy Closure Meckel’s Diverticulum Enteric Infections and Blind Loop Syndrome
14September 30Small Intestine – Part 3 of 3Small Intestinal Neoplasms Mesenteric Ischemia – Acute (Arterial, Venous, andNonocclusive) Superior Mesenteric Artery Embolectomy/Thrombectomy
15October 7Benign Anorectal, Part 2 of 2Hemorrhoids Hemorrhoids – Management Anal Dysplasia and STDs Perianal Condylomas – Excision Fecal Incontinence Rectal Prolapse
16October 14Inflammatory Bowel DiseaseCrohn Disease – Surgical Management Ulcerative Colitis – Surgical Management
17October 21ThyroidThyroid Nodule Ultrasound of the Thyroid Thyroid Cancer Thyroidectomy – Partial or Total  Hyperthyroidism Thyroiditis Hypothyroidism – Postoperative
18October 28EndoscopyEsophagogastroduodenoscopy Lower GI Endoscopy Bronchoalveolar Lavage and Bronchoscopy
19November 4Miscellaneous TraumaGeriatric Trauma Pediatric Trauma Trauma in Pregnancy Head Injury – Penetrating and Closed Spine Fracture
20November 11Breast, Part 2 of 3Breast Cancer – Invasive Carcinoma (Ductal, Lobular, All Variants) Ductal Carcinoma In Situ Breast Cancer – Hereditary Breast Cancer – Inflammatory Axillary Sentinel Lymph Node Biopsy and Lymphadenectomy Breast Cyst – Aspiration Breast Biopsy – Image-Guided
21November 18Breast, Part 3 of 3Breast Disease During Pregnancy and Lactation Breast Cancer – Paget’s Disease of the Nipple Atypical Lobular Hyperplasia and Lobular Carcinoma In Situ Excisional Breast Biopsy and Partial Mastectomy Mastectomy – Simple, Modified Radical, and Radical Postmastectomy Reconstruction Options
22November 25OFFThanksgiving (November 28, 2019)
23December 2Critical Care, Part 1Cardiac Arrhythmias – Common Cardiac Arrest Noninvasive and Invasive Cardiac Pacing Cardiac Failure and Cardiogenic Shock
24December 9ParathyroidHyperparathyroidism Multiple Endocrine Neoplasias Parathyroid Cancer Parathyroidectomy
25December 16Soft Tissue Infection Cellulitis Hidradenitis Necrotizing Soft Tissue Infections Soft Tissue Infections – Incision, Drainage, Debridement  Paronychia and Felon
26December 23OFFHolidays
27December 30ShockHypovolemic Shock Neurogenic Shock Sepsis and Septic Shock  
28December 30Critical Care, Part 2 of 3Abdominal Compartment Syndrome Intubation and Difficult Airway Hypoxemic Syndromes (PE, Pneumonia)
29January 5, 2020Critical Care, Part 3 of 3Ultrasound Use for Intravascular Access Vascular Access Anaphylaxis
30January 12Chest TraumaChest Wall, Pleura, and Diaphragm Injuries Tracheobronchial and Lung Injury Myocardial Injury Cardiac Tamponade Cardiac Injury – Repair Esophageal Injury Esophageal Injury – Repair
31January 19OFF ABSITE®  
32January 26Extremity TraumaExtremity Injuries Hand Tendon Repairs
33February 2Neck TraumaUpper Airway Obstruction Vascular Injury – Neck Upper Aerodigestive Tract Injury Neck Exploration for Injury Tracheostomy Brachial Plexus Injury
34February 9Retroperitoneal TraumaLower Urinary Tract Injuries Upper Urinary Tract Injuries Urinary Tract Injuries – Operations Pelvic Fractures and Retroperitoneal Hematoma
35February 16Vascular TraumaVascular Injury – Abdomen Vascular Injury – Extremities Vascular Injury – Thorax Abdominal Aorta or Vena Cava Injury – Repair Truncal and Peripheral Vessels – Repair
36February 23Arterial Occlusive Disease, Part 1 of 3Peripheral Vascular Occlusive Disease Aortoiliac Reconstruction for Occlusive Disease Femoral-popliteal Bypass Infrapopliteal Bypass Extra-anatomic Bypass
37March 1Arterial Occlusive Disease, Part 2 of 3Renal Artery Disease Mesenteric Occlusive Disease – Operation
38March 8AneurysmsArterial Aneurysms – Aortic Abdominal Aortic Aneurysm – Endovascular/Open Repair Infrarenal and Aortoiliac Aneurysm – Repair Suprarenal Abdominal Aortic Aneurysm – Repair Arterial Aneurysms – Visceral  Arterial Aneurysms – Peripheral Peripheral Aneurysms – Repair
39March 15Arterial Occlusive Disease, Part 3 of 3Peripheral Arterial Emboli Embolectomy/Thrombectomy – Arterial Endovascular Intervention Principles
40March 22Abdominal Trauma, Part 1 of 2Colon and Rectal Injury Duodenal and Pancreatic Injury Duodenal and Pancreatic Injury – Operations Gastric and Small Intestinal Injury Gastrointestinal Tract Injury – Repair
41March 29Abdominal Trauma, Part 2 of 2Focused Assessment with Sonography for Trauma (FAST) Hepatic Injury Hepatic Injury – Packing and Repair/Resection Splenic Injury Splenectomy/Splenorrhaphy
42April 5Vascular AccessVascular Exposure – Principles Venous Access Devices – Insertion Arteriovenous Graft/Fistula Vascular Access for Dialysis
43April 12Patient Safety and Outcomes, Part 2 of 3Inspiring a Healthy Culture for Patient Care
Understanding the Data and Methods to Evaluate Performance Problem-Based Quality Improvement Local Engagement in Quality Improvement
44April 19Pediatrics, Part 3 of 4Hypertrophic Pyloric Stenosis Pyloromyotomy Inguinal Hernia Inguinal Hernia – Repair Umbilical Hernia Umbilical Hernia – Repair Aerodigestive Tract Foreign Bodies Abdominal Mass
45April 26PlasticsComplex Wound Closure Pressure Ulcer Skin Grafting Lymphedema/Lymphangitis
46May 3Biostatistics and Evaluation of EvidenceClinical Trials Evaluating the Quality and Applicability of a Study How Data is Expressed and Summarized Levels of Evidence Outcomes Research Design in Outcome and Health Services Research Surveys and Qualitative Research Tests of Significance
47May 10Pancreas, Tumors and ResectionCystic Lesions of the Pancreas Pancreatic Neoplasms – Endocrine Pancreatic Neoplasms – Exocrine  Intraductal Papillary Mucinous Neoplasms Pancreatectomy – Total Pancreaticoduodenectomy Ampullary Resection for Tumor Pancreatectomy – Distal
48May 17Pain ManagementPain, Acute – Management Pain, Chronic – Management Nerve Blocks – Digital and Peripheral
49May 24Pediatrics, Part 4 of 4 Abdominal Pain – Acute Gastrointestinal Bleeding – Lower Intussusception Intussusception – Operation Malrotation Malrotation – Operation Meckel’s Diverticulum Meckel’s Diverticulum – Excision Appendicitis
50May 31Geriatrics/End of LifeFrailty Goal Setting with Elderly Patients and Families Perioperative Management of Geriatric Patients Advanced Directives, DNR Orders, and Power of Attorney Palliative and Hospice Care
51June 7Oncology and Tumor BiologyTumor Immunology Genetic Susceptibility Screening and Biomarkers Adjunctive Therapy for Cancer
52June 14Interpersonal Skills, Part 4 of 4Giving and Getting Feedback Safe Handoff of Patient Care Duties Medical Errors and Apology