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:

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


2019-2020 SCORE Conference Curriculum

Week #  Week Starting  Topic  Associated Modules
1 June 24, 2019 OFF Summer/New Academic Year
2 July 8
Umbilical and Epigastric Hernias
Ventral Hernia
Ventral Hernia – Repair
Miscellaneous Hernias
Miscellaneous Hernias – Repair
Diaphragmatic Hernia – Repair 
3 July 15 Transfusion & Coagulation
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
4 July 22 Abdomen – General
Abdominal Exploration
Intra-abdominal Abscess
Peritoneal Dialysis Catheter Insertion
Intra-abdominal Abscess – Drainage 
5 July 29 Thermal Trauma
Thermal Injuries – Operations
Lower Extremity Fasciotomy
Frostbite and Hypothermia
Smoke Inhalation Injury and Carbon Monoxide Poisoning
6 August 5 Biliary Neoplasms & Jaundice
Benign Biliary Obstruction
Biliary Neoplasms
Gallbladder Cancer – Operation
Bile Duct Cancer- Operation
Bile Duct Neoplasms – Operation
7 August 12 Abdominal Neoplasms & Pain
Abdominal Pain – Acute and Chronic
Peritoneal Neoplasms
8 August 19 Liver Neoplasms & Portal Hypertension
Cirrhosis/Portal Hypertension (Ascites)
Hepatic Neoplasms – Metastatic
9 August 26 Pancreas & Pancreatitis
Pancreatitis – 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
10 September 2 Stomach, Part 1 of 2
Gastroduodenal Perforation – Repair
Gastrectomy – Partial/Total 
Vagotomy and Drainage
Gastric Adenocarcinoma
Peptic Ulcer Disease
11 September 9 Interpersonal Skills, Part 3 of 4
Cultural 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
12 September 16 Stomach, Part 2 of 2
Gastrointestinal Bleeding – Upper
Stress Gastritis
Morbid Obesity
Morbid Obesity – Operation
Postgastrectomy Syndromes
GISTs and Miscellaneous Neoplasms
13 September 23 Small Intestine – Part 2 of 3
Ileostomy and Ileostomy Closure
Meckel’s Diverticulum
Enteric Infections and Blind Loop Syndrome
14 September 30 Small Intestine – Part 3 of 3
Small Intestinal Neoplasms
Mesenteric Ischemia – Acute (Arterial, Venous, and Nonocclusive)
Superior Mesenteric Artery Embolectomy/Thrombectomy
15 October 7 Benign Anorectal, Part 2 of 2
Hemorrhoids – Management
Anal Dysplasia and STDs
Perianal Condylomas – Excision
Fecal Incontinence
Rectal Prolapse
Rectal Prolapse – Repair
16 October 14 Inflammatory Bowel Disease
Crohn Disease – Surgical Management
Ulcerative Colitis – Surgical Management
17 October 21 Thyroid
Thyroid Nodule
Ultrasound of the Thyroid
Thyroid Cancer
Thyroidectomy – Partial or Total 
Hypothyroidism – Postoperative
18 October 28 Endoscopy
Lower GI Endoscopy
Bronchoalveolar Lavage and Bronchoscopy
19 November 4 Micellaneous Trauma
Geriatric Trauma
Pediatric Trauma
Trauma in Pregnancy
Head Injury – Penetrating and Closed
Spine Fracture
20 November 11 Breast, Part 2 of 3
Breast 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
21 November 18 Breast, Part 3 of 3
Breast 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
22 November 25 Off Thanksgiving Break
23 December 2 Critical Care, Part 1
Cardiac Arrhythmias – Common
Cardiac Arrest
Noninvasive and Invasive Cardiac Pacing
Cardiac Failure and Cardiogenic Shock
24 December 9 Parathyroid
Multiple Endocrine Neoplasias
Parathyroid Cancer
25 December 16 Soft Tissue Infection
Necrotizing Soft Tissue Infections
Soft Tissue Infections – Incision, Drainage, Debridement 
Paronychia and Felon
26 December 30 Shock
Hypovolemic Shock
Neurogenic Shock
Sepsis and Septic Shock