Junior Resident Score Curriculum: 2018-2019

Week #  Week Starting  Topic  Associated Modules
1 June 24, 2018 OFF Summer/New Academic Year
2 July 8 Preoperative Evaluation, Part 1 of 2 Evaluation of Surgical Risk
Preoperative Assessment and Management of Coexisting Infection
Ventilatory Support/Management
3 July 15 Preoperative Evaluation, Part 2 of 2 Common Postoperative Problems 
Management of Perioperative Risk
Perioperative Prophylaxis for Venous Thromboembolism
4 July 22 Fluid and Electrolytes Hypokalemia and Hyperkalemia
Hypocalcemia and Hypercalcemia
Hyponatremia and Hypernatremia
Magnesium and Phosphorous Disorders
5 July 29 Benign Biliary, Part 1 of 2 Ultrasound of the Biliary Tree
Cholecystectomy with or without Cholangiography
Benign Biliary Obstruction
Common Bile Duct Exploration and Choledochoscopy
6 August 5 Benign Biliary, Part 2 of 2 Bile Duct Injury – Iatrogenic
Bile Duct Injury – Acute Repair
Choledochoenteric Anastomosis
Pancreatitis – Biliary 
Choledochal Cyst
Primary Sclerosing Cholangitis
7 August 12 Liver Hepatic Abscess
Hepatic Abscess – Drainage
Hepatic Biopsy
Primary Hepatic Neoplasms – Benign and Malignant
Hepatic Ultrasound – Intraoperative
8 August 19 Wound Healing and Soft Tissue Trauma Wound Healing
Wound Closure and Postoperative Care
Wounds, Major – Debride/Suture
Bite and Envenomation Injuries
9 August 26 Inguinal and Femoral Hernias Inguinal and Femoral Hernia
Inguinal and Femoral Hernia – Repair
10 September 2 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 September 9 Spleen Hematologic Diseases of the Spleen
Splenic Abscess, Cysts and Neoplasms
12 September 16 Ethics, Part 1 of 4 Futility
Reimbursement Incentives – Case 1
Reimbursement Incentives – Case 2
Listening and the Surgeon-Patient Relationship
The Duty to Report Patients to Public Authorities
Obligations to Patients: Competence
Advance Directives and the Surgical Patient
Who Decides When the Patient Cannot?
Confronting Problem Behavior
Relaying Genetic Test Results to Family Members
Clinical Research – Case 1
13 September 23 Esophagus, Part 1 of 3 Esophagectomy/Esophagogastrectomy
Esophageal Perforation – Repair/Resection
Esophageal Perforation
Esophageal Neoplasms – Benign and Malignant
Esophageal Caustic Ingestion and Foreign Bodies
14 September 30 Esophagus, Part 2 of 3 Esophagomyotomy (Heller)
Esophageal Motility Disorders
Cricopharyngeal Myotomy with Zenker’s Diverticulum – Excision
15 October 7 Esophagus, Part 3 of 3 Hiatal Hernias
Gastroesophageal Reflux/Barrett’s Esophagus
Antireflux Procedures
Paraesophageal Hernia – Repair
16 October 14 Small Intestine, Part 1 of 3 Adhesiolysis
Enterocutaneous Fistula
Radiation Enteritis
Small Intestinal Obstruction
Small Intestinal Resection
Short Bowel Syndrome
17 October 21 Appendicitis and Diverticulitis Appendectomy
Appendicitis – Acute and Chronic
18 October 28 Interpersonal Skills, Part 1 of 1 Social Skills (Communication & Teamwork and Leadership)
Cognitive Skills (Situation Awareness and Decision Making)
19 November 4 Colon Cancer Appendiceal Neoplasms
Colon Cancer
Colonic Polyps
Colon Neoplasms – Miscellaneous
      Polyposis Syndromes
20 November 11 Benign Anorectal, Part 1 of 2 Anal Sphincterotomy – Internal 
Anorectal Abscess – Drainage
Anorectal Abscess and Fistulae
Anorectal Fistulae – Repair
Anal Fissure
Pilonidal Cyst/Sinus
Pilonidal Cystectomy
November 18 OFF Thanksgiving (Nov 22, 2018)
21 November 25 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
Breast Pain
Nipple Discharge and Intraductal Papilloma
Duct Excision
22 December 2 Anorectal Neoplasms Rectal Cancer
Rectal Cancer – Abdominoperineal Resection and Pelvic Exenteration
Rectal Cancer – Transanal Resection
Anal Cancer
Anal Cancer – Excision
23 December 9 Adrenal Adrenal Mass – Incidental
Hyperaldosteronism – Primary
Hypercortisolism – Cushing Syndrome/Disease
Adrenal Cancer
24 December 16 Dysmotility Functional Disorders of the Intestine
Paralytic Ileus
Functional Biliary Disorders
Gastric Foreign Bodies
25 December 23 OFF Holidays
28 December 30 Organ System Dysfunction, Part 1 of 2 ARDS
Respiratory Failure
Endocrine Dysfunction
Neurologic Dysfunction
Postoperative Delirium
29 January 6, 2019 Organ System Dysfunction, Part 2 of 2 Derangements of Electrolytes and Acid-Base Balance
Hepatic Failure and Hepatorenal Syndrome
Renal Failure
30 January 13 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 20 OFF ABSITE® (Jan. 25-Jan. 29)
32 January 27 Ethics, Part 2 of 4 Refusal to Care for Patients
Personal Investments
Truth Telling and the Surgeon-Patient Relationship
Concern for the Safety of Identifiable Others
Obligations to Patients: Commitments
DNR Orders in the Operating Room
By What Criteria Should Substitute Decision Makers Decide?
Non-Patient Care Obligations
Surgeons Infected with Blood-Borne Diseases
Unclear Competence and Decision-Making Capacity
33 February 3 Abdominal Trauma, Part 3 of 3 Initial Assessment and Management of Trauma
Abdominal Exploration for Trauma
34 February 10 Nutrition Effect of Surgery, Illness, and Injury on Nutritional Requirements
Nutritional Support
Nutritional Assessment
Nutritional Pharmacology and Immunonutrition
Nutritional Requirements
35 February 17 Vascular – Arterial, Part 1 of 2 Acute Thrombosis and Ischemia
Amputations – Lower Extremity
Compartment Syndromes
Diabetic Foot Infections
Nonatherosclerotic Occlusive Diseases
Ultrasound in Diagnosis and Management of Vascular Diseases
36 February 24 Vascular – Arterial, Part 2 of 2 Acute Aortic Dissection
Graft-enteric Fistula – Management
Thoracic Outlet Syndrome
Vascular Graft Infections
37 March 3 Cerebrovascular Disease Carotid Endarterectomy
Cerebrovascular Disease
38 March 10 Large Intestine: Colitis, Obstruction C. difficile Colitis
Colectomy – Total and Subtotal
Colectomy, Partial
Colitis – Ischemic
Colonic Volvulus and Obstruction
Colostomy and Colostomy Closure
Gastrointestinal Bleeding – Lower
39 March 17 Vascular – Venous Evaluation of the Swollen Leg
Venous Insufficiency/Varicose Veins – Operation
Varicose Veins
Vena Caval Filter – Insertion
Venous Stasis/Chronic Venous Insufficiency
Venous Thromboembolism
40 March 24 Thoracic, Part 1 of 2 Mediastinal Tumors and Cysts
Malignant Tumors of the Lung: Primary and Metastatic
Exploratory Thoracotomy – Open and Thorascopic
Partial Pulmonary Resection – Open and Thoracoscopic
41 March 31 Thoracic, Part 2 of 2 Tube Thoracostomy and Thoracentesis
Superior Vena Cava Syndrome
Pericardial Window for Drainage
Pleural Effusion/Empyema
Pneumothorax and Pleurodesis
42 April 7 Urology Hydrocele
Genitourinary Neoplasms
Acute Urinary Retention
Scrotal Pain and Masses
43 April 14 Pediatrics, Part 1 of 4 Biliary Atresia
Branchial Cleft Anomaly – Excision
Chest Wall Deformity – Repair
Choledochal Cysts
Congenital Aganglionosis (Hirschsprung’s Disease)
Congenital Diaphragmatic Hernia
Diaphragmatic Hernia – Repair
Neonatal Small Bowel Obstruction
Esophageal Atresia/Tracheoesophageal Fistula
Esophageal Atresia/Tracheoesophageal Fistula – Repair
44 April 21 Pediatrics, Part 2 of 4 Hirschsprung’s Disease – Operation
Imperforate Anus
Imperforate Anus – Operation
Intestinal Atresia/Stenosis – Repair
Meconium Ileus – Operation
Necrotizing Enterocolitis
Necrotizing Enterocolitis – Operation
Omphalocele/Gastroschisis – Repair
Thyroglossal Duct Cyst – Excision
45 April 28 Transplantation/Immunology 1 Brain Death
Components of the Immune System
Immune Response to Injury and Infection
Surgery and Surgical Conditions in Immunocompromised Hosts
Transplant Immunology
Organ Donors and Selection Criteria
En Bloc Abdominal Organ Retrieval
Organ Preservation
Live Donor Hepatectomy
Live Donor Nephrectomy
46 May 5 Transplantation/Immunology 2 Liver Transplantation
Pancreas Transplantation
Renal Transplantation
Post-transplant Malignancies
Infections – Opportunistic
47 May 12 Soft Tissue Neoplasm, Part 1 of 2 Nonmelanoma Skin Cancers
Melanoma – Wide Local Excision
Melanoma and Nevi
Sentinel Lymph Node Biopsy for Melanoma
Ilioinguinal-Femoral Lymphadenectomy
48 May 19 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 26 GYN Hysterectomy and Salpingo-Oophorectomy
Ectopic Pregnancy
Pelvic Inflammatory Disease
Gynecologic Neoplasms
Cesarean Section
Surgical Considerations in the Pregnant Patient
50 June 2 MIS Principles MIS Principles
Robotic Surgery – Principles
Safe Use of Surgical Energy
51 June 9 Interpersonal Skills, Part 2 of 4 Admitting Mistakes
Advanced Communication Skills
Delivering Bad News
Working as a Team Member: Interdisciplinary Respect
52 June 16 Head and Neck Lymph Node Biopsy
Neck Mass – Evaluation
Lymphoma/Hodgkin’s Disease
Modified Neck Dissection
Oral Cavity/Pharynx, Laryngeal, and Salivary Gland Cancer