PGY101 – AY 2017-2018

Surgery 101 promotes the ACGME competencies of medical knowledge, interpersonal and communication skills and professionalism.

Location: The Dragstedt Library (M624), unless otherwise noted.
Day: Every Friday
Time: 7-8am when Dr. Fatima presents, 7-8am when Dr. Iqbal presents and 8-9am when Dr. Spiguel presents


  • Solidify foundation of core surgical knowledge.
  • Assimilate core surgical knowledge into patient care.
  • Promote habits of lifelong learning.

Audience (the team):

  • Mandatory for categorical and preliminary surgical interns (PGY-1); when on service anesthesia, otolaryngology, and orthopedic interns should also participate.


  • Course attendance record
  • Weekly individual accountability quiz. Online quiz link!
  • Team accountability quiz record.


  • Read the assigned material each week.
  • Be prepared for the weekly quiz and discussions.
  • Be on time for, and sign-in at each session. Notify course instructor by e-mail if you will be absent (vacation, authorized leave).
  • Take the quiz. Sign in with your Gatorlink username and password and look for PGY101 Quiz.
  • Participate in discussions.


  • Assigned Readings in SCORE

Supplemental Resources

Course Directors (the coaches)
Atif Iqbal, MD, office 265-0761, pager 413-0373
Lisa Spiguel, MD, office 265-0761, pager 413-7902

Course Assignments:

PC= Patient care module in SCORE, MK= Medical Knowledge module in SCORE

Date Topic/Speaker Reading Assignment
7/21/2017  NO 101 – Surgical Safety Initiative
7/28/2017 Introduction to Fluids and Electrolytes:  Dr. Iqbal

Supplemental Resource: Fluids & Electrolytes

 SCORE Assigned Reading
Small Intestinal, Colonic, and Rectal Anatomy and Physiology: Dr. Iqbal

Supplemental Resource: Small Intestinal, Colonic, and Rectal Anatomy & Physiology

 No SCORE Assignment
8/11/2017  Vascular diagnostics, Carotid disease, AAA, Endovascular Treatments for AAA, Venous Disease: Dr. Fatima

Supplemental Resource: Vascular Diagnostics, Carotid Disease, AAA, Venous Disease

 SCORE Assigned Reading

Vascular category (PC)
– Cerebrovascular disease
– Arterial aneurysms: aortic
– Varicose Veins
– Venous Stasis and Chronic Venous Insufficiency

– Venous Thrombosis and Pulmonary Embolism

8/18/2017 Colorectal Cancer: Dr. Iqbal

Supplemental Resource: Colorectal Cancer 

SCORE Assigned Reading

Alimentary Tract- Large Intestine category (PC): Colon cancer

Alimentary Tract- Anorectal category (PC): Rectal cancer

8/25/2017 Burns: Dr. Spiguel

Supplemental Resource: Burns

 SCORE Assigned Reading

Burns category (PC) including:

– Flame and Scald

– Electrical and Chemical

Esophageal Anatomy and Abdominal Wall Hernias: Dr. Fatima

Supplemental Resource: Abdominal Wall Hernias

 Abdomen- Hernia category (PC)

– Inguinal/femoral hernia
– Umbilical/epigastric hernia
– Ventral hernia

– Prosthetic mesh infection

9/8/2017 Crohn’s Disease, Ulcerative Colitis, and Diverticular Disease: Dr. Iqbal

Supplemental Resource: Crohn’s Disease, Ulcerative Colitis, & Diverticular Disease

SCORE Assigned Reading

Alimentary Tract category (PC) including:

– Small Intestinal Crohn’s
Disease- surgical Rx
– Colonic Crohn’s- surgical Rx
– Ulcerative Colitis – Surgical Rx
– Diverticulitis
9/15/2017  Gastrointestinal Motility Disorders and Acute Gastrointestinal Hemorrhage: Dr. Spiguel  RESCHEDULED

Supplemental Resource: Gastrointestinal Motility Disorders & Acute Gastrointestinal Hemorrhage

 SCORE Assigned Reading

Alimentary Tract category (PC) including:

– GI Bleeding Upper

– GI Bleeding Lower

9/22/2017  Hepatobiliary Anatomy, Hepatic Infection and Acute Hepatic Failure: Dr. Iqbal

Supplemental Resource: Hepatobiliary Anatomy, Hepatic Infection, & Acute Hepatic Failure

– Hepatic abscess (PC)
– Hepatitis (PC)
– Hepatic failure (PC)
 9/29/2017  Breast Disease: Dr. Spiguel

Supplemental Resource: Breast Disease

SCORE Assigned Reading

Breast category (PC) including:

– Atypical Lobular Hyperplasia and Lobular Carcinoma in Situ
– Benign Disease – Intraductal Papilloma
– Breast Cancer – Inflammatory
– Breast Cancer – Invasive
– Breast Cancer – Paget’s Disease of the Nipple
– Ductal Carcinoma In Situ

– Nipple Discharge

10/6/2017 NO 101 – UF Homecoming
10/13/2017  Gastrointestinal Motility Disorders and Acute Gastrointestinal Hemorrhage: Dr. Spiguel

Supplemental Resource: Gastrointestinal Motility Disorders & Acute Gastrointestinal Hemorrhage

 SCORE Assigned ReadingAlimentary Tract category (PC) including:

– GI Bleeding Upper

– GI Bleeding Lower

10/20/2017 Calculus Biliary Disease, Biliary Injuries and Strictures, and Sclerosing Cholangitis: Dr. Fatima

Supplemental Resource: Biliary Disease, Injuries & Strictures


 Abdomen- Biliary category (PC) including:

– Bile duct injury
– Cholangitis
– Cholecystitis
– Choledocholithiasis
 10/27/2017 Surgical Infections and Shock:

Dr. Spiguel

Supplemental Resource: Surgical Infections & Shock

Infection and Antimicrobial Therapy Category (MK) including:

– Healthcare-Acquired Infections
– Host Defense and Infection
– Pathophysiology of Sepsis
– Sepsis/SIRS Syndrome
– Surgical Site Infections and Prophylaxis
 11/3/2017 Neoplasms of the Endocrine Pancreas and Adrenal Gland: Dr. Iqbal

Supplemental Resource; Neoplasms of the Endocrine Pancreas & Adrenal Gland

 SCORE Assigned Reading

Abdomen Category – Pancreas (PC)
-Neoplasms of the Exocrine Pancreas
– Chronic Pancreatitis


11/10/2017  NO 101: Veterans’ Day
11/17/2017  Thyroid and Parathyroid Gland: Dr. Spiguel

Supplemental Resource: Thyroid & Parathyroid Gland


SCORE Assigned Reading

Endocrine category (PC) including:

– Hyperparathyroid
– Hyperthyroid
– Hypothyroid
– Thyroid cancer

– Thyroid nodule

11/24/2017  NO 101:  Thanksgiving Holiday
12/1/2017  Hemostasis & Blood Products: Fatima Normal Mechanisms of Hemostasis and Coagulation (MK) 
12/8/17 PVD, Endovascular treatments for PVD (not AAA), Bowel Ischemia (acute & chronic), Amputations: Fatima

Supplemental Resource: PVD

SCORE Assigned Reading

Vascular category (PC) including:

-Peripheral Vascular Disease/Claudications
– Amputations – Lower Extremity
Alimentary tract- Small Intestine category (PC):
– Mesenteric Ischemia – Acute (Arterial, Venous, and Nonocclusive)
12/15/2017  ABSITE Review
12/22/2017 Hemostasis & Blood Products: Fatima

Supplemental resource: Hemostasis

 Normal Mechanisms of Hemostasis and Coagulation (MK)
12/29/2017  NO 101:  Happy holidays!
1/5/2018 Gastric and Small Intestinal Neoplasms: Dr. Spiguel

Supplemental Resource: Gastric & Small Intestinal Neoplasm

 Alimentary Tract category (PC) including:

– Gastric Cancer
– Gastric carcinoid tumor
– Small intestinal adenocarcinoma
– Small intestinal carcinoid
1/12/2018 Trauma, Post-Injury Management, and ABSITE tips: Dr. Iqbal

Supplemental Resource: Trauma & Post-Injury Management

 SCORE Assigned Reading

Initial Assessment & Management of Trauma (PC)

1/19/2018  ABSITE Preparation
1/26/2018  ABSITE Preparation
2/2/2018  Wound Healing: Dr. Fatima

Supplemental Resource; Wound Healing

 Wound Healing category (MK):

– Physiology of normal wound healing
– Post-Op wound care
– Wound Closure
2/9/2018  Cancer: Dr. Spiguel – North Tower Conference Rm H108

Supplemental Resource: Cancer

 SCORE Assigned Reading

Oncology and tumor biology category (MK) including:

– Immunology (MK)
– Cancer Molecular Biology (MK)
2/16/2018  Wound Healing: Dr. Fatima

Supplemental Resource; Wound Healing

 Wound Healing category (MK):

– Physiology of normal wound healing
– Post-Op wound care
– Wound Closure
2/23/2018 Acute Abdomen, Appendix, and Spleen: Dr. Fatima

Supplemental Resource: Acute Abdomen, Appendix, & Spleen

 SCORE Assigned Reading

– Abdominal pain- Acute (PC)
– Appendicitis (PC)
– Appendiceal Neoplasms (PC)
– Post-Splenectomy Sepsis (PC)
 3/2/2018  Anorectal Disorders: Dr. Iqbal

Supplemental Resource: Anorectal Disorders

 SCORE Assigned Reading

Alimentary Tract- Anorectal category (PC):
– Anal Cancer
– Fissure
– Abscess/Fistulae
– Hemorrhoids
– Condyloma
 3/9/2018  Neoplasms of the Exocrine Pancreas and Chronic Pancreatitis: Dr. Spiguel

Supplemental Resource: Neoplasms of the Exocrine Pancreas & Chronic Pancreatitis

 SCORE Assigned Reading

– Neoplasms of the Exocrine Pancreas (PC)
– Chronic Pancreatitis (PC)
3/16/2018 Critical Care: Dr. Fatima

Supplemental Resource: Critical Care

 Surgical Critical Care category (PC) including:

– Abdominal Compartment Syndrome
– ARDS and Respiratory Failure
– Coagulopathy
– Hypovolemic Shock
– Pneumonia – Hospital-Acquired
– Postoperative Delirium
– Renal Failure
3/23/2018  NO 101:  Talbert Lecture
3/30/2018  Pancreas Anatomy and Physiology, and Acute Pancreatitis: Dr. Fatima

Supplemental Resource: Pancreas Anatomy and Physiology

 Pancreatitis- Acute (PC)
4/6/2018 Cirrhosis and Portal Hypertension: Dr. Fatima

Supplemental Resource: Cirrhosis & Portal Hypertension

Abdomen- Liver category:

– Cirrhosis/Portal HTN (PC)

4/13/2018 Inflammation: Dr. Iqbal

Supplemental Resource: Inflammation


Immunology category (MK) including:

– Components of the Immune System
– Immune Response to Injury and Infection
– Surgery and Surgical Conditions in Immunocompromised Hosts
– Wound Healing category: Only ‘Disturbances of wound healing and chronic wounds’
4/20/2018 Anesthesiology and Pain Management: Dr. Fatima – Anesthesia, General – Agents and Techniques (MK)

– Postoperative Pain Management (MK)
4/27/2018 Colonic Polyps and Polyposis Syndromes: Dr. Iqbal

Supplemental Resource: Colonic Polyps & Polyposis Syndromes

 SCORE Assigned Reading

Alimentary Tract- Large intestine (PC)
– Colonic polyps

– Colon Neoplasms – Misc

5/4/2018 Esophageal Tumors and Injury, and Morbid Obesity: Dr. Fatima

Supplemental Resource: Esophageal Tumors & Injury, & Morbid Obesity

 – Spontaneous Esophageal Perf (PC)
– Latrogenic Esophageal Perf (PC)
– Benign Esophageal Neoplasms (PC)
– Malignant Esophageal neoplasms (PC)
– Morbid Obesity (PC)
 Hepatic Neoplasms and Biliary Neoplasms: Dr. Spiguel
 – Bile duct neoplasms (PC)
– Gallbladder cancer (PC)
– Benign hepatic neoplasms (PC)
– Malignant hepatic neoplasms (PC)
– Metastatic hepatic neoplasms (PC)
 5/18/2018 Ileus and Bowel Obstruction: Dr. Spiguel

Supplemental Resource: Ileus & Bowel Obstruction

 SCORE Assigned Reading

Alimentary Tract category (PC) including:

– Paralytic ileus
– Small Intestinal Obstruction
– Obstruction – Large Intestinal
5/25/2018  Cardiothoracic Pathology: Dr. Fatima

Supplemental Resource: Cardiothoracic Pathology

 Thoracic Surgery category (PC) including:

– Lung cancer
– Hemothorax
– Pneumothorax
– Empyema
– Chest Tube Placement and Management
6/1/2018 Cutaneous Neoplasms: Dr. Spiguel

Supplemental Resource: Cutaneous Neoplasms

 Skin and soft tissue category (PC) including:

– Basal/Squamous cell cancer
– Melanoma/nevi
– Miscellaneous skin cancers
Pediatric Surgery: Dr. Taylor

Supplemental Resource: Pediatric Surgery

 Pediatric Surgery Category (PC) including:

– Abdominal Mass
– Hypertrophic Pyloric Stenosis
– Intussusception
– Malrotation
– Inguinal Hernia
– Umbilical Hernia
 Sarcoma, Pituitary Disease & Wrap Up: Dr. Iqbal

Supplemental Resource: Sarcoma

Soft Tissue Sarcomas (PC)