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Home , Anal sphincterotomy, Hereditary pancreatitis, Pancreas divisum

SCORE Curriculum Outline 2018-2019 - Patient Care

Module Not on Category # Patient Care Category Type Level Patient Care Topic Portal (x) 1 Abdomen - General Disease/Condition Core – Acute and Chronic 1 Abdomen - General Disease/Condition Core Rectus Sheath Hematoma x 1 Abdomen - General Disease/Condition Advanced Peritoneal Neoplasms* x 1 Abdomen - General Operation/Procedure Core Abdominal Exploration* 1 Abdomen - General Operation/Procedure Core Intra-abdominal Abscess - Drainage 1 Abdomen - General Operation/Procedure Core Catheter Insertion 2 Abdomen - Disease/Condition Core Inguinal and 2 Abdomen - Hernia Disease/Condition Core Miscellaneous 2 Abdomen - Hernia Disease/Condition Core Umbilical and Epigastric Hernias 2 Abdomen - Hernia Disease/Condition Core Ventral Hernia 2 Abdomen - Hernia Operation/Procedure Core - Repair 2 Abdomen - Hernia Operation/Procedure Core Inguinal and Femoral Hernia - Repair 2 Abdomen - Hernia Operation/Procedure Core Miscellaneous Hernias - Repair 2 Abdomen - Hernia Operation/Procedure Core Ventral Hernia – Repair 3 Abdomen - Biliary Disease/Condition Core Injury - Iatrogenic 3 Abdomen - Biliary Disease/Condition Core Benign Biliary Obstruction x 3 Abdomen - Biliary Disease/Condition Core Biliary Neoplasms* 3 Abdomen - Biliary Disease/Condition Core 3 Abdomen - Biliary Disease/Condition Core Choledochal Cyst 3 Abdomen - Biliary Disease/Condition Advanced Functional Biliary Disorders 3 Abdomen - Biliary Disease/Condition Advanced Primary Sclerosing Cholangitis 3 Abdomen - Biliary Operation/Procedure Core with or without 3 Abdomen - Biliary Operation/Procedure Core 3 Abdomen - Biliary Operation/Procedure Core Choledochoenteric Anastomosis 3 Abdomen - Biliary Operation/Procedure Core Exploration and Choledochoscopy 3 Abdomen - Biliary Operation/Procedure Advanced Bile Duct Cancer - Operation 3 Abdomen - Biliary Operation/Procedure Advanced Bile Duct Injury, Iatrogenic - Acute Repair 3 Abdomen - Biliary Operation/Procedure Advanced Bile Duct Neoplasms - Operation 3 Abdomen - Biliary Operation/Procedure Advanced Cancer - Operation 3 Abdomen - Biliary Operation/Procedure Advanced Ultrasound of the Biliary Tree 4 Abdomen - Disease/Condition Core Hepatic Abscess 4 Abdomen - /Condition Core Hepatic Neoplasms - Metastatic 4 Abdomen - Liver Disease/Condition Core Primary Hepatic Neoplasms – Benign and Malignant x 4 Abdomen - Liver Disease/Condition Advanced / (Ascites)* 4 Abdomen - Liver Operation/Procedure Core Hepatic Abscess - Drainage 4 Abdomen - Liver Operation/Procedure Core Hepatic Biopsy 4 Abdomen - Liver Operation/Procedure Advanced Hepatic Ultrasound- Intraoperative x 4 Abdomen - Liver Operation/Procedure Advanced Segmentectomy/Lobectomy* x 5 Abdomen - Disease/Condition Core Cystic Lesions of the Pancreas* 5 Abdomen - Pancreas Disease/Condition Core Pancreatic Neoplasms - Endocrine 5 Abdomen - Pancreas Disease/Condition Core Pancreatic Neoplasms - Exocrine x 5 Abdomen - Pancreas Disease/Condition Core – Acute/Pancreatic Necrosis/Abscess* 5 Abdomen - Pancreas Disease/Condition Advanced Intraductal Papillary Mucinous Neoplasms 5 Abdomen - Pancreas Disease/Condition Advanced 5 Abdomen - Pancreas Disease/Condition Advanced Pancreatitis - Chronic (Including )/Pancreatic Insufficiency 5 Abdomen - Pancreas Operation/Procedure Core - Distal 5 Abdomen - Pancreas Operation/Procedure Core Pancreatic Debridement 5 Abdomen - Pancreas Operation/Procedure Core - Drainage 5 Abdomen - Pancreas Operation/Procedure Advanced Ampullary Resection for Tumor

Page 1 of 19 SCORE Curriculum Outline 2018-2019 - Patient Care

Module Not on Category # Patient Care Category Type Level Patient Care Topic Portal (x) 5 Abdomen - Pancreas Operation/Procedure Advanced Pancreatectomy - Total 5 Abdomen - Pancreas Operation/Procedure Advanced Pancreatic Ultrasound - Intraoperative 5 Abdomen - Pancreas Operation/Procedure Advanced x 5 Abdomen - Pancreas Operation/Procedure Advanced Pancreatitis, Chronic – Operative Management* 6 Abdomen - Spleen Disease/Condition Advanced Hematologic Diseases of the Spleen x 6 Abdomen - Spleen Disease/Condition Advanced Splenic Abscess, Cysts and Neoplasms x 6 Abdomen - Spleen Operation/Procedure Core Splenectomy* 7 Alimentary Tract - Disease/Condition Core Esophageal Motility Disorders 7 Alimentary Tract - Esophagus Disease/Condition Core Esophageal Neoplasms – Benign and Malignant 7 Alimentary Tract - Esophagus Disease/Condition Core Esophageal Perforation 7 Alimentary Tract - Esophagus Disease/Condition Core Gastroesophageal Reflux/Barrett's Esophagus 7 Alimentary Tract - Esophagus Disease/Condition Core Hiatal Hernias 7 Alimentary Tract - Esophagus Disease/Condition Advanced Esophageal Caustic Ingestion and Foreign Bodies 7 Alimentary Tract - Esophagus Operation/Procedure Core Antireflux Procedures 7 Alimentary Tract - Esophagus Operation/Procedure Advanced Cricopharyngeal Myotomy with Zenker's Diverticulum - Excision 7 Alimentary Tract - Esophagus Operation/Procedure Advanced Esophageal Perforation - Repair/Resection 7 Alimentary Tract - Esophagus Operation/Procedure Advanced /Esophagogastrectomy 7 Alimentary Tract - Esophagus Operation/Procedure Advanced Esophagomyotomy (Heller) 7 Alimentary Tract - Esophagus Operation/Procedure Advanced Paraesophageal Hernia – Repair 8 Alimentary Tract - Disease/Condition Core Gastric Adenocarcinoma 8 Alimentary Tract - /Condition Core Gastric Foreign Bodies 8 Alimentary Tract - Stomach Disease/Condition Core Gastrointestinal Bleeding - Upper x 8 Alimentary Tract - Stomach Disease/Condition Core GIST and Miscellaneous Neoplasms* 8 Alimentary Tract - Stomach Disease/Condition Core Morbid Obesity 8 Alimentary Tract - Stomach Disease/Condition Core 8 Alimentary Tract - Stomach Disease/Condition Core Stress x 8 Alimentary Tract - Stomach Disease/Condition Advanced Functional Disorders of the Stomach* 8 Alimentary Tract - Stomach Operation/Procedure Core - Partial/Total 8 Alimentary Tract - Stomach Operation/Procedure Core Gastroduodenal Perforation - Repair 8 Alimentary Tract - Stomach Operation/Procedure Core 8 Alimentary Tract - Stomach Operation/Procedure Core and Drainage 8 Alimentary Tract - Stomach Operation/Procedure Advanced Morbid Obesity - Operation 8 Alimentary Tract - Stomach Operation/Procedure Advanced Postgastrectomy Syndromes - Revisional Procedures 9 Alimentary Tract - Disease/Condition Core Enterocutaneous Fistula 9 Alimentary Tract - Small Intestine Disease/Condition Core Meckel's Diverticulum 9 Alimentary Tract - Small Intestine Disease/Condition Core Mesenteric Ischemia - Acute (Arterial, Venous, and Nonocclusive) 9 Alimentary Tract - Small Intestine Disease/Condition Core Paralytic 9 Alimentary Tract - Small Intestine Disease/Condition Core Pneumatosis 9 Alimentary Tract - Small Intestine Disease/Condition Core Radiation 9 Alimentary Tract - Small Intestine Disease/Condition Core Crohn Disease – Surgical Management x 9 Alimentary Tract - Small Intestine Disease/Condition Core Small Intestinal Neoplasms* 9 Alimentary Tract - Small Intestine Disease/Condition Core Small Intestinal Obstruction 9 Alimentary Tract - Small Intestine Disease/Condition Advanced Enteric Infections/ 9 Alimentary Tract - Small Intestine Disease/Condition Advanced 9 Alimentary Tract - Small Intestine Operation/Procedure Core Adhesiolysis x 9 Alimentary Tract - Small Intestine Operation/Procedure Core and Ileostomy Closure* 9 Alimentary Tract - Small Intestine Operation/Procedure Core Small Intestinal Resection 10 Alimentary Tract - Disease/Condition Core

Page 2 of 19 SCORE Curriculum Outline 2018-2019 - Patient Care

Module Not on Category # Patient Care Category Type Level Patient Care Topic Portal (x) 10 Alimentary Tract - Large Intestine Disease/Condition Core C. difficile 10 Alimentary Tract - Large Intestine Disease/Condition Core Colitis - Ischemic 10 Alimentary Tract - Large Intestine Disease/Condition Core Colon Cancer 10 Alimentary Tract - Large Intestine Disease/Condition Core Colonic Polyps 10 Alimentary Tract - Large Intestine Disease/Condition Core Colonic and Obstruction 10 Alimentary Tract - Large Intestine Disease/Condition Core 10 Alimentary Tract - Large Intestine Disease/Condition Core Gastrointestinal Bleeding - Lower 10 Alimentary Tract - Large Intestine Disease/Condition Core - Surgical Management 10 Alimentary Tract - Large Intestine Disease/Condition Advanced Functional Disorders of the Intestine 10 Alimentary Tract - Large Intestine Disease/Condition Advanced Polyposis Syndromes 10 Alimentary Tract - Large Intestine Operation/Procedure Core 10 Alimentary Tract - Large Intestine Operation/Procedure Core - Partial 10 Alimentary Tract - Large Intestine Operation/Procedure Core Colectomy – Total and Subtotal 10 Alimentary Tract - Large Intestine Operation/Procedure Core and Colostomy Closure 11 Alimentary Tract - Anorectal Disease/Condition Core Anal Cancer 11 Alimentary Tract - Anorectal Disease/Condition Core and STDs 11 Alimentary Tract - Anorectal Disease/Condition Core 11 Alimentary Tract - Anorectal Disease/Condition Core and Fistulae 11 Alimentary Tract - Anorectal Disease/Condition Core 11 Alimentary Tract - Anorectal Disease/Condition Core Rectal Cancer 11 Alimentary Tract - Anorectal Disease/Condition Advanced 11 Alimentary Tract - Anorectal Disease/Condition Advanced 11 Alimentary Tract - Anorectal Operation/Procedure Core - Internal 11 Alimentary Tract - Anorectal Operation/Procedure Core Anorectal Abscess - Drainage x 11 Alimentary Tract - Anorectal Operation/Procedure Core Anorectal Fistula – Repair* 11 Alimentary Tract - Anorectal Operation/Procedure Core Hemorrhoids – Management 11 Alimentary Tract - Anorectal Operation/Procedure Core Perianal Condylomas - Excision 11 Alimentary Tract - Anorectal Operation/Procedure Advanced Anal Cancer - Excision 11 Alimentary Tract - Anorectal Operation/Procedure Advanced Rectal Cancer - Abdominoperineal Resection and Pelvic Exenteration 11 Alimentary Tract - Anorectal Operation/Procedure Advanced Rectal Cancer - Transanal Resection 11 Alimentary Tract - Anorectal Operation/Procedure Advanced Rectal Prolapse - Repair 12 Disease/Condition Advanced Aerodigestive Tract Foreign Bodies x 12 Endoscopy Operation/Procedure Core Bronchoalveolar Lavage and Bronchoscopy* 12 Endoscopy Operation/Procedure Core Esophagogastroduodenoscopy x 12 Endoscopy Operation/Procedure Core Lower GI Endoscopy* 13 Breast Disease/Condition Core Atypical Hyperplasia and Lobular Carcinoma in Situ 13 Breast Disease/Condition Core Benign Disease – Fat Necrosis, Fibrocystic Changes, and Radial Scar 13 Breast Disease/Condition Core Benign Inflammatory Disease – Mastitis, Abscess, and Mondor Disease 13 Breast Disease/Condition Core Breast Cancer - Hereditary 13 Breast Disease/Condition Core Breast Cancer - Inflammatory 13 Breast Disease/Condition Core Breast Cancer - Invasive Carcinoma (Ductal, Lobular, All Variants) 13 Breast Disease/Condition Core Breast Cancer - Paget's Disease of the Nipple x 13 Breast Disease/Condition Core Breast Disease During Pregnancy and Lactation* 13 Breast Disease/Condition Core Breast Mass 13 Breast Disease/Condition Core Ductal Carcinoma in Situ 13 Breast Disease/Condition Core Fibroadenoma and Phyllodes Tumors 13 Breast Disease/Condition Core Male Breast Disease: Gynecomastia and Breast Cancer 13 Breast Disease/Condition Core Nipple Discharge and Intraductal Papilloma 13 Breast Disease/Condition Core Radiographic Abnormalities

Page 3 of 19 SCORE Curriculum Outline 2018-2019 - Patient Care

Module Not on Category # Patient Care Category Type Level Patient Care Topic Portal (x) 13 Breast Disease/Condition Advanced Postmastectomy Reconstruction Options 13 Breast Operation/Procedure Core Axillary Sentinel Lymph Node Biopsy and Lymphadenectomy 13 Breast Operation/Procedure Core Duct Excision x 13 Breast Operation/Procedure Core Excisional Breast Biopsy and Partial Mastectomy* 13 Breast Operation/Procedure Core Mastectomy - Simple, Modified Radical, and Radical x 13 Breast Operation/Procedure Core Percutaneous Breast Biopsy and Cyst Aspiration* 14 Endocrine Disease/Condition Core Adrenal Mass - Incidental 14 Endocrine Disease/Condition Core Hyperaldosteronism - Primary 14 Endocrine Disease/Condition Core Hypercortisolism - Cushing Syndrome/Disease 14 Endocrine Disease/Condition Core Hyperparathyroidism 14 Endocrine Disease/Condition Core Hyperthyroidism 14 Endocrine Disease/Condition Core Hypothyroidism - Postoperative 14 Endocrine Disease/Condition Core Pheochromocytoma 14 Endocrine Disease/Condition Core Thyroid Cancer 14 Endocrine Disease/Condition Core Thyroid Nodule 14 Endocrine Disease/Condition Core Thyroiditis 14 Endocrine Disease/Condition Advanced Adrenal Cancer 14 Endocrine Disease/Condition Advanced Multiple Endocrine Neoplasias 14 Endocrine Disease/Condition Advanced Parathyroid Cancer 14 Endocrine Operation/Procedure Core Parathyroidectomy 14 Endocrine Operation/Procedure Core Thyroidectomy - Partial or Total 14 Endocrine Operation/Procedure Advanced Adrenalectomy 14 Endocrine Operation/Procedure Advanced Ultrasound of the Thyroid 15 Skin and Soft Tissue Disease/Condition Core Cellulitis 15 Skin and Soft Tissue Disease/Condition Core Hidradenitis 15 Skin and Soft Tissue Disease/Condition Core Melanoma and Nevi 15 Skin and Soft Tissue Disease/Condition Core Necrotizing Soft Tissue Infections 15 Skin and Soft Tissue Disease/Condition Core Nonmelanoma Skin Cancers 15 Skin and Soft Tissue Disease/Condition Core Paronychia and Felon 15 Skin and Soft Tissue Disease/Condition Core Pilonidal Cyst/Sinus 15 Skin and Soft Tissue Disease/Condition Core Soft Tissue Masses - Evaluation 15 Skin and Soft Tissue Disease/Condition Advanced Decubitus Ulcer 15 Skin and Soft Tissue Disease/Condition Advanced Desmoids/Fibromatoses 15 Skin and Soft Tissue Disease/Condition Advanced Lymphedema/Lymphangitis 15 Skin and Soft Tissue Disease/Condition Advanced Soft Tissue Sarcomas 15 Skin and Soft Tissue Operation/Procedure Core Melanoma - Wide Excision 15 Skin and Soft Tissue Operation/Procedure Core Pilonidal Cystectomy 15 Skin and Soft Tissue Operation/Procedure Core Sentinel Lymph Node Biopsy for Melanoma 15 Skin and Soft Tissue Operation/Procedure Core Skin/Soft Tissue Lesions - Excisional and Incisional Biopsy 15 Skin and Soft Tissue Operation/Procedure Core Soft Tissue Infections - Incision, Drainage, Debridement 15 Skin and Soft Tissue Operation/Procedure Advanced Ilioinguinal-Femoral Lymphadenectomy 15 Skin and Soft Tissue Operation/Procedure Advanced Soft Tissue Sarcoma - Resection 16 Surgical Critical Care Disease/Condition Core Abdominal Compartment Syndrome 16 Surgical Critical Care Disease/Condition Core Anaphylaxis 16 Surgical Critical Care Disease/Condition Core Acute Respiratory Distress Syndrome (ARDS) 16 Surgical Critical Care Disease/Condition Core Brain Death x 16 Surgical Critical Care Disease/Condition Core Cardiac Arrest* 16 Surgical Critical Care Disease/Condition Core Cardiac Arrhythmias - Common x 16 Surgical Critical Care Disease/Condition Core Cardiac Failure and Cardiogenic Shock*

Page 4 of 19 SCORE Curriculum Outline 2018-2019 - Patient Care

Module Not on Category # Patient Care Category Type Level Patient Care Topic Portal (x) x 16 Surgical Critical Care Disease/Condition Core Derangements of Electrolytes and Acid Base Balance* 16 Surgical Critical Care Disease/Condition Core Endocrine Dysfunction 16 Surgical Critical Care Disease/Condition Core Hepatic Failure and 16 Surgical Critical Care Disease/Condition Core Hypovolemic Shock x 16 Surgical Critical Care Disease/Condition Core Hypoxemic Syndromes (PE, Pneumonia) 16 Surgical Critical Care Disease/Condition Core Neurogenic Shock 16 Surgical Critical Care Disease/Condition Core Neurologic Dysfunction 16 Surgical Critical Care Disease/Condition Core Postoperative Delirium 16 Surgical Critical Care Disease/Condition Core Renal Failure 16 Surgical Critical Care Disease/Condition Core Respiratory Failure 16 Surgical Critical Care Disease/Condition Core Sepsis and Septic Shock 16 Surgical Critical Care Disease/Condition Advanced Organ Donors and Selection Criteria x 16 Surgical Critical Care Operation/Procedure Core Intubation and Difficult Airway* x 16 Surgical Critical Care Operation/Procedure Core Nutritional Support 16 Surgical Critical Care Operation/Procedure Core Ultrasound Use for Intravascular Access x 16 Surgical Critical Care Operation/Procedure Core Vascular Access* x 16 Surgical Critical Care Operation/Procedure Advanced Non-invasive and Invasive Cardiac Pacing* x 17 Trauma Disease/Condition Core Burns* x 17 Trauma Disease/Condition Core Chest Wall, Pleural and Diaphragm Injuries* x 17 Trauma Disease/Condition Core Cardiac Injury* 17 Trauma Disease/Condition Core Colon and Rectal Injury x 17 Trauma Disease/Condition Core Duodenal and Pancreatic Injury* 17 Trauma Disease/Condition Core Esophageal Injury 17 Trauma Disease/Condition Core Frostbite and Hypothermia x 17 Trauma Disease/Condition Core Gastric and Small Intestinal Injury* 17 Trauma Disease/Condition Core Geriatric Trauma 17 Trauma Disease/Condition Core Hepatic Injury 17 Trauma Disease/Condition Core Initial Assessment and Management of Trauma 17 Trauma Disease/Condition Core Lower Urinary Tract Injuries* 17 Trauma Disease/Condition Core Pediatric Trauma x 17 Trauma Disease/Condition Core Pelvic Fractures and Retroperitoneal Hematoma* 17 Trauma Disease/Condition Core Splenic Injury x 17 Trauma Disease/Condition Core Tracheobronchial and Lung Injury* 17 Trauma Disease/Condition Core Trauma in Pregnancy 17 Trauma Disease/Condition Core Upper Aerodigestive Tract Injury x 17 Trauma Disease/Condition Core Upper Urinary Tract Injuries* 17 Trauma Disease/Condition Core Vascular Injury - Abdomen 17 Trauma Disease/Condition Core Vascular Injury - Extremities 17 Trauma Disease/Condition Core Vascular Injury - Neck 17 Trauma Disease/Condition Core Vascular Injury - Thorax 17 Trauma Disease/Condition Advanced Bite and Envenomation Injuries 17 Trauma Disease/Condition Advanced Brachial Plexus Injury x 17 Trauma Disease/Condition Advanced Extremity Injuries* 17 Trauma Disease/Condition Advanced Head Injury - Penetrating and Closed 17 Trauma Disease/Condition Advanced Smoke Inhalation Injury and Carbon Monoxide Poisoning 17 Trauma Disease/Condition Advanced Spine Fracture 17 Trauma Operation/Procedure Core Abdominal Exploration for Trauma 17 Trauma Operation/Procedure Core Cardiac Injury - Repair 17 Trauma Operation/Procedure Core Duodenal and Pancreatic Injury – Operations

Page 5 of 19 SCORE Curriculum Outline 2018-2019 - Patient Care

Module Not on Category # Patient Care Category Type Level Patient Care Topic Portal (x) 17 Trauma Operation/Procedure Core Esophageal Injury - Repair 17 Trauma Operation/Procedure Core Focused Assessment with Sonography for Trauma (FAST) 17 Trauma Operation/Procedure Core Injury - Repair x 17 Trauma Operation/Procedure Core Hepatic Injury – Packing and Repair/Resection* 17 Trauma Operation/Procedure Core Lower Extremity Fasciotomy x 17 Trauma Operation/Procedure Core Neck Exploration for Injury* 17 Trauma Operation/Procedure Core Splenectomy/Splenorrhaphy x 17 Trauma Operation/Procedure Core Urinary Tract Injuries – Operations* x 17 Trauma Operation/Procedure Core Vascular Injuries – Operations* 17 Trauma Operation/Procedure Core Wounds, Major - Debride/Suture 17 Trauma Operation/Procedure Advanced Tendon - Repair x 17 Trauma Operation/Procedure Advanced Thermal Injuries – Operations* x 18 Vascular - Arterial Disease Disease/Condition Core Acute Thrombosis and Ischemia* 18 Vascular - Arterial Disease Disease/Condition Core Cerebrovascular Disease 18 Vascular - Arterial Disease Disease/Condition Core Compartment Syndromes 18 Vascular - Arterial Disease Disease/Condition Core Diabetic Foot Infections 18 Vascular - Arterial Disease Disease/Condition Core Peripheral Arterial Emboli x 18 Vascular - Arterial Disease Disease/Condition Core Peripheral Vascular Occlusive Disease* 18 Vascular - Arterial Disease Disease/Condition Advanced Aortic Dissection 18 Vascular - Arterial Disease Disease/Condition Advanced Arterial Aneurysms - Aortic 18 Vascular - Arterial Disease Disease/Condition Advanced Arterial Aneurysms - Peripheral 18 Vascular - Arterial Disease Disease/Condition Advanced Arterial Aneurysms - Visceral 18 Vascular - Arterial Disease Disease/Condition Advanced Nonatherosclerotic Occlusive Diseases 18 Vascular - Arterial Disease Disease/Condition Advanced Renal Artery Disease 18 Vascular - Arterial Disease Disease/Condition Advanced Thoracic Outlet Syndrome 18 Vascular - Arterial Disease Disease/Condition Advanced Vascular Graft Infections 18 Vascular - Arterial Disease Operation/Procedure Core Amputations - Lower Extremity 18 Vascular - Arterial Disease Operation/Procedure Core Embolectomy/Thrombectomy - Arterial x 18 Vascular - Arterial Disease Operation/Procedure Core Lower Extremity Bypass* x 18 Vascular - Arterial Disease Operation/Procedure Advanced Abdominal and Aortoiliac Aneurysm – Repair* x 18 Vascular - Arterial Disease Operation/Procedure Advanced Aortoiliac Reconstruction for Occlusive Disease* 18 Vascular - Arterial Disease Operation/Procedure Advanced Carotid Endarterectomy 18 Vascular - Arterial Disease Operation/Procedure Advanced Endovascular Intervention Principles 18 Vascular - Arterial Disease Operation/Procedure Advanced Extra-anatomic Bypass 18 Vascular - Arterial Disease Operation/Procedure Advanced Graft-enteric Fistula - Management 18 Vascular - Arterial Disease Operation/Procedure Advanced Mesenteric Occlusive Disease - Operation x 18 Vascular - Arterial Disease Operation/Procedure Advanced Peripheral Aneurysms – Repair* 18 Vascular - Arterial Disease Operation/Procedure Advanced Superior Mesenteric Artery Embolectomy/Thrombectomy 18 Vascular - Arterial Disease Operation/Procedure Advanced Ultrasound in the Diagnosis and Management of Vascular Diseases 19 Vascular - Venous Disease/Condition Core Evaluation of the Swollen Leg 19 Vascular - Venous Disease/Condition Core Thrombophlebitis 19 Vascular - Venous Disease/Condition Core Varicose Veins 19 Vascular - Venous Disease/Condition Core Venous Stasis/Chronic Venous Insufficiency 19 Vascular - Venous Disease/Condition Core Venous Thromboembolism 19 Vascular - Venous Operation/Procedure Core Vena Caval Filter - Insertion 19 Vascular - Venous Operation/Procedure Core Venous Insufficiency/Varicose Veins – Operation 20 Vascular - Access Disease/Condition Core Vascular Access for Dialysis 20 Vascular - Access Operation/Procedure Core Arteriovenous Graft/Fistula 20 Vascular - Access Operation/Procedure Core Vascular Exposure – Principles

Page 6 of 19 SCORE Curriculum Outline 2018-2019 - Patient Care

Module Not on Category # Patient Care Category Type Level Patient Care Topic Portal (x) x 20 Vascular - Access Operation/Procedure Core Venous Access Devices - Insertion* 21 Transplantation Disease/Condition Advanced Organ Preservation 21 Transplantation Operation/Procedure Advanced En Bloc Abdominal Organ Retrieval 21 Transplantation Operation/Procedure Advanced Live Donor 21 Transplantation Operation/Procedure Advanced Live Donor Nephrectomy 21 Transplantation Operation/Procedure Advanced 21 Transplantation Operation/Procedure Advanced 21 Transplantation Operation/Procedure Advanced Renal Transplantation 22 Thoracic Surgery Disease/Condition Core Pleural Effusion/Empyema 22 Thoracic Surgery Disease/Condition Core Pneumothorax and Pleurodesis 22 Thoracic Surgery Disease/Condition Advanced Chylothorax 22 Thoracic Surgery Disease/Condition Advanced Mediastinal Tumors and Cysts 22 Thoracic Surgery Disease/Condition Advanced Mediastinitis 22 Thoracic Surgery Disease/Condition Advanced Malignant Tumors of the Lung: Primary and Metastatic 22 Thoracic Surgery Disease/Condition Advanced Superior Vena Cava Syndrome 22 Thoracic Surgery Operation/Procedure Core Exploratory Thoracotomy – Open and Thoracoscopic 22 Thoracic Surgery Operation/Procedure Core Partial Pulmonary Resections - Open and Thoracoscopic 22 Thoracic Surgery Operation/Procedure Core Tube Thoracostomy and Thoracentesis 23 Pediatric Surgery Disease/Condition Core Abdominal Mass 23 Pediatric Surgery Disease/Condition Core Abdominal Pain - Acute x 23 Pediatric Surgery Disease/Condition Core Appendicitis 23 Pediatric Surgery Disease/Condition Core Gastrointestinal Bleeding - Lower 23 Pediatric Surgery Disease/Condition Core Hypertrophic 23 Pediatric Surgery Disease/Condition Core 23 Pediatric Surgery Disease/Condition Core Intussusception 23 Pediatric Surgery Disease/Condition Core Malrotation 23 Pediatric Surgery Disease/Condition Core Meckel's Diverticulum 23 Pediatric Surgery Disease/Condition Core 23 Pediatric Surgery Disease/Condition Advanced 23 Pediatric Surgery Disease/Condition Advanced 23 Pediatric Surgery Disease/Condition Advanced Congenital Agangliosis (Hirschsprung Disease) 23 Pediatric Surgery Disease/Condition Advanced Congenital Diaphragmatic Hernia 23 Pediatric Surgery Disease/Condition Advanced Cryptorchidism 23 Pediatric Surgery Disease/Condition Advanced Neonatal Small 23 Pediatric Surgery Disease/Condition Advanced /Tracheoesophageal Fistula 23 Pediatric Surgery Disease/Condition Advanced Gastroschisis/Omphalocele 23 Pediatric Surgery Disease/Condition Advanced 23 Pediatric Surgery Disease/Condition Advanced Necrotizing 23 Pediatric Surgery Operation/Procedure Core Inguinal Hernia - Repair 23 Pediatric Surgery Operation/Procedure Core Intussusception - Operation 23 Pediatric Surgery Operation/Procedure Core Malrotation - Operation 23 Pediatric Surgery Operation/Procedure Core Meckel's Diverticulum - Excision 23 Pediatric Surgery Operation/Procedure Core 23 Pediatric Surgery Operation/Procedure Core Umbilical Hernia - Repair 23 Pediatric Surgery Operation/Procedure Advanced Branchial Cleft Anomaly - Excision 23 Pediatric Surgery Operation/Procedure Advanced Chest Wall Deformity - Repair 23 Pediatric Surgery Operation/Procedure Advanced Diaphragmatic Hernia - Repair 23 Pediatric Surgery Operation/Procedure Advanced Esophageal Atresia/Tracheoesophageal Fistula - Repair 23 Pediatric Surgery Operation/Procedure Advanced Hirschsprung's Disease - Operation

Page 7 of 19 SCORE Curriculum Outline 2018-2019 - Patient Care

Module Not on Category # Patient Care Category Type Level Patient Care Topic Portal (x) 23 Pediatric Surgery Operation/Procedure Advanced Imperforate Anus - Operation 23 Pediatric Surgery Operation/Procedure Advanced /Stenosis - Repair x 23 Pediatric Surgery Operation/Procedure Advanced Meconium Ileus - Operation 23 Pediatric Surgery Operation/Procedure Advanced Necrotizing Enterocolitis - Operation 23 Pediatric Surgery Operation/Procedure Advanced Omphalocele/Gastroschisis - Repair 23 Pediatric Surgery Operation/Procedure Advanced Orchiopexy 23 Pediatric Surgery Operation/Procedure Advanced Thyroglossal Duct Cyst - Excision 24 Plastic Surgery Operation/Procedure Core Complex Wound Closure 24 Plastic Surgery Operation/Procedure Core Skin Grafting 25 Genitourinary Disease/Condition Core Hydrocele 25 Genitourinary Disease/Condition Core Scrotal Pain and Masses 25 Genitourinary Disease/Condition Advanced Acute Urinary Retention 25 Genitourinary Disease/Condition Advanced Genitourinary Neoplasms 25 Genitourinary Operation/Procedure Core Cystostomy 25 Genitourinary Operation/Procedure Core Nephrectomy 26 Gynecology and Obstetrics Disease/Condition Core Ectopic Pregnancy 26 Gynecology and Obstetrics Disease/Condition Core Pelvic Inflammatory Disease 26 Gynecology and Obstetrics Disease/Condition Advanced Gynecologic Neoplasms 26 Gynecology and Obstetrics Operation/Procedure Core Hysterectomy and Salpingo-oophorectomy 26 Gynecology and Obstetrics Operation/Procedure Core Surgical Considerations of the Pregnant Patient 26 Gynecology and Obstetrics Operation/Procedure Advanced Cesarean Section 27 Head and Neck Disease/Condition Core Neck Mass - Evaluation 27 Head and Neck Disease/Condition Core Upper Airway Obstruction 27 Head and Neck Disease/Condition Advanced Oral Cavity/, Laryngeal, and Salivary Gland Cancer 27 Head and Neck Operation/Procedure Core Lymph Node Biopsy 27 Head and Neck Operation/Procedure Core Tracheostomy 27 Head and Neck Operation/Procedure Advanced Modified Neck Dissection 27 Head and Neck Operation/Procedure Advanced Parotidectomy

* These topics are currently split over multiple modules on the SCORE Portal; the modules are scheduled to be combined in the future. See Changes to Patient Care for more details.

Core: Diseases and procedures encountered in general surgery for which a graduate of training will possess significant knowledge and be able to provide comprehensive care, including procedural competency. Advanced: Diseases and procedures that are not consistently part of general surgery practice for which a graduate of training should have sufficient knowledge to make a diagnosis and provide initial management. In some instances, graduates of training will have sufficient knowledge and experience to provide comprehensive care.

SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 8 of 19 CHANGES TO PATIENT CARE - 2018-2019

Category # Patient Care Category Type Level Patient Care Topic Changes for 2018-2019 Edition 1 Abdomen - General Disease/Condition Core Abdominal Pain – Acute and Chronic Consolidation of the following modules: Abdominal Pain - Acute; Abdominal Pain - Chronic

1 Abdomen - General Disease/Condition Advanced Peritoneal Neoplasms Consolidation of the following modules: Peritoneal Neoplasms - Carcinomatosis; Peritoneal Neoplasms - Pseudomyxoma Peritonei 1 Abdomen - General Operation/Procedure Core Abdominal Exploration Consolidation of the following modules: Diagnostic ; Peritoneal Lesion - Biopsy; include info re: Endometriosis; Mesenteric Cyst 2 Abdomen - Hernia Operation/Procedure Core Ventral Hernia – Repair Consolidation of the following modules: Ventral Hernia - Repair; Abdominal Wall Reconstruction - Components Separation; Prosthetic Mesh Infections - Management 3 Abdomen - Biliary Disease/Condition Core Benign Biliary Obstruction Consolidation of the following modules: Jaundice - Obstructive; Cholangitis; Choledocholithiasis 3 Abdomen - Biliary Disease/Condition Core Biliary Neoplasms Consolidation of the following modules: Bile Duct Neoplasms; Gallbladder Cancer; Gallbladder Polyps 3 Abdomen - Biliary Disease/Condition Core Cholecystitis Consolidation of the following modules: Cholecystitis - Acalculous; Cholecystitis - Acute and Chronic 3 Abdomen - Biliary Disease/Condition Advanced Functional Biliary Disorders Renamed: formerly Ampullary Stenosis/ of Oddi Dysfunction; expanded to include 3 Abdomen - Biliary Operation/Procedure Core Common Bile Duct Exploration and Choledochoscopy Consolidation of the following modules: Choledoscopy; Common Bile Duct Exploration - Open; Common Bile Duct Exploration - Laparoscopic; Transduodenal Sphincteroplasty 3 Abdomen - Biliary Operation/Procedure Advanced Bile Duct Injury, Iatrogenic - Acute Repair Renamed to include iatrogenic 4 Abdomen - Liver Disease/Condition Core Primary Hepatic Neoplasms – Benign and Malignant Consolidation of the following modules: Hepatic Mass - Evaluation; Hepatic Neoplasms - Benign; Hepatic Neoplasms - Malignant 4 Abdomen - Liver Disease/Condition Advanced Cirrhosis/Portal Hypertension (Ascites) Consolidation of the following modules: Cirrhosis/Portal Hypertension (Ascites); Bacterial - Spontaneous; Budd-Chiari syndrome; Ascites - Chylous; ; and 4 Abdomen - Liver Operation/Procedure Advanced Segmentectomy/Lobectomy Consolidation of the following modules: Segmentectomy/Lobectomy - Laparoscopic; Segmentectomy/Lobectomy - Open 5 Abdomen - Pancreas Disease/Condition Core Cystic Lesions of the Pancreas Consolidation of the following modules: Pancreatic Neoplasms - Cystic; Pancreatic Pseudocyst 5 Abdomen - Pancreas Disease/Condition Core Pancreatitis – Acute/Pancreatic Necrosis/Abscess Consolidation of the following modules: Pancreatitis - Acute/Pancreatic Necrosis/Abscess; Pancreatitis - Autoimmune; Pancreatitis - Biliary 5 Abdomen - Pancreas Operation/Procedure Advanced Pancreatitis, Chronic – Operative Management Consolidation of the following modules: Pancreaticojejunostomy - Longitudinal; Pancreatectomy - Frey and Beger Procedures 6 Abdomen - Spleen Disease/Condition Advanced Hematologic Diseases of the Spleen Consolidation of the following modules: Idiopathic Thrombocytopenic Purpura; Hemolytic Anemias; Hypersplenism - Secondary and Splenomegaly 6 Abdomen - Spleen Operation/Procedure Core Splenectomy Consolidation of the following modules: Splenectomy; Splenectomy/Splenorrhaphy - Partial; Postsplenectomy Sepsis 7 Alimentary Tract - Esophagus Disease/Condition Core Esophageal Motility Disorders Consolidation of the following modules: Achalasia; Dysphagia; Esophageal Diverticula; Esophageal Motility Disorders other than Achalasia; Stricture 7 Alimentary Tract - Esophagus Disease/Condition Core Esophageal Neoplasms – Benign and Malignant Consolidation of the following modules: Esophageal Neoplasms - Benign; Esophageal Neoplasms - Malignant 7 Alimentary Tract - Esophagus Disease/Condition Core Esophageal Perforation Consolidation of the following modules: Esophageal Perforation - Iatrogenic; Esophageal Perforation - Spontaneous 7 Alimentary Tract - Esophagus Operation/Procedure Core Antireflux Procedures Consolidation of the following modules: Antireflux Procedures - Laparoscopic; Antireflux Procedures - Open 7 Alimentary Tract - Esophagus Operation/Procedure Advanced Paraesophageal Hernia – Repair Consolidation of the following modules: Paraesophageal Hernia - Laparoscopic Repair; Paraesophageal Hernia - Open Repair 8 Alimentary Tract - Stomach Disease/Condition Core Gastric Foreign Bodies Renamed; originally Gastric Bezoars and Foreign Bodies; Bezoars to be covered in another module (Functional Disorders of the Stomach) 8 Alimentary Tract - Stomach Disease/Condition Core Gastrointestinal Bleeding - Upper Consolidation of the following modules: Gastrointestinal Bleeding - Upper; Mallory-Weiss Syndrome 8 Alimentary Tract - Stomach Disease/Condition Core GIST and Miscellaneous Neoplasms Consolidation of the following modules: GIST and Miscellaneous Neoplasms; Colon Neoplasms - Miscellaneous; Appendiceal Neoplasms; Small Intestinal GISTs 8 Alimentary Tract - Stomach Disease/Condition Advanced Functional Disorders of the Stomach Consolidation of the following modules: ; Postgastrectomy Syndromes; include bezoars. 9 Alimentary Tract—Small Disease/Condition Core Crohn Disease – Surgical Management Consolidation of the following modules: Small Intestinal Crohn's Disease - Surgical Intestine Management; Colonic Crohn's Disease - Surgical Management; Stricturoplasty for Crohn's Disease 9 Alimentary Tract—Small Disease/Condition Core Small Intestinal Obstruction Consolidation of the following modules: Small Intestinal Obstruction; Intussusception; Intestine Ileus 9 Alimentary Tract—Small Disease/Condition Core Small Intestinal Neoplasms Consolidation of the following modules: Miscellaneous Small Intestinal Neoplasms Intestine (lymphoma, carcinoid), Small Intestinal Polyps, and Small Intestinal Adenocarcinoma 9 Alimentary Tract—Small Operation/Procedure Core Ileostomy and Ileostomy Closure Consolidation of the following modules: Ileostomy; Ileostomy Closure Intestine 10 Alimentary Tract—Large Disease/Condition Core Colonic Volvulus and Obstruction Consolidation of the following modules: Obstruction - Large Intestinal; Colonic Volvulus Intestine 10 Alimentary Tract—Large IntestineDisease/Condition Advanced Functional Disorders of the Intestine Consolidation of the following modules: - Functional;

Page 9 of 19 CHANGES TO PATIENT CARE - 2018-2019

Category # Patient Care Category Type Level Patient Care Topic Changes for 2018-2019 Edition 10 Alimentary Tract—Large IntestineOperation/Procedure Core Colectomy – Total and Subtotal Consolidation of the following modules: Colectomy - Subtotal (with Ileorectal Anastomosis/Ileostomy); Coloproctectomy - Total (with Ileorectal Pull-through). 10 Alimentary Tract—Large Operation/Procedure Core Colostomy and Colostomy Closure Consolidation of the following modules: Colostomy; Colostomy Closure Intestine 11 Alimentary Tract - Anorectal Disease/Condition Core Anal Dysplasia and STDs Combined "Anal Dysplasia/Sexually Transmitted Diseases" and "Perianal Condylomas" into 1 module. 11 Alimentary Tract - Anorectal Operation/Procedure Core Anorectal Fistula – Repair Consolidation of the following modules: Anal Fistulotomy/Seton Placement; Anorectal Fistulae - Complex Repair 11 Alimentary Tract - Anorectal Operation/Procedure Core Hemorrhoids – Management Consolidation of the following modules: Banding for Internal Hemorrhoids; Hemorrhoidectomy 11 Alimentary Tract - Anorectal Operation/Procedure Advanced Incontinence/Constipation - Operation eliminate; beyond scope of general surgery 12 Endoscopy Operation/Procedure Core Bronchoalveolar Lavage and Bronchoscopy Consolidation of the following modules: Bronchoalveolar Lavage; Bronchoscopy. 12 Endoscopy Operation/Procedure Core Lower GI Endoscopy Consolidation of the following modules: ; and 13 Breast Disease/Condition Core Atypical Hyperplasia and Lobular Carcinoma in Situ Combined "Atypical Ductal Hyperplasia" and "Atypical Lobular Hyperplasia and Lobular Carcinoma in Situ" into 1 module 13 Breast Disease/Condition Core Benign Disease – Fat Necrosis, Fibrocystic Changes, and Radial Scar Consolidation of the following modules: Benign Disease - Fat Necrosis; Benign Disease - Fibrocystic Breast Changes; Benign Disease - Radial Scar; Breast Pain 13 Breast Disease/Condition Core Benign Inflammatory Disease – Mastitis, Abscess, and Mondor Disease Consolidation of the following modules: Benign Inflammatory Disease - Mastitis and Abscess; Benign Inflammatory Disease - Mondor Disease 13 Breast Disease/Condition Core Fibroadenoma and Phyllodes Tumors Consolidation of the following modules: Benign Disease - Fibroadenoma; Phyllodes Tumor

13 Breast Disease/Condition Core Male Breast Disease: Gynecomastia and Breast Cancer Consolidation of the following modules: Benign Disease - Gynecomastia; Breast Cancer - Male 13 Breast Disease/Condition Core Nipple Discharge and Intraductal Papilloma Consolidation of the following modules: Benign Disease - Intraductal Papilloma; Nipple Discharge 13 Breast Disease/Condition Core Radiographic Abnormalities Renamed and expanded to include more than just mammography; originally Mammographic Abnormalities 13 Breast Disease/Condition Core Breast Disease During Pregnancy and Lactation Consolidation of the following modules: Benign Disease - Galactocele; Breast Cancer During Pregnancy and Lactation 13 Breast Operation/Procedure Core Excisional Breast Biopsy and Partial Mastectomy Consolidation of the following modules: Breast Biopsy with or without Needle Localization; Mastectomy - Partial 13 Breast Operation/Procedure Core Percutaneous Breast Biopsy and Cyst Aspiration Consolidation of the following modules: Breast Cyst - Aspiration; Breast Biopsy - Image- Guided 15 Skin and Soft Tissue Disease/Condition Core Nonmelanoma Skin Cancers Consolidation of the following modules: Adnexal Tumors of the Skin; Nonmelanoma Skin Cancers (basal cell, squamous cell); and Dermatofibrosarcoma Protuberans (DFSP) 15 Skin and Soft Tissue Disease/Condition Core Surgical Site Infection Move to Medical Knowledge, Infection and Antimicrobial Therapy 15 Skin and Soft Tissue Operation/Procedure Core Melanoma - Wide Excision Renamed: originally Melanoma - Wide Local Excision 16 Surgical Critical Care Disease/Condition Core Acute Respiratory Distress Syndrome (ARDS) Split ARDS and Respiratory Failure module into 2: 1 module on ARDS; 1 on Respiratory Failure 16 Surgical Critical Care Disease/Condition Core Cardiac Arrest Renamed and content modified; originally titled "Defibrillation and Cardioversion" 16 Surgical Critical Care Disease/Condition Core Cardiac Failure and Cardiogenic Shock Consolidation of the following modules: Cardiac Failure; Cardiogenic Shock 16 Surgical Critical Care Disease/Condition Core Derangements of Electrolytes and Acid Base Balance Consolidation of the following modules: Derangements of Electrolytes and Acid-Base Balance; Body Fluid Compartments and Fluid Homeostasis (moved from Medical Knowledge, Fluids and Electrolytes) 16 Surgical Critical Care Disease/Condition Core Hypoxemic Syndromes (PE, Pneumonia) New module 16 Surgical Critical Care Operation/Procedure Core Intubation and Difficult Airway Consolidation of the following modules: Airway Management; Endotracheal Intubation; Laryngoscopy; Cricothyroidotomy 16 Surgical Critical Care Operation/Procedure Core Nutritional Support Consolidation of the following modules: Enteral Feeding Tube Placement; Nutritional Support - Long Term; and Feeding 16 Surgical Critical Care Disease/Condition Core Pneumonia - Hospital-Acquired Consolidated with Infections - Healthcare-acquired; moved to Medical Knowledge - Infection and Antimicrobial Therapy 16 Surgical Critical Care Disease/Condition Core Respiratory Failure Split ARDS and Respiratory Failure module into 2: 1 module on ARDS; 1 on Respiratory Failure 16 Surgical Critical Care Disease/Condition Core Sepsis and Septic Shock Consolidation of the following modules: Septic Shock; Pathophysiology of Sepsis (formerly in "Infection and Antimicrobial Therapy"; Medical Knowledge); Sepsis/SIRS Syndrome (formerly in "Infection and Antimicrobial Therapy"; Medical Knowledge) 16 Surgical Critical Care Operation/Procedure Core Vascular Access Consolidation of the following modules: Arterial Catheter Placement; Central Venous Catheter Placement; Invasive Hemodynamic Monitoring; AND Pulmonary Artery Catheter Placement 16 Surgical Critical Care Operation/Procedure Core Compartment Pressures (Abdomen, Extremity) - Measurement Eliminate; covered in Abdominal Compartment Syndrome and Extremity Injuries 16 Surgical Critical Care Operation/Procedure Advanced Non-invasive and Invasive Cardiac Pacing Consolidation of the following modules: Cardiac Pacing; Temporary Transvenous Pacemaker. 17 Trauma Disease/Condition Core Aortic Injury Eliminate; cover in Vascular Injury – Thorax; Vascular Injury – Abdomen 17 Trauma Disease/Condition Core Burns Incorporate chemical burns into module 17 Trauma Disease/Condition Core Cardiac Injury Consolidation of the following modules: Myocardial Contusion; Cardiac Tamponade; Pericardial Window for Drainage 17 Trauma Disease/Condition Core Chest Wall, Pleura & Diaphragm Injuries Consolidation of the following modules: Diaphragmatic Injury; Hemothorax and Pneumothorax; Rib and Sternal Fractures

Page 10 of 19 CHANGES TO PATIENT CARE - 2018-2019

Category # Patient Care Category Type Level Patient Care Topic Changes for 2018-2019 Edition 17 Trauma Disease/Condition Core Gastric and Small Intestinal Injury Consolidation of the following modules: Gastric Injury; Small Intestinal Injury 17 Trauma Disease/Condition Core Lower Urinary Tract Injuries Consolidation of the following modules: Bladder Injury; Urethral Injury 17 Trauma Disease/Condition Core Pelvic Fractures and Retroperitoneal Hematoma Consolidation of the following modules: Retroperitoneal Hematoma; Pelvic Fractures 17 Trauma Disease/Condition Core Tracheobronchial and Lung Injury Consolidation of the following modules: Pulmonary Injury (Pulmonary Laceration, Pulmonary Contusion); Tracheal and Bronchial Injury 17 Trauma Disease/Condition Core Upper Urinary Tract Injuries Consolidation of the following modules: Renal Injury; Ureteral Injury; Ureteral Injury - Iatrogenic 17 Trauma Disease/Condition Advanced Bite and Envenomation Injuries Consolidation of the following modules: Animal and Insect Bites and Stings; Human Bites 17 Trauma Disease/Condition Advanced Extremity Injuries Consolidation of the following modules: Extremity Fractures and Traumatic Amputations; Sprains, Strains, and Dislocations; include info re: Compartment Pressures (Extremity) - Measurement 17 Trauma Operation/Procedure Core Abdominal Exploration for Trauma Consolidation of the following modules: Exploratory ; Exploratory Laparoscopy; Temporary Closure of the Abdomen; Damage Control Laparotomy and Management of the Open Abdomen 17 Trauma Operation/Procedure Core Duodenal and Pancreatic Injury – Operations Consolidation of the following modules: Duodenal Trauma – Management; Pancreatic Injury - Operation 17 Trauma Operation/Procedure Core Hepatic Injury – Packing and Repair/Resection Consolidation of the following modules: Hepatic Injury – Packing and Repair; Hepatic Injury – Resection

17 Trauma Operation/Procedure Core Neck Exploration for Injury Consolidation of the following modules: Neck Exploration for Injury; Carotid Artery Injury – Repair 17 Trauma Operation/Procedure Core Urinary Tract Injuries – Operations Consolidation of the following modules: Bladder Injury – Repair; Renal Injury – Repair/Resection; Ureteral Injury – Repair 17 Trauma Operation/Procedure Core Vascular Injuries – Operations Consolidation of the following modules: Abdominal Aorta or Vena Cava Injury – Repair; Truncal and Peripheral Vessels – Repair 17 Trauma Operation/Procedure Advanced Thermal Injuries – Operations Consolidation of the following modules: Escharotomy for Burn Injury; Burn Debridement and Grafting of Major Burns 18 Vascular - Arterial Disease Disease/Condition Core Acute Thrombosis and Ischemia Consolidation of the following modules: Acute Arterial Thrombosis; Acute Limb Ischemia; Aortic Thrombosis 18 Vascular - Arterial Disease Disease/Condition Core Peripheral Vascular Occlusive Disease Consolidation of the following modules: Peripheral and Claudication; Aortoiliac Disease 18 Vascular - Arterial Disease Operation/Procedure Core Lower Extremity Bypass* Consolidation of the following modules: Femoral-popliteal Bypass; Infrapopliteal Bypass 18 Vascular - Arterial Disease Operation/Procedure Advanced Abdominal and Aortoiliac Aneurysm – Repair Consolidation of the following modules: Abdominal Aortic Aneurysm - Endovascular/Open Repair; Infrarenal and Aortoiliac Aneurysm - Repair; AND Suprarenal Abdominal Aortic Aneurysm - Repair 18 Vascular - Arterial Disease Operation/Procedure Advanced Aortoiliac Reconstruction for Occlusive Disease Consolidation of the following modules: Aortofemoral Bypass; Arterial Occlusive Disease - Endarterectomy modules; adding aortoiliac to module 18 Vascular - Arterial Disease Operation/Procedure Advanced Peripheral Aneurysms – Repair Consolidation of the following modules: Femoral Aneurysm - Repair; Popliteal Aneurysm - Repair; Pseudoaneurysm - Repair 19 Vascular - Venous Disease/Condition Core Evaluation of the Swollen Leg New module 19 Vascular - Venous Operation/Procedure Core Venous Insufficiency/Varicose Veins – Operation Consolidation of the following modules: Venous Insufficiency/Varicose Veins - Operation; Sclerotherapy - Peripheral Vein 20 Vascular - Access Operation/Procedure Core Venous Access Devices - Insertion Consolidation of the following modules: Venous Access Devices - Insertion; Venous Access for Long-Term Therapy 21 Transplantation Disease/Condition Advanced Post-Transplant Malignancies Eliminate; cover in individual transplantation modules in long-term follow-up sections 22 Thoracic Surgery Disease/Condition Core Pleural Effusion/Empyema Consolidation of the following modules: Pleural Effusion/Empyema; Empyema - Management 22 Thoracic Surgery Disease/Condition Core Pneumothorax and Pleurodesis Consolidation of the following modules: Pneumothorax; Pleurodesis 22 Thoracic Surgery Disease/Condition Advanced Malignant Tumors of the Lung: Primary and Metastatic Consolidation of the following modules: Lung Cancer; Metastatic Tumors of the Lung 22 Thoracic Surgery Operation/Procedure Core Tube Thoracostomy and Thoracentesis Consolidation of the following modules: Chest Tube Placement and Management; Thoracentesis 23 Pediatric Surgery Disease/Condition Core Abdominal Mass Consolidation of the following modules: Abdominal Mass; Neuroblastoma; Wilms Tumor 23 Pediatric Surgery Disease/Condition Advanced Neonatal Small Bowel Obstruction Consolidation of the following modules: /Stenosis; Intestinal Atresia/Meconium Ileus 25 Genitourinary Disease/Condition Core Hydrocele Consolidation of the following modules: Hydrocele; Hydrocelectomy 25 Genitourinary Disease/Condition Core Scrotal Pain and Masses Renamed: originally Orchiectomy; revised and made into a disease/condition module 25 Genitourinary Disease/Condition Advanced Acute Urinary Retention Renamed and modified; originally, "Obstructive Uropathy and Urolithiasis" 26 Gynecology and Obstetrics Disease/Condition Advanced Gynecologic Neoplasms Consolidation of the following modules: Ovarian Neoplasms - Benign/Malignant; Ovarian Mass/Cyst - Incidental; Uterine Neoplasms - Benign and Malignant 26 Gynecology and Obstetrics Operation/Procedure Core Hysterectomy and Salpingo-oophorectomy Combined "Hysterectomy" and "Salpingo-oophorectomy" into 1 module. 27 Head and Neck Disease/Condition Advanced Lymphoma/Hodgkin's Disease Consolidate with Neck Mass - Evaluation 27 Head and Neck Operation/Procedure Core Tracheostomy Consolidation of the following modules: Tracheostomy; Tracheoinnominate Fistula 28 Nervous System Operation/Procedure Core Nerve Block - Digital Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks - Peripheral, other than Digital; Moved to Medical Knowledge - Anesthesia 28 Nervous System Operation/Procedure Core Nerve Block - Intercostal Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks - Peripheral, other than Digital; Moved to Medical Knowledge - Anesthesia 28 Nervous System Operation/Procedure Advanced Nerve Block(s) - Peripheral other than Digital Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks - Peripheral, other than Digital; Moved to Medical Knowledge - Anesthesia

Page 11 of 19 SCORE Curriculum Outline 2018-2019 - Medical Knowledge

Category # Medical Knowledge Category Medical Knowledge Topic

1 Anesthesia Anesthesia, General - Agents and Techniques 1 Anesthesia Anesthesia, Regional and Local - Agents and Techniques 1 Anesthesia Best Practices in Prescribing Opioids 1 Anesthesia Choice of Anesthesia 1 Anesthesia Conscious Sedation - Agents and Techniques 1 Anesthesia Intraoperative Monitoring and Common Intraoperative Problems 1 Anesthesia Nerve Blocks – Digital and Peripheral* 1 Anesthesia Pain, Acute - Management 1 Anesthesia Pain, Chronic - Management 2 Biostatistics and Evaluation of Evidence Clinical Trials 2 Biostatistics and Evaluation of Evidence Evaluating the Quality and Applicability of a Study 2 Biostatistics and Evaluation of Evidence How Data is Expressed and Summarized 2 Biostatistics and Evaluation of Evidence Levels of Evidence 2 Biostatistics and Evaluation of Evidence Outcomes 2 Biostatistics and Evaluation of Evidence Research Design 2 Biostatistics and Evaluation of Evidence Surveys and Qualitative Research 2 Biostatistics and Evaluation of Evidence Tests of Significance 3 Fluids, Electrolytes, and Acid-Base Balance Hypocalcemia and Hypercalcemia 3 Fluids, Electrolytes, and Acid-Base Balance Hypokalemia and Hyperkalemia 3 Fluids, Electrolytes, and Acid-Base Balance Hyponatremia and Hypernatremia 3 Fluids, Electrolytes, and Acid-Base Balance Magnesium and Phosphorous Disorders 4 Geriatric Surgery and End of Life Care Advance Directives, DNR Orders, and Power of Attorney 4 Geriatric Surgery and End of Life Care Frailty 4 Geriatric Surgery and End of Life Care Goal Setting with Elderly Patients and Families 4 Geriatric Surgery and End of Life Care Palliative and Hospice Care 4 Geriatric Surgery and End of Life Care Perioperative Management of Geriatric Patients 5 Immunology Components of the Immune System 5 Immunology Immune Response to Injury and Infection 5 Immunology Surgery and Surgical Conditions in Immunocompromised Hosts 5 Immunology Transplant Immunology 6 Infection and Antimicrobial Therapy Antimicrobial Stewardship 6 Infection and Antimicrobial Therapy Diagnostic Approach to Infection 6 Infection and Antimicrobial Therapy Infections - Hospital-Acquired 6 Infection and Antimicrobial Therapy Infections - Opportunistic 6 Infection and Antimicrobial Therapy Intra-abdominal Abscess 6 Infection and Antimicrobial Therapy Intra-abdominal Infections 6 Infection and Antimicrobial Therapy Prevention and Treatment of Surgical Site Infection 6 Infection and Antimicrobial Therapy Preoperative Assessment and Management of Coexisting Infection 7 Minimally Invasive Surgery - Principles Minimally Invasive Surgery (MIS) Principles 7 Minimally Invasive Surgery - Principles Robotic Surgery - Principles 8 Nutrition and Metabolism Effect of Surgery, Illness and Injury on Nutritional Requirements 8 Nutrition and Metabolism Nutritional Assessment 8 Nutrition and Metabolism Nutritional Pharmacology and Immunonutrition 8 Nutrition and Metabolism Nutritional Requirements 9 Oncology and Tumor Biology Adjunctive Therapy for Cancer 9 Oncology and Tumor Biology Genetic Susceptibility

Page 12 of 19 SCORE Curriculum Outline 2018-2019 - Medical Knowledge

Category # Medical Knowledge Category Medical Knowledge Topic

9 Oncology and Tumor Biology Screening and Biomarkers 9 Oncology and Tumor Biology Tumor Immunology 10 Preoperative Evaluation and Perioperative Care Common Postoperative Problems 10 Preoperative Evaluation and Perioperative Care Evaluation of Surgical Risk 10 Preoperative Evaluation and Perioperative Care Management of Perioperative Risk 10 Preoperative Evaluation and Perioperative Care Postoperative Pain Management 10 Preoperative Evaluation and Perioperative Care Prophylaxis of Venous Thromboembolism 10 Preoperative Evaluation and Perioperative Care Ventilatory Support/Management 11 Transfusion and Disorders of Coagulation Evaluation of Ongoing Bleeding and Laboratory Assessment of Coagulation 11 Transfusion and Disorders of Coagulation Inherited and Acquired Disorders of Coagulation 11 Transfusion and Disorders of Coagulation Normal Mechanisms of Hemostasis and Coagulation 11 Transfusion and Disorders of Coagulation Transfusion - Indications, Risks, Type and Crossmatch, and Component Therapy 12 Wound Healing Wound Closure and Postoperative Care 12 Wound Healing Wound Healing

* These topics ar *These topics are currently split over multiple modules on the SCORE Portal; the modules are scheduled to be combined in the future. See Changes to Patient Care for more details.

SCORE® Curric SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 13 of 19 CHANGES TO MEDICAL KNOWLEDGE - 2018-2019

Category # Medical Knowledge Category Medical Knowledge Topic Changes for 2018-2019 1 Anesthesia Best Practices in Prescribing Opioids NEW 1 Anesthesia Nerve Blocks – Digital and Peripheral Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks - Peripheral, other than Digital; Moved from Patient Care - Nervous System 3 Fluids, Electrolytes, and Acid-Base Body Fluid Compartments and Fluid Homeostasis Moved to Patient Care, Surgical Critical Care; consolidated with Derangements of Balance Electrolytes and Acid-Base Balance 4 Geriatric Surgery and End of Life Care Frailty Consolidation of the following modules: Functional Decline of Aging; Natural and Clinical Impact of Physiologic Effects Associated with Aging 4 Geriatric Surgery and End of Life Care Perioperative Management of Geriatric Patients Consolidation of the following modules: Medication and Dosing Issues in the Elderly; Preoperative Evaluation of Geriatric Patients. 6 Infection and Antimicrobial Therapy Antimicrobial Stewardship Consolidation of the following modules: Principles of Antimicrobial Resistance; Perioperative Antimicrobial Prophylaxis 6 Infection and Antimicrobial Therapy Diagnostic Approach to Infection Consolidation of the following modules: Host Defense and Infection; Infection Control - Avoiding Risk to Self and Others; Infections - Bacterial, Common; Infections - Diagnostic Approach; Infections - Fungal, Common; Infections - Viral, Common. 6 Infection and Antimicrobial Therapy Infections - Hospital-Acquired Consolidation of the following modules: Infections - Healthcare-acquired; Pneumonia - Hospital-Acquired (formerly in Patient Care - SCC). 6 Infection and Antimicrobial Therapy Pathophysiology of Sepsis Moved to Patient Care, Surgical Critical Care; revised title: Sepsis and Septic Shock; consolidation of the following modules: Septic Shock; Pathophysiology of Sepsis; Sepsis/SIRS Syndrome 6 Infection and Antimicrobial Therapy Sepsis/SIRS Syndrome Moved to Patient Care, Surgical Critical Care; revised title: Sepsis and Septic Shock; consolidation of the following modules: Septic Shock; Pathophysiology of Sepsis; Sepsis/SIRS Syndrome 7 Minimally Invasive Surgery - Principles MIS Principles Consolidation of the following modules: MIS Equipment and Troubleshooting; Physiologic Changes Associated with ; Principles and Techniques of Abdominal Access. 8 Nutrition and Metabolism Nutritional Support - Long Term Moved to Patient Care, Surgical Critical Care; renamed Nutritional Support; Consolidation of the following modules: Enteral Feeding Tube Placement; Nutritional Support - Long Term; and Feeding Jejunostomy 9 Oncology and Tumor Biology Adjunctive Therapy for Cancer Consolidation of the following modules: Chemotherapy - Principles; Radiation Therapy - Principles 10 Preoperative Evaluation and Evaluation of Surgical Risk Consolidation of the following modules: Evaluation of Surgical Risk; Preoperative Perioperative Care Assessment and Management of Cardiac Risk; Preoperative Assessment and Management of Pulmonary Risk. 10 Preoperative Evaluation and Management of Perioperative Risk Consolidation of the following modules: Perioperative Management of the Patient on Perioperative Care Steroids; Perioperative Management of the Therapeutically Anticoagulated Patient. 10 Preoperative Evaluation and Ventilatory Support/Management NEW; SCC module on Airway Management/Ventilator Management split into 2 Perioperative Care modules; Airway management staying in SCC; ventilator moved to MK 12 Wound Healing Wound Closure and Postoperative Care Consolidation of the following modules: Wound Care - Adjunctive, Wound Care - Postoperative, and Wound Closure 12 Wound Healing Wound Healing Consolidation of the following modules: Disturbances of Wound Healing and Chronic Wounds; Physiology of Normal Wound Healing

Page 14 of 19 SCORE Curriculum Outline 2018-2019 - Professionalism

Category # Professionalism Category Professionalism Topic 1 Ethical Issues in Clinical Surgery: Competition of Interests Accepting Gifts from Vendors 1 Ethical Issues in Clinical Surgery: Competition of Interests Clinical Research - Case 1 1 Ethical Issues in Clinical Surgery: Competition of Interests Clinical Research - Case 2 1 Ethical Issues in Clinical Surgery: Competition of Interests Clinical Research - Case 3 1 Ethical Issues in Clinical Surgery: Competition of Interests Confronting Problem Behavior 1 Ethical Issues in Clinical Surgery: Competition of Interests Non-Patient Care Obligations 1 Ethical Issues in Clinical Surgery: Competition of Interests Personal Investments 1 Ethical Issues in Clinical Surgery: Competition of Interests Refusal to Care for Patients 1 Ethical Issues in Clinical Surgery: Competition of Interests Reimbursement Incentives - Case 1 1 Ethical Issues in Clinical Surgery: Competition of Interests Reimbursement Incentives - Case 2 1 Ethical Issues in Clinical Surgery: Competition of Interests Reimbursement Incentives - Case 3 2 Ethical Issues in Clinical Surgery: Truth Telling Dealing with Complications and Poor Outcomes 2 Ethical Issues in Clinical Surgery: Truth Telling Informed Consent 2 Ethical Issues in Clinical Surgery: Truth Telling Listening and the Surgeon-Patient Relationship 2 Ethical Issues in Clinical Surgery: Truth Telling Respecting Cultural Diversity and Individual Sensitivities 2 Ethical Issues in Clinical Surgery: Truth Telling Truth Telling and the Surgeon–Patient Relationship 2 Ethical Issues in Clinical Surgery: Truth Telling Use of the Internet and E-mail for Communication - Case 1 2 Ethical Issues in Clinical Surgery: Truth Telling Use of the Internet and E-mail for Communication - Case 2 3 Ethical Issues in Clinical Surgery: Confidentiality Concern for the Safety of Identifiable Others 3 Ethical Issues in Clinical Surgery: Confidentiality Conversations about Patients in Public 3 Ethical Issues in Clinical Surgery: Confidentiality Duty to Report Patients to Public Authorities 3 Ethical Issues in Clinical Surgery: Confidentiality Relaying Genetic Test Results to Family Members 3 Ethical Issues in Clinical Surgery: Confidentiality Revealing Confidential Information 3 Ethical Issues in Clinical Surgery: Confidentiality Surgeons Infected with Blood-Borne Diseases 4 Ethical Issues in Clinical Surgery: Professional Obligations Obligations to Other Professionals 4 Ethical Issues in Clinical Surgery: Professional Obligations Obligations to Patients: Commitment 4 Ethical Issues in Clinical Surgery: Professional Obligations Obligations to Patients: Competence 4 Ethical Issues in Clinical Surgery: Professional Obligations Obligations to Society: Allocation of Resources 4 Ethical Issues in Clinical Surgery: Professional Obligations Obligations to Society: Teaching and Learning Surgery 5 Ethical Issues in Clinical Surgery: End-of-Life Issues Advance Directives and the Surgical Patient 5 Ethical Issues in Clinical Surgery: End-of-Life Issues DNR Orders in the Operating Room 5 Ethical Issues in Clinical Surgery: End-of-Life Issues Euthanasia and Physician-assisted Suicide 5 Ethical Issues in Clinical Surgery: End-of-Life Issues Futility 5 Ethical Issues in Clinical Surgery: End-of-Life Issues Maintaining Contact 5 Ethical Issues in Clinical Surgery: End-of-Life Issues Palliative Care 5 Ethical Issues in Clinical Surgery: End-of-Life Issues Talking About Death 5 Ethical Issues in Clinical Surgery: End-of-Life Issues Withdrawing and Withholding Treatment

Page 15 of 19 SCORE Curriculum Outline 2018-2019 - Professionalism

Category # Professionalism Category Professionalism Topic 6 Ethical Issues in Clinical Surgery: Substitute Decision Making By What Criteria Should Substitute Decision Makers Decide? 6 Ethical Issues in Clinical Surgery: Substitute Decision Making Substitute Decision Makers and DNR Orders 6 Ethical Issues in Clinical Surgery: Substitute Decision Making Substitute Decisions for Children 6 Ethical Issues in Clinical Surgery: Substitute Decision Making Unclear Competence and Decision-Making Capacity 6 Ethical Issues in Clinical Surgery: Substitute Decision Making Who Decides When the Patient Cannot?

SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 16 of 19 SCORE Curriculum Outline 2018-2019 - Interpersonal and Communication Skills

Interpersonal & Communication Skills Category # Category Interpersonal & Communication Skills Topic

1 NOTSS Cognitive Skills (Situation Awareness and Decision Making)

1 NOTSS Social Skills (Communication, Teamwork and Leadership)

2 SPICE Admitting Mistakes - Ethical Choices and Reasoning

2 SPICE Advanced Communication Skills for Surgical Practice

2 SPICE Cultural Diversity - Working Through the Barriers of Language and Differing Customs

2 SPICE Delivering Bad News - Your Chance to Become a Master Surgeon

2 SPICE Giving and Getting Feedback

2 SPICE Managing Your Career - Making the Professional and Personal Choices that will Define You

2 SPICE Medical Errors and Apology

2 SPICE Safe Handoff of Patient Care Duties The Stress of Surgical Practice - The Signs of Stress, Depression, and Suicide in You and Your 2 SPICE Surgical Colleagues

2 SPICE Working with Professionals Around You - Team Communication and Respect

NOTSS = Non-Technical Skills for Surgeons SPICE = Surgical Professionalism and Interpersonal Communication Program

SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 17 of 19 SCORE Curriculum Outline 2018-2019 - Practice-Based Learning and Improvement

Practice-Based Learning & Category # Improvement Category Practice-Based Learning & Improvement Topic 1 Quality Improvement Inspiring a Healthy Culture for Patient Care 1 Quality Improvement Local Engagement in Quality Improvement 1 Quality Improvement Problem-Based Quality Improvement 1 Quality Improvement Understanding the Data and Methods to Evaluate Performance

SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 18 of 19 SCORE Curriculum Outline 2018-2019 - Systems-Based Practice

Category # Systems-Based Practice Topic 1 Advocating for Quality Patient Care 1 Coordinating Patient Care 1 Cost Awareness and Risk-Benefit Analysis 1 Identifying Systems Errors – Root Cause Analysis 1 Working Effectively in Various Healthcare Delivery Settings and Systems 1 Working in Interprofessional Teams

SCORE® Curriculum Outline for General Surgery © 2018 The Surgical Council on Resident Education Inc. All rights reserved.

Page 19 of 19