SCORE Curriculum Outline 2018-2019 - Patient Care
Module Not on Category # Patient Care Category
Portal (x)
1 Abdomen - General
1 Abdomen - General
x 1 Abdomen - General
x 1 Abdomen - General
1 Abdomen - General
1 Abdomen - General
2 Abdomen - Hernia
2 Abdomen - Hernia
2 Abdomen - Hernia
2 Abdomen - Hernia
2 Abdomen - Hernia
2 Abdomen - Hernia
2 Abdomen - Hernia
2 Abdomen - Hernia
3 Abdomen - Biliary
3 Abdomen - Biliary
x 3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
4 Abdomen - Liver
4 Abdomen - Liver
4 Abdomen - Liver
x 4 Abdomen - Liver
4 Abdomen - Liver
4 Abdomen - Liver
4 Abdomen - Liver
x 4 Abdomen - Liver
x 5 Abdomen - Pancreas
5 Abdomen - Pancreas
5 Abdomen - Pancreas
x 5 Abdomen - Pancreas
5 Abdomen - Pancreas
5 Abdomen - Pancreas
5 Abdomen - Pancreas
5 Abdomen - Pancreas
5 Abdomen - Pancreas
5 Abdomen - Pancreas
5 Abdomen - Pancreas
Type Level Patient Care Topic
Disease/Condition Core Abdominal Pain – Acute and Chronic
Disease/Condition Core Rectus Sheath Hematoma
Disease/Condition Advanced Peritoneal Neoplasms*
Operation/Procedure Core Abdominal Exploration*
Operation/Procedure Core Intra-abdominal Abscess - Drainage
Operation/Procedure Core Peritoneal Dialysis Catheter Insertion
Disease/Condition Core Inguinal and Femoral Hernia
Disease/Condition Core Miscellaneous Hernias
Disease/Condition Core Umbilical and Epigastric Hernias
Disease/Condition Core Ventral Hernia
Operation/Procedure Core Diaphragmatic Hernia - Repair
Operation/Procedure Core Inguinal and Femoral Hernia - Repair
Operation/Procedure Core Miscellaneous Hernias - Repair
Operation/Procedure Core Ventral Hernia – Repair
Disease/Condition Core Bile Duct Injury - Iatrogenic
Disease/Condition Core Benign Biliary Obstruction
Disease/Condition Core Biliary Neoplasms*
Disease/Condition Core Cholecystitis
Disease/Condition Core Choledochal Cyst
Disease/Condition Advanced Functional Biliary Disorders
Disease/Condition Advanced Primary Sclerosing Cholangitis
Operation/Procedure Core Cholecystectomy with or without Cholangiography
Operation/Procedure Core Cholecystostomy
Operation/Procedure Core Choledochoenteric Anastomosis
Operation/Procedure Core Common Bile Duct Exploration and Choledochoscopy
Operation/Procedure Advanced Bile Duct Cancer - Operation
Operation/Procedure Advanced Bile Duct Injury, Iatrogenic - Acute Repair
Operation/Procedure Advanced Bile Duct Neoplasms - Operation
Operation/Procedure Advanced Gallbladder Cancer - Operation
Operation/Procedure Advanced Ultrasound of the Biliary Tree
Disease/Condition Core Hepatic Abscess
Disease/Condition Core Hepatic Neoplasms - Metastatic
Disease/Condition Core Primary Hepatic Neoplasms – Benign and Malignant
Disease/Condition Advanced Cirrhosis/Portal Hypertension (Ascites)*
Operation/Procedure Core Hepatic Abscess - Drainage
Operation/Procedure Core Hepatic Biopsy
Operation/Procedure Advanced Hepatic Ultrasound- Intraoperative
Operation/Procedure Advanced Segmentectomy/Lobectomy*
Disease/Condition Core Cystic Lesions of the Pancreas*
Disease/Condition Core Pancreatic Neoplasms - Endocrine
Disease/Condition Core Pancreatic Neoplasms - Exocrine
Disease/Condition Core Pancreatitis – Acute/Pancreatic Necrosis/Abscess*
Disease/Condition Advanced Intraductal Papillary Mucinous Neoplasms
Disease/Condition Advanced Pancreas Divisum
Disease/Condition Advanced Pancreatitis - Chronic (Including Hereditary Pancreatitis)/Pancreatic Insufficiency
Operation/Procedure Core Pancreatectomy - Distal
Operation/Procedure Core Pancreatic Debridement
Operation/Procedure Core Pancreatic Pseudocyst - Drainage
Operation/Procedure Advanced Ampullary Resection for Tumor
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 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 Pancreaticoduodenectomy
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 - Esophagus 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 Esophagectomy/Esophagogastrectomy
7 Alimentary Tract - Esophagus Operation/Procedure Advanced Esophagomyotomy (Heller)
7 Alimentary Tract - Esophagus Operation/Procedure Advanced Paraesophageal Hernia – Repair
8 Alimentary Tract - Stomach Disease/Condition Core Gastric Adenocarcinoma
8 Alimentary Tract - Stomach Disease/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 Peptic Ulcer Disease
8 Alimentary Tract - Stomach Disease/Condition Core Stress Gastritis
x 8 Alimentary Tract - Stomach Disease/Condition Advanced Functional Disorders of the Stomach*
8 Alimentary Tract - Stomach Operation/Procedure Core Gastrectomy - Partial/Total
8 Alimentary Tract - Stomach Operation/Procedure Core Gastroduodenal Perforation - Repair
8 Alimentary Tract - Stomach Operation/Procedure Core Gastrostomy
8 Alimentary Tract - Stomach Operation/Procedure Core Vagotomy 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 - Small Intestine 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 Ileus
9 Alimentary Tract - Small Intestine Disease/Condition Core Pneumatosis
9 Alimentary Tract - Small Intestine Disease/Condition Core Radiation Enteritis
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/Blind Loop Syndrome
9 Alimentary Tract - Small Intestine Disease/Condition Advanced Short Bowel Syndrome
9 Alimentary Tract - Small Intestine Operation/Procedure Core Adhesiolysis
x 9 Alimentary Tract - Small Intestine Operation/Procedure Core Ileostomy and Ileostomy Closure*
9 Alimentary Tract - Small Intestine Operation/Procedure Core Small Intestinal Resection
10 Alimentary Tract - Large Intestine Disease/Condition Core Appendicitis

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 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 Colitis
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 Volvulus and Obstruction
10 Alimentary Tract - Large Intestine Disease/Condition Core Diverticulitis
10 Alimentary Tract - Large Intestine Disease/Condition Core Gastrointestinal Bleeding - Lower
10 Alimentary Tract - Large Intestine Disease/Condition Core Ulcerative Colitis - 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 Appendectomy
10 Alimentary Tract - Large Intestine Operation/Procedure Core Colectomy - Partial
10 Alimentary Tract - Large Intestine Operation/Procedure Core Colectomy – Total and Subtotal
10 Alimentary Tract - Large Intestine Operation/Procedure Core Colostomy and Colostomy Closure
11 Alimentary Tract - Anorectal Disease/Condition Core Anal Cancer
11 Alimentary Tract - Anorectal Disease/Condition Core Anal Dysplasia and STDs
11 Alimentary Tract - Anorectal Disease/Condition Core Anal Fissure
11 Alimentary Tract - Anorectal Disease/Condition Core Anorectal Abscess and Fistulae
11 Alimentary Tract - Anorectal Disease/Condition Core Hemorrhoids
11 Alimentary Tract - Anorectal Disease/Condition Core Rectal Cancer
11 Alimentary Tract - Anorectal Disease/Condition Advanced Fecal Incontinence
11 Alimentary Tract - Anorectal Disease/Condition Advanced Rectal Prolapse
11 Alimentary Tract - Anorectal Operation/Procedure Core Anal Sphincterotomy - 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 Endoscopy 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

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 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*

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 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 Hepatorenal Syndrome
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

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 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 Gastrointestinal Tract 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

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 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 Hepatectomy
21 Transplantation Operation/Procedure Advanced Live Donor Nephrectomy
21 Transplantation Operation/Procedure Advanced Liver Transplantation
21 Transplantation Operation/Procedure Advanced Pancreas Transplantation
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 Pyloric Stenosis
23 Pediatric Surgery Disease/Condition Core Inguinal Hernia
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 Umbilical Hernia
23 Pediatric Surgery Disease/Condition Advanced Biliary Atresia
23 Pediatric Surgery Disease/Condition Advanced Choledochal Cysts
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 Bowel Obstruction
23 Pediatric Surgery Disease/Condition Advanced Esophageal Atresia/Tracheoesophageal Fistula
23 Pediatric Surgery Disease/Condition Advanced Gastroschisis/Omphalocele
23 Pediatric Surgery Disease/Condition Advanced Imperforate Anus
23 Pediatric Surgery Disease/Condition Advanced Necrotizing Enterocolitis
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 Pyloromyotomy
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

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 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 Intestinal Atresia/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/Pharynx, 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.

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Category # Patient Care Category
1 Abdomen - General
1 Abdomen - General
1 Abdomen - General
2 Abdomen - Hernia
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
3 Abdomen - Biliary
4 Abdomen - Liver
4 Abdomen - Liver
4 Abdomen - Liver
5 Abdomen - Pancreas
5 Abdomen - Pancreas
5 Abdomen - Pancreas
6 Abdomen - Spleen
6 Abdomen - Spleen
7 Alimentary Tract - Esophagus Disease/Condition
7 Alimentary Tract - Esophagus Disease/Condition
7 Alimentary Tract - Esophagus Disease/Condition
7 Alimentary Tract - Esophagus Operation/Procedure
7 Alimentary Tract - Esophagus Operation/Procedure
8 Alimentary Tract - Stomach
8 Alimentary Tract - Stomach
8 Alimentary Tract - Stomach
8 Alimentary Tract - Stomach
9 Alimentary Tract—Small
Intestine
9 Alimentary Tract—Small
Intestine
9 Alimentary Tract—Small
Intestine
9 Alimentary Tract—Small
Intestine
10 Alimentary Tract—Large
Intestine
10 Alimentary Tract—Large Intestine
CHANGES TO PATIENT CARE - 2018-2019
Type Level Patient Care Topic Changes for 2018-2019 Edition
Disease/Condition Core Abdominal Pain – Acute and Chronic Consolidation of the following modules: Abdominal Pain - Acute; Abdominal Pain - Chronic
Disease/Condition Advanced Peritoneal Neoplasms Consolidation of the following modules: Peritoneal Neoplasms - Carcinomatosis; Peritoneal
Neoplasms - Pseudomyxoma Peritonei
Operation/Procedure Core Abdominal Exploration Consolidation of the following modules: Diagnostic Laparoscopy; Peritoneal Lesion - Biopsy;
include info re: Endometriosis; Mesenteric Cyst
Operation/Procedure Core Ventral Hernia – Repair Consolidation of the following modules: Ventral Hernia - Repair; Abdominal Wall
Reconstruction - Components Separation; Prosthetic Mesh Infections - Management
Disease/Condition Core Benign Biliary Obstruction Consolidation of the following modules: Jaundice - Obstructive; Cholangitis;
Choledocholithiasis
Disease/Condition Core Biliary Neoplasms Consolidation of the following modules: Bile Duct Neoplasms; Gallbladder Cancer;
Gallbladder Polyps
Disease/Condition Core Cholecystitis Consolidation of the following modules: Cholecystitis - Acalculous; Cholecystitis - Acute and
Chronic
Disease/Condition Advanced Functional Biliary Disorders Renamed: formerly Ampullary Stenosis/Sphincter of Oddi Dysfunction; expanded to include
Biliary Dyskinesia
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
Operation/Procedure Advanced Bile Duct Injury, Iatrogenic - Acute Repair Renamed to include iatrogenic
Disease/Condition Core Primary Hepatic Neoplasms – Benign and Malignant Consolidation of the following modules: Hepatic Mass - Evaluation; Hepatic Neoplasms -
Benign; Hepatic Neoplasms - Malignant
Disease/Condition Advanced Cirrhosis/Portal Hypertension (Ascites) Consolidation of the following modules: Cirrhosis/Portal Hypertension (Ascites); Bacterial
Peritonitis - Spontaneous; Budd-Chiari syndrome; Ascites - Chylous; Paracentesis; and
Esophageal Varices
Operation/Procedure Advanced Segmentectomy/Lobectomy Consolidation of the following modules: Segmentectomy/Lobectomy - Laparoscopic;
Segmentectomy/Lobectomy - Open
Disease/Condition Core Cystic Lesions of the Pancreas Consolidation of the following modules: Pancreatic Neoplasms - Cystic; Pancreatic
Pseudocyst
Disease/Condition Core Pancreatitis – Acute/Pancreatic Necrosis/Abscess Consolidation of the following modules: Pancreatitis - Acute/Pancreatic Necrosis/Abscess;
Pancreatitis - Autoimmune; Pancreatitis - Biliary
Operation/Procedure Advanced Pancreatitis, Chronic – Operative Management Consolidation of the following modules: Pancreaticojejunostomy - Longitudinal;
Pancreatectomy - Frey and Beger Procedures
Disease/Condition Advanced Hematologic Diseases of the Spleen Consolidation of the following modules: Idiopathic Thrombocytopenic Purpura; Hemolytic
Anemias; Hypersplenism - Secondary and Splenomegaly
Operation/Procedure Core Splenectomy Consolidation of the following modules: Splenectomy; Splenectomy/Splenorrhaphy - Partial;
Postsplenectomy Sepsis
Core Esophageal Motility Disorders Consolidation of the following modules: Achalasia; Dysphagia; Esophageal Diverticula;
Esophageal Motility Disorders other than Achalasia; Stricture
Core Esophageal Neoplasms – Benign and Malignant Consolidation of the following modules: Esophageal Neoplasms - Benign; Esophageal
Neoplasms - Malignant
Core Esophageal Perforation Consolidation of the following modules: Esophageal Perforation - Iatrogenic; Esophageal
Perforation - Spontaneous
Core Antireflux Procedures Consolidation of the following modules: Antireflux Procedures - Laparoscopic; Antireflux
Procedures - Open
Advanced Paraesophageal Hernia – Repair Consolidation of the following modules: Paraesophageal Hernia - Laparoscopic Repair;
Paraesophageal Hernia - Open Repair
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)
Disease/Condition Core Gastrointestinal Bleeding - Upper Consolidation of the following modules: Gastrointestinal Bleeding - Upper; Mallory-Weiss
Syndrome
Disease/Condition Core GIST and Miscellaneous Neoplasms Consolidation of the following modules: GIST and Miscellaneous Neoplasms; Colon
Neoplasms - Miscellaneous; Appendiceal Neoplasms; Small Intestinal GISTs
Disease/Condition Advanced Functional Disorders of the Stomach Consolidation of the following modules: Gastroparesis; Postgastrectomy Syndromes; include
bezoars.
Disease/Condition Core Crohn Disease – Surgical Management Consolidation of the following modules: Small Intestinal Crohn's Disease - Surgical
Management; Colonic Crohn's Disease - Surgical Management; Stricturoplasty for Crohn's
Disease
Disease/Condition Core Small Intestinal Obstruction Consolidation of the following modules: Small Intestinal Obstruction; Intussusception;
Gallstone Ileus
Disease/Condition Core Small Intestinal Neoplasms Consolidation of the following modules: Miscellaneous Small Intestinal Neoplasms
(lymphoma, carcinoid), Small Intestinal Polyps, and Small Intestinal Adenocarcinoma
Operation/Procedure Core Ileostomy and Ileostomy Closure Consolidation of the following modules: Ileostomy; Ileostomy Closure
Disease/Condition Core Colonic Volvulus and Obstruction Consolidation of the following modules: Obstruction - Large Intestinal; Colonic Volvulus
Disease/Condition Advanced Functional Disorders of the Intestine Consolidation of the following modules: Constipation - Functional; Irritable Bowel Syndrome
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 Intestine
Operation/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: Colonoscopy; Proctoscopy and Sigmoidoscopy
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
13 Breast
13 Breast
13 Breast
13 Breast
13 Breast
15 Skin and Soft Tissue
15 Skin and Soft Tissue
15 Skin and Soft Tissue
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
16 Surgical Critical Care
17 Trauma
17 Trauma
17 Trauma
17 Trauma
Disease/Condition Core
Disease/Condition Core
Disease/Condition Core
Disease/Condition Core
Operation/Procedure Core
Operation/Procedure Core
Disease/Condition Core
Disease/Condition Core
Operation/Procedure Core
Disease/Condition Core
Disease/Condition Core
Disease/Condition Core
Disease/Condition Core
Disease/Condition Core
Operation/Procedure Core
Operation/Procedure Core
Disease/Condition Core
Disease/Condition Core
Disease/Condition Core
Operation/Procedure Core
Operation/Procedure Core
Operation/Procedure Advanced Non-invasive and Invasive Cardiac Pacing
Disease/Condition Core
Disease/Condition Core
Disease/Condition Core
Disease/Condition Core
Male Breast Disease: Gynecomastia and Breast Cancer Consolidation of the following modules: Benign Disease - Gynecomastia; Breast Cancer -
Male
Nipple Discharge and Intraductal Papilloma Consolidation of the following modules: Benign Disease - Intraductal Papilloma; Nipple
Discharge
Radiographic Abnormalities Renamed and expanded to include more than just mammography; originally Mammographic
Abnormalities
Breast Disease During Pregnancy and Lactation Consolidation of the following modules: Benign Disease - Galactocele; Breast Cancer During
Pregnancy and Lactation
Excisional Breast Biopsy and Partial Mastectomy Consolidation of the following modules: Breast Biopsy with or without Needle Localization;
Mastectomy - Partial
Percutaneous Breast Biopsy and Cyst Aspiration Consolidation of the following modules: Breast Cyst - Aspiration; Breast Biopsy - Image-
Guided
Nonmelanoma Skin Cancers Consolidation of the following modules: Adnexal Tumors of the Skin; Nonmelanoma Skin
Cancers (basal cell, squamous cell); and Dermatofibrosarcoma Protuberans (DFSP)
Surgical Site Infection Move to Medical Knowledge, Infection and Antimicrobial Therapy
Melanoma - Wide Excision Renamed: originally Melanoma - Wide Local Excision
Acute Respiratory Distress Syndrome (ARDS) Split ARDS and Respiratory Failure module into 2: 1 module on ARDS; 1 on Respiratory
Failure
Cardiac Arrest Renamed and content modified; originally titled "Defibrillation and Cardioversion"
Cardiac Failure and Cardiogenic Shock Consolidation of the following modules: Cardiac Failure; Cardiogenic Shock
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)
Hypoxemic Syndromes (PE, Pneumonia) New module
Intubation and Difficult Airway Consolidation of the following modules: Airway Management; Endotracheal Intubation;
Laryngoscopy; Cricothyroidotomy
Nutritional Support Consolidation of the following modules: Enteral Feeding Tube Placement; Nutritional Support
- Long Term; and Feeding Jejunostomy
Pneumonia - Hospital-Acquired Consolidated with Infections - Healthcare-acquired; moved to Medical Knowledge - Infection
and Antimicrobial Therapy
Respiratory Failure Split ARDS and Respiratory Failure module into 2: 1 module on ARDS; 1 on Respiratory
Failure
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)
Vascular Access Consolidation of the following modules: Arterial Catheter Placement; Central Venous
Catheter Placement; Invasive Hemodynamic Monitoring; AND Pulmonary Artery Catheter
Placement
Compartment Pressures (Abdomen, Extremity) - Measurement Eliminate; covered in Abdominal Compartment Syndrome and Extremity Injuries
Consolidation of the following modules: Cardiac Pacing; Temporary Transvenous
Pacemaker.
Aortic Injury Eliminate; cover in Vascular Injury – Thorax; Vascular Injury – Abdomen
Burns Incorporate chemical burns into module
Cardiac Injury Consolidation of the following modules: Myocardial Contusion; Cardiac Tamponade;
Pericardial Window for Drainage
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 Laparotomy; 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
17 Trauma
17 Trauma
17 Trauma
18 Vascular - Arterial Disease
18 Vascular - Arterial Disease
18 Vascular - Arterial Disease
18 Vascular - Arterial Disease
18 Vascular - Arterial Disease
18 Vascular - Arterial Disease
19 Vascular - Venous
19 Vascular - Venous
20 Vascular - Access
21 Transplantation
22 Thoracic Surgery
22 Thoracic Surgery
22 Thoracic Surgery
22 Thoracic Surgery
23 Pediatric Surgery
23 Pediatric Surgery
25 Genitourinary
25 Genitourinary
25 Genitourinary
26 Gynecology and Obstetrics
26 Gynecology and Obstetrics
27 Head and Neck
27 Head and Neck
28 Nervous System
28 Nervous System
28 Nervous System
Operation/Procedure Core Neck Exploration for Injury Consolidation of the following modules: Neck Exploration for Injury; Carotid Artery Injury –
Repair
Operation/Procedure Core Urinary Tract Injuries – Operations Consolidation of the following modules: Bladder Injury – Repair; Renal Injury –
Repair/Resection; Ureteral Injury – Repair
Operation/Procedure Core Vascular Injuries – Operations Consolidation of the following modules: Abdominal Aorta or Vena Cava Injury – Repair;
Truncal and Peripheral Vessels – Repair
Operation/Procedure Advanced Thermal Injuries – Operations Consolidation of the following modules: Escharotomy for Burn Injury; Burn Debridement and
Grafting of Major Burns
Disease/Condition Core Acute Thrombosis and Ischemia Consolidation of the following modules: Acute Arterial Thrombosis; Acute Limb Ischemia;
Aortic Thrombosis
Disease/Condition Core Peripheral Vascular Occlusive Disease Consolidation of the following modules: Peripheral Vascular Disease and Claudication;
Aortoiliac Disease
Operation/Procedure Core Lower Extremity Bypass* Consolidation of the following modules: Femoral-popliteal Bypass; Infrapopliteal Bypass
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
Operation/Procedure Advanced Aortoiliac Reconstruction for Occlusive Disease Consolidation of the following modules: Aortofemoral Bypass; Arterial Occlusive Disease -
Endarterectomy modules; adding aortoiliac to module
Operation/Procedure Advanced Peripheral Aneurysms – Repair Consolidation of the following modules: Femoral Aneurysm - Repair; Popliteal Aneurysm -
Repair; Pseudoaneurysm - Repair
Disease/Condition Core Evaluation of the Swollen Leg New module
Operation/Procedure Core Venous Insufficiency/Varicose Veins – Operation Consolidation of the following modules: Venous Insufficiency/Varicose Veins - Operation;
Sclerotherapy - Peripheral Vein
Operation/Procedure Core Venous Access Devices - Insertion Consolidation of the following modules: Venous Access Devices - Insertion; Venous Access
for Long-Term Therapy
Disease/Condition Advanced Post-Transplant Malignancies Eliminate; cover in individual transplantation modules in long-term follow-up sections
Disease/Condition Core Pleural Effusion/Empyema Consolidation of the following modules: Pleural Effusion/Empyema; Empyema -
Management
Disease/Condition Core Pneumothorax and Pleurodesis Consolidation of the following modules: Pneumothorax; Pleurodesis
Disease/Condition Advanced Malignant Tumors of the Lung: Primary and Metastatic Consolidation of the following modules: Lung Cancer; Metastatic Tumors of the Lung
Operation/Procedure Core Tube Thoracostomy and Thoracentesis Consolidation of the following modules: Chest Tube Placement and Management;
Thoracentesis
Disease/Condition Core Abdominal Mass Consolidation of the following modules: Abdominal Mass; Neuroblastoma; Wilms Tumor
Disease/Condition Advanced Neonatal Small Bowel Obstruction Consolidation of the following modules: Duodenal Atresia/Stenosis; Intestinal
Atresia/Meconium Ileus
Disease/Condition Core Hydrocele Consolidation of the following modules: Hydrocele; Hydrocelectomy
Disease/Condition Core Scrotal Pain and Masses Renamed: originally Orchiectomy; revised and made into a disease/condition module
Disease/Condition Advanced Acute Urinary Retention Renamed and modified; originally, "Obstructive Uropathy and Urolithiasis"
Disease/Condition Advanced Gynecologic Neoplasms Consolidation of the following modules: Ovarian Neoplasms - Benign/Malignant; Ovarian
Mass/Cyst - Incidental; Uterine Neoplasms - Benign and Malignant
Operation/Procedure Core Hysterectomy and Salpingo-oophorectomy Combined "Hysterectomy" and "Salpingo-oophorectomy" into 1 module.
Disease/Condition Advanced Lymphoma/Hodgkin's Disease Consolidate with Neck Mass - Evaluation
Operation/Procedure Core Tracheostomy Consolidation of the following modules: Tracheostomy; Tracheoinnominate Fistula
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
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
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
1 Anesthesia
1 Anesthesia
1 Anesthesia
1 Anesthesia
1 Anesthesia
1 Anesthesia
1 Anesthesia
1 Anesthesia
1 Anesthesia
2 Biostatistics and Evaluation of Evidence
2 Biostatistics and Evaluation of Evidence
2 Biostatistics and Evaluation of Evidence
2 Biostatistics and Evaluation of Evidence
2 Biostatistics and Evaluation of Evidence
2 Biostatistics and Evaluation of Evidence
2 Biostatistics and Evaluation of Evidence
2 Biostatistics and Evaluation of Evidence
3 Fluids, Electrolytes, and Acid-Base Balance
3 Fluids, Electrolytes, and Acid-Base Balance
3 Fluids, Electrolytes, and Acid-Base Balance
3 Fluids, Electrolytes, and Acid-Base Balance
4 Geriatric Surgery and End of Life Care
4 Geriatric Surgery and End of Life Care
4 Geriatric Surgery and End of Life Care
4 Geriatric Surgery and End of Life Care
4 Geriatric Surgery and End of Life Care
5 Immunology
5 Immunology
5 Immunology
5 Immunology
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
7 Minimally Invasive Surgery - Principles
7 Minimally Invasive Surgery - Principles
8 Nutrition and Metabolism
8 Nutrition and Metabolism
8 Nutrition and Metabolism
8 Nutrition and Metabolism
9 Oncology and Tumor Biology
9 Oncology and Tumor Biology
Medical Knowledge Topic
Anesthesia, General - Agents and Techniques
Anesthesia, Regional and Local - Agents and Techniques
Best Practices in Prescribing Opioids
Choice of Anesthesia
Conscious Sedation - Agents and Techniques
Intraoperative Monitoring and Common Intraoperative Problems
Nerve Blocks – Digital and Peripheral*
Pain, Acute - Management
Pain, Chronic - Management
Clinical Trials
Evaluating the Quality and Applicability of a Study
How Data is Expressed and Summarized
Levels of Evidence
Outcomes
Research Design
Surveys and Qualitative Research
Tests of Significance
Hypocalcemia and Hypercalcemia
Hypokalemia and Hyperkalemia
Hyponatremia and Hypernatremia
Magnesium and Phosphorous Disorders
Advance Directives, DNR Orders, and Power of Attorney
Frailty
Goal Setting with Elderly Patients and Families
Palliative and Hospice Care
Perioperative Management of Geriatric Patients
Components of the Immune System
Immune Response to Injury and Infection
Surgery and Surgical Conditions in Immunocompromised Hosts
Transplant Immunology
Antimicrobial Stewardship
Diagnostic Approach to Infection
Infections - Hospital-Acquired
Infections - Opportunistic
Intra-abdominal Abscess
Intra-abdominal Infections
Prevention and Treatment of Surgical Site Infection
Preoperative Assessment and Management of Coexisting Infection
Minimally Invasive Surgery (MIS) Principles
Robotic Surgery - Principles
Effect of Surgery, Illness and Injury on Nutritional Requirements
Nutritional Assessment
Nutritional Pharmacology and Immunonutrition
Nutritional Requirements
Adjunctive Therapy for Cancer
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

Category # Medical Knowledge Category
1 Anesthesia
1 Anesthesia
3 Fluids, Electrolytes, and Acid-Base
Balance
4 Geriatric Surgery and End of Life Care
4 Geriatric Surgery and End of Life Care
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
6 Infection and Antimicrobial Therapy
7 Minimally Invasive Surgery - Principles
8 Nutrition and Metabolism
9 Oncology and Tumor Biology
10 Preoperative Evaluation and
Perioperative Care
10 Preoperative Evaluation and
Perioperative Care
10 Preoperative Evaluation and
Perioperative Care
12 Wound Healing
12 Wound Healing
CHANGES TO MEDICAL KNOWLEDGE - 2018-2019
Medical Knowledge Topic
Best Practices in Prescribing Opioids
Nerve Blocks – Digital and Peripheral
Body Fluid Compartments and Fluid Homeostasis
Frailty
Perioperative Management of Geriatric Patients
Antimicrobial Stewardship
Diagnostic Approach to Infection
Infections - Hospital-Acquired
Pathophysiology of Sepsis
Sepsis/SIRS Syndrome
MIS Principles
Nutritional Support - Long Term
Adjunctive Therapy for Cancer
Evaluation of Surgical Risk
Management of Perioperative Risk
Ventilatory Support/Management
Wound Closure and Postoperative Care
Wound Healing
Page 14 of 19
Changes for 2018-2019
NEW
Consolidation of the following modules: Nerve Blocks - Digital; Nerve Blocks -
Peripheral, other than Digital; Moved from Patient Care - Nervous System
Moved to Patient Care, Surgical Critical Care; consolidated with Derangements of
Electrolytes and Acid-Base Balance
Consolidation of the following modules: Functional Decline of Aging; Natural and
Clinical Impact of Physiologic Effects Associated with Aging
Consolidation of the following modules: Medication and Dosing Issues in the Elderly;
Preoperative Evaluation of Geriatric Patients.
Consolidation of the following modules: Principles of Antimicrobial Resistance;
Perioperative Antimicrobial Prophylaxis
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.
Consolidation of the following modules: Infections - Healthcare-acquired; Pneumonia -
Hospital-Acquired (formerly in Patient Care - SCC).
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
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
Consolidation of the following modules: MIS Equipment and Troubleshooting;
Physiologic Changes Associated with Pneumoperitoneum; Principles and Techniques of
Abdominal Access.
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
Consolidation of the following modules: Chemotherapy - Principles; Radiation Therapy -
Principles
Consolidation of the following modules: Evaluation of Surgical Risk; Preoperative
Assessment and Management of Cardiac Risk; Preoperative Assessment and
Management of Pulmonary Risk.
Consolidation of the following modules: Perioperative Management of the Patient on
Steroids; Perioperative Management of the Therapeutically Anticoagulated Patient.
NEW; SCC module on Airway Management/Ventilator Management split into 2
modules; Airway management staying in SCC; ventilator moved to MK
Consolidation of the following modules: Wound Care - Adjunctive, Wound Care -
Postoperative, and Wound Closure
Consolidation of the following modules: Disturbances of Wound Healing and Chronic
Wounds; Physiology of Normal Wound Healing
 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

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 SCORE Curriculum Outline 2018-2019 - Professionalism

Category # Professionalism Category Professionalism Topic

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

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

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 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.

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 SCORE Curriculum Outline 2018-2019 - Practice-Based Learning and Improvement

Practice-Based Learning &

Category # Improvement Category
1 Quality Improvement
1 Quality Improvement
1 Quality Improvement
1 Quality Improvement
Practice-Based Learning & Improvement Topic
Inspiring a Healthy Culture for Patient Care
Local Engagement in Quality Improvement
Problem-Based 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.

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