Oral Board Procedures

The oral board exam involves describing general surgery procedures and is based on the following procedures as listed in the score curriculum. This page is for quick reference to videos and steps of these procedures.

1. Abdomen - General

• Core

  • Abdominal exploration

  • Peritoneal Dialysis Catheter Insertion

2. Abdomen - Hernia

• Core

  • Diaphragmatic hernia repair - Laparoscopic, Open

  • Inguinal and femoral hernia repair

    • Open - Overview of Open Techniques, Lichtenstein, Shouldice,

    • MIS - Laparoscopic Totally Extraperitoneal Repair (TEP)_Laparoscopic Transabdominal Pre-Peritoneal Hernia Repair (TAPP), Laparoscopic High Ligation,

  • Miscellaneous hernia repair -

  • Ventral hernia repair - Rives Stoppa, TAR,

3. Abdomen - Biliary

• Core

  • Cholecystectomy with or without cholangiography

  • Cholecystostomy

  • Choledochoenteric anastomosis

  • Common bile duct exploration and choledochoscopy

• Advanced

  • Bile duct cancer operations

  • Bile duct injury, iatrogenic, acute repair

  • Bile duct neoplasm operation

  • Gallbladder cancer operation

  • Ultrasound of biliary tree

4. Abdomen - Liver

• Core

  • Hepatic abscess drainage

  • Hepatic biopsy

• Advanced

  • Hepatic ultrasound intra-operative

  • Segmentectomy/lobectomy

5. Abdomen - Pancreas

• Core

  • Pancreatectomy, distal

  • Pancreatic debridement

  • Pancreatic pseudocyst drainage

• Advanced

  • Ampullary resection for tumor

  • Total pancreatectomy

  • Intraoperative pancreatic ultrasound

  • Operative management of chronic pancreatitis

6. Abdomen - Spleen

• Core

  • Splenectomy

7. Alimentary tract - Esophagus

• Core

  • Anti-reflux procedures

• Advanced

  • Cricopharyngeal myotomy with zenker diverticulum excision

  • Esophageal perforation repair/resection

  • Esophagectomy/esophagogastrectomy

  • Esophagomyotomy (heller)

  • Paraesophageal hernia repair

8. Alimentary tract - Stomach

• Core

  • Gastrectomy – partial/total

  • Gastroduodenal perforation repair

  • Gastrostomy

  • Vagotomy and drainage procedure

• Advanced

  • Morbid obesity operations

  • Postgastrectomy syndromes – revisional procedures

9. Alimentary tract – Small intestine

• Core

  • Adhesiolysis

  • Crohn’s disease surgical management

  • Ileostomy and ileostomy closure

  • Small intestinal resection

10. Alimentary tract – Large intestine

• Core

  • Appendectomy

  • Partial colectomy

  • Total and subtotal colectomy

  • Colostomy and colostomy closure

  • Ulcerative colitis – surgical management

11. Alimentary tract - anorectal

• Core

  • Anal sphincterotomy

  • Anorectal abscess drainage

  • Anorectal fistula repair

  • Hemorrhoids - management

  • Perianal condylomas - excision

• Advanced

  • Anal cancer excision

  • Rectal cancer – abdominoperinal resection and pelvic exenteration

  • Rectal cancer – transanal resection

  • Rectal prolapse - repair

12. Endoscopy

• Core

  • Bronchoscopy and bronchoalveolar lavage

  • Esophagogastroduodenoscopy

  • Lower GI endoscopy

13. Breast

• Core

  • Axillary sentinel lymph node biopsy and lymphadenectomy

  • Duct excision

  • Excisional breast biopsy and partial mastectomy

  • Mastectomy – simple, modified radical, and radical

  • Percutaneous breast biopsy and cyst aspiration

14. Endocrine

• Core

  • Parathyroidectomy

  • Thyroidectomy – partial or total

• Advanced

  • Adrenalectomy

  • Ultrasound of the thyroid

15. Skin and soft tissue

• Core

  • Melanoma – wide excision

  • Pilonidal cystectomy

  • Sentinel lymph node biopsy for melanoma

  • Skin/soft tissue lesions – excisional and incisional biopsy

  • Soft tissue infections – incision, drainage, debridement

• Advanced

  • Ilioinguinal-femoral lymphadenectomy

  • Soft tissue sarcoma - resection

16. Surgical critical care

• Core

  • Intubation and difficult airway

  • Nutritional support

  • Ultrasound used for intravascular access

  • Vascular access

• Advanced

  • Noninvasive and invasive cardiac pacing

17. Trauma

• Core

  • Bite and envenomation injuries

  • Brachial plexus injuries

  • Extremity injuries

  • Smoke inhalation injury and carbon monoxide poisoning

  • Spine fracture

  • Traumatic brain injury

  • Abdominal exploration for trauma

  • Cardiac injury – repair

  • Duodenal and pancreatic injuries

  • Esophageal injury

  • Fasciotomy

  • Focused assessment for sonography for trauma (FAST)

  • Gastrointestinal tract injury repair

  • Hepatic injuries – packing and repair/resection

  • Neck injuries – management

  • Splenectomy/splenorrhaphy

  • Urinary tract injuries – operations

  • Vascular injuries – operations

  • Wounds, major – debride/suture

• Advanced

  • Hand tendon repairs

  • Thermal injuries - operations

18. Vascular – Arterial disease

• Core

  • Amputations – lower extremity

  • Embolectomy/thrombectomy - arterial

• Advanced

  • Abdominal and aortoiliac aneurysm repair

  • Aortoiliac reconstruction for occlusive disease

  • Carotid endarterectomy

  • Endovascular intervention principles

  • Extra-anatomic bypass

  • Graft-enteric fistula management

  • Lower extremity bypass

  • Mesenteric occlusive disease operation

  • Peripheral aneurysm repair

  • Superior mesenteric artery embolectomy/thrombectomy

  • Ultrasound in the diagnosis and management of vascular disease

19. Vascular - venous

• Core

  • Vena cava filter – insertion

  • Venous insufficiency/varicose veins - operation

20. Vascular - access

• Core

  • Arteriovenous graft/fistula

  • Vascular exposure principles

  • Venous access devices - insertion

21. Transplantation

• Advanced

  • En bloc abdominal organ retrieval

  • Live donor hepatectomy

  • Live donor nephrectomy

  • Liver transplantation

  • Pancreas transplantation

  • Renal transplantation

22. Thoracic surgery

• Core

  • Exploratory thoracotomy – open and thoracoscopic

  • Partial pulmonary resections – open and thoracoscopic

  • Tube thoracostomy and thoracentesis

23. Pediatric surgery

• Core

  • Inguinal hernia repair

  • Intussusception operation

  • Malrotation operation

  • Meckel diverticulum excision

  • Pyloromyotomy

  • Umbilical hernia repair

• Advanced

  • Anorectal malformations operation

  • Branchial cleft anomaly excision

  • Chest wall deformity

  • Congenital diaphragmatic hernia repair

  • Diaphragmatic hernia repair

  • Esophageal atresia/tracheoesophageal fistula repair

  • Gastroschisis/omphalocele repair

  • Hirschsprung disease operation

  • Intestinal atresia/stenosis repair

  • Meconium ileus operation

  • Necrotizing enterocolitis operation

  • Orchiopexy

  • Thyroglossal duct cyst excision

24. Plastic surgery

• Core

  • Complex wound closure

  • Skin grafting

25. Genitourinary

• Core

  • Cystostomy

  • Nephrectomy

26. Gynecology and Obstetrics

• Core

  • Hysterectomy and salpingo-oopherectomy

  • Surgical considerations in the pregnant patient

• Advanced

  • Cesarean section

27. Head and neck

• Core

  • Lymph node biopsy

  • Tracheostomy

• Advanced

  • Modified neck dissection

  • Parotidectomy