Surgery A Competency-Based Companion book cover

Surgery A Competency-Based Companion

With STUDENT CONSULT Online Access

Designed to teach you to think like an experienced clinician, this unique resource places as much value on process as it does on content. A case-based organization hones in on the must-know differential diagnoses of the common surgical presentations. Its convenient pocket-sized format enables you to review the material on the go, and online access via Student Consult enhances your study of the material and exponentially boosts your reference power.

US and non-US Medical Students approaching surgery clerkships

Paperback, 808 Pages

Published: May 2008

Imprint: Saunders

ISBN: 978-1-4160-3747-7


  • 1 How to Study This Book

    Barry D. Mann MD

    2 Medical Knowledge: The Foundation of Patient Care

    Sandra Fine MBA and Thomas G. McCarter MD

    3 Practice-Based Learning and Improvement

    Mary Ann Hopkins MPhil, MD

    Susan Kaiser MD, PhD and Leo A. Gordon MD

    4 Interpersonal and Communication Skills

    Jane Ruddell Esq, Stephanie R. Landmesser RN, CNOR, MSN, Daria Arcaro BA, Nicholas P. Lang MD, and Pamela A. Rowland PhD

    5 Professionalism in Surgery

    Joel C. Rosenfeld MD, MEd and Linda L. Blank

    6 Systems-Based Practice

    Stephen E. Gordon MBA, John R. Clarke MD, Stephen K. Klasko MD, MBA, Linnea S. Hauge PhD, and Barry D. Mann MD

    7 How to Succeed on the Surgical Clerkship: Thoughts on Expectations, Feedback, and Stress

    Kimberly D. Schenarts PhD and Paul J. Schenarts MD

    8 The Resident as Teacher: Facilitating Student Success: Thoughts on Expectations, Feedback, and Stress

    Paul J. Schenarts MD and Kimberly D. Schenarts PhD

    9 The Art of Oral Presentation

    Paul J. Schenarts MD and Mary Ann Hopkins MPhil, MD

    Appendix 1: ACGME General Competencies

    Appendix 2: Competency Assessment Forms

    10 Radiology Tools for Abdominal Diagnosis

    Anton Mahne MD, Andrew J. Curtin MD, and Harry G. Zegel MD

    11 Right Lower Quadrant Pain in a 28-Year-Old Female (Case 1)

    Barry D. Mann MD and Michael Belden MD

    12 Right Upper Quadrant Pain in a 44-Year-Old Female (Case 2)

    Joseph F. Golob MD and Christopher P. Brandt MD

    13 Epigastric Pain in a 47-Year-Old Male (Case 3)

    R. Matthew Walsh MD

    14 Left Lower Quadrant Pain in a 67-Year-Old Male (Case 4)

    Rebecca S. Evangelista MD

    15 Groin Mass in a 68-Year-Old Male (Case 5)

    Ryan S. Hoffman MD and Jonathan Gefen MD

    16 Abdominal Pain and Diarrhea in a 43-Year-Old Female (Case 6)

    Roy Phitayakorn MD, MHPE, Brett C. Gilbert DO, and Christopher P. Brandt MD

    17 "Free Air" in a 72-Year-Old Female (Case 7)

    Karen J. Brasel MD, MPH

    18 Abdominal Pain and Distention in a 63-Year-Old Man (Case 8)

    Marjie L. Persons MD, Adeline M. Deladisma MD, MPH, and John D. Mellinger MD

    19 Abdominal Pain and Hypotension in a 79-Year-Old Female (Case 9)

    Jeffrey A. Claridge MD

    Professor’s Pearls: Abdominal Pain

    Bruce E. Stabile MD

    20 Abnormal Screening Mammogram in a 48-Year-Old Female (Case 10)

    Paula M. Termuhlen MD

    21 Breast Mass in a 44-Year-Old Female (Case 11)

    Roxane Weighall DO, Jennifer L. Sabol MD, and Ari D. Brooks MD

    22 Teaching Visual: Breast Pathology

    Ari D. Brooks MD and Paula M. Termuhlen MD

    23 Pigmented Skin Lesion in a 58-Year-Old Female (Case 12)

    James G. Bittner IV MD and D. Scott Lind MD

    24 Dysphagia in a 62-Year-Old Male (Case 13)

    Paul Vesco MD

    25 Thyroid Nodule in a 48-Year-Old Woman (Case 14)

    Mira Milas MD, Deebeanne M. Tavani DO, PhD, and Paula M. Termuhlen MD

    26 Hypercalcemia in a 56-Year-Old Female (Case 15)

    Walter E. Pofahl II MD and Rita El-Hajj MD

    27 Lateral Neck Mass in a 67-Year-Old Male (Case 16)

    James R. Ouellette DO, Veeraiah Siripurapu MD, and Bradford Davison Smith, Jr. MD

    28 35-Year-Old Male with an Expanding Lump in the Thigh (Case 17)

    Robin M. Ciocca DO and Ned Z. Carp MD

    29 63-Year-Old Female with Jaundice (Case 18)

    J. David Schmidt MD, James R. Ouellette DO, and Giancarlo Mercogliano MD, MBA

    30 Teaching Visual: Anatomic Relationships of the Pancreatic Head

    Barry D. Mann MD, Meredith N. Osterman MD, and Paula M. Termuhlen MD

    31 Splenomegaly in a 40-Year-Old Female (Case 19)

    Matthew I. Goldblatt MD and Clifford H. Pemberton MD

    Professor’s Pearls: Surgical Oncology

    Ari D. Brooks MD

    32 Vascular Tools

    Lino F. Miele MD, MS and Alexander Uribe MD

    33 Teaching Visual: Peripheral Vascular Reconstruction

    Thomas G. Lynch MD

    34 Peripheral Arterial Disease (Case 20)

    Thomas G. Lynch MD

    35 Arterial Aneurysms (Case 21)

    G. Matthew Longo MD

    36 Cerebrovascular Disease (Case 22)

    Iraklis I. Pipinos MD

    37 Leg Swelling (Case 23)

    Jason M. Johanning MD

    Professor’s Pearls: Vascular Surgery

    Thomas G. Lynch MD

    38 Radiology Tools in the Diagnosis of GI Hemorrhage

    John F. Schilling MD and Anton Mahne MD

    39 Upper GI Bleeding in a 58-Year-Old Male (Case 24)

    Veeraiah Siripurapu MD and Robert B. Noone, Jr. MD

    40 Lower GI Bleeding in a 71-Year-Old Male (Case 25)

    Gregg Guilfoyle DO and Robert B. Noone, Jr. MD

    41 Anorectal Pain in a 45-Year-Old Male (Case 26)

    Catherine M. Schermer MD and W. Randall Russell MD

    Professor’s Pearls: GI Bleeding

    John H. Marks MD

    42 Chest Pain (Case 27)

    Peter F. Lalor MD

    43 Shortness of Breath (Case 28)

    Steve B. Behrens MD, Omar Yusef Kudsi MD, and Catherine L. Kuntz MD, MSCE

    44 Postoperative Fever (Case 29)

    Charles Shieh MD, Julia Bulatova MD, and Mary Ann Hopkins MPhil, MD

    45 Low Urine Output (Case 30)

    Gregory Peck DO, Umber Burhan MD, and Robert L. Benz MD

    46 Postoperative Wound Complications (Case 31)

    Gabriel Del Corral MD, Larry Jonas MD, and Leo A. Gordon MD

    Professor’s Pearls: Postoperative Care

    Leo A. Gordon MD

    47 Introduction to the Trauma Patient: Using the Primary and Secondary Surveys

    Amy J. Goldberg MD

    48 Trauma Radiology Tools

    Jonathan R. Hiatt MD and Michael Zucker MD

    49 Head Trauma (Case 32)

    Michael W. Weaver MD and Darric E. Baty MD

    50 Penetrating Neck Injury (Case 33)

    Abhijit S. Pathak MD and Christine T. Trankiem MD

    51 Penetrating Chest Injury (Case 34)

    Amy J. Goldberg MD and Justin B. Hurie MD

    52 Blunt Chest Trauma (Case 35)

    Jeffry L. Kashuk MD and Benjamin J. Rogoway MD

    53 Penetrating Abdominal Injury (Case 36)

    Mark J. Seamon MD and Brian P. Smith MD

    54 Blunt Abdominal Trauma (Case 37)

    Kevin M. Bradley MD and Carlos R. Medina MD

    55 Pelvic Fracture (Case 38)

    Saqib Rehman MD

    Professor’s Pearls: Trauma

    Jonathan R. Hiatt MD

    56 Teaching Visual: The Roux-en-Y Limb

    Barry D. Mann MD

    57 Gastric Bypass (Case 39)

    Lisa R. Weisfelner MD and Andres E. Castellanos MD

    58 Coronary Revascularization (Case 40)

    Sharon Ben-Or MD and Francis D. Ferdinand MD

    59 Teaching Visual: Coronary Bypass

    Sharon Ben-Or MD and Francis P. Sutter DO

    60 Mediastinal Mass in a 61-Year-Old Male (Case 41)

    Douglas E. Paull MD

    61 Solitary Pulmonary Nodule in a 58-Year-Old Male (Case 42)

    Dennis F. Zagrodnik II MD

    Professor’s Pearls: Cardiothoracic Surgery

    Scott M. Goldman MD

    62 Persistent Jaundice in a 1-Month-Old Infant (Case 43)

    David A. Rogers MD, MHPE

    63 Newborn Baby with a Large Abdominal Wall Defect (Case 44)

    Dan Poenaru MD, MHPE

    64 Newborn Infant with Labored Breathing and Hypoxemia (Case 45)

    Andreas H. Meier MD

    65 Vomiting in an Infant (Case 46)

    Celeste M. Hollands MD

    66 3-Year-Old Female with a 12-Hour Onset of Abdominal Pain, Vomiting, and Fever of 38.5°C (Case 47)

    Ruth D. Mayforth MD, PhD

    67 4-Year-Old Boy with a Groin Mass (Case 48)

    Barbara J. Pettit MD

    68 2-Year-Old Boy with Gastrointestinal Bleeding (Case 49)

    Donald R. Cooney MD

    69 Abdominal Mass in a 4-Month-Old Infant (Case 50)

    Douglas Katz MD

    In Memoriam: Philip J. Wolfson MD

    Professor’s Pearls: Pediatric Surgery

    Philip J. Wolfson MD

    70 Liver Transplant Evaluation (Case 51)

    Hilary A. Sanfey MB, BCh

    71 Kidney Transplant Evaluation (Case 52)

    Nicole D. Figueredo MD, James Lim MD, and Francisco Badosa MD

    72 Cardiac Transplant Evaluation (Case 53)

    Jaromir Kohout MD and Louis Samuels MD

    Professor’s Pearls: Transplantation

    Hilary A. Sanfey MB, BCh and Louis Samuels MD

    73 Introduction to Surgical Critical Care

    Thomas A. Santora MD

    74 Fluid and Electrolyte Disorders

    Jennifer L. Denne MD

    75 Acid-Base Balance

    Thomas J. Meyer MD

    76 Mechanical Ventilation

    Rashna F. Ginwalla MD, Leah Lande MD, John Mullarkey RRT,and Thomas A. Santora MD

    77 Shock: Principles of Management

    Thomas A. Santora MD and Dipin Gupta MD

    78 Coagulation and Transfusion

    Rohit A. Patel MD and Kevin M. Bradley MD

    79 Infections in the Critically Ill: Principles and Management

    Christina M. Rose PharmD, BCPS and Aditi Madabhushi MD

    80 Nutrition Support in the ICU

    Sharon Del Bono RD, CNSD, LDN and Julia M. Toto MD

    81 Multiple System Organ Failure

    Mark J. Seamon MD and Abhijit S. Pathak MD

    Critical Care Exercises: Integrating the Management of the Critical Care Patient

    Thomas A. Santora MD, Miren A. Schinco MD, and Lewis J. Kaplan MD

    82 The Iraq Experiences: Do Competencies Apply in the War Zone?

    Paul J. Schenarts MD

    83 Potential Conflict between Patient Care and Systems-Based Practice Competencies

    Donald M. Jacobs MD

    84 Bloodless Care Medicine: The Intersection of Religion and the Competencies

    Philip Craig Wry MD

    85 A Patient’s Perspective

    Linnea S. Hauge PhD

    86 On CABGs and Competencies

    Barry D. Mann MD

    87 Business Challenges to Our Professionalism

    Robert E. Booth, Jr. MD

    Surgical Procedures


    Operation 1 Breast Biopsy

    Operation 2 Partial Mastectomy (Lumpectomy)

    Operation 3 Sentinel Lymph Node Biopsy (SLNB)

    Operation 4 Axillary Node Dissection

    Operation 5 Total (Simple) Mastectomy


    Operation 6 Thyroidectomy

    Operation 7 Parathyroidectomy

    Operation 8 Tracheostomy


    Operation 9 Open Inguinal Hernia Repair

    Operation 10 Laparoscopic Inguinal Hernia Repair

    Operation 11 Laparoscopic Ventral Hernia Repair

    Operation 12 Splenectomy


    Operation 13 Gastrectomy

    Operation 14 Laparoscopic Gastric Bypass

    Operation 15 Laparoscopic Adjustable Gastric Band

    Operation 16 Laparoscopic Fundoplication

    Operation 17 Graham Patch for Perforated Ulcer

    Operation 18 Oversew of Bleeding Duodenal Ulcer (Vagotomy and Pyloroplasty)

    Operation 19 Small Bowel Resection

    Operation 20 Right Colectomy

    Operation 21 Left Colectomy and Low Anterior Resection

    Operation 22 Laparoscopic Colectomy

    Operation 23 Colostomy and Ileostomy

    Operation 24 Open Appendectomy

    Operation 25 Laparoscopic Appendectomy

    Operation 26 Hemorrhoidectomy


    Operation 27 Laparoscopic Cholecystectomy

    Operation 28 Common Bile Duct Exploration

    Operation 29 Hepatic Lobectomy

    Operation 30 Whipple Procedure (Pancreaticoduodenectomy)

    Operation 31 Distal Pancreatectomy


    Operation 32 Pulmonary Lobectomy


    Operation 33 Endovascular Aneurysm Repair (EVAR)

    Operation 34 Carotid Endarterectomy

    Operation 35 Femoral-Popliteal Bypass Grafting

    Operation 36 Dialysis Access Procedures

    Operation 37 Insertion of Portacath



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