NBOME

Surgery

Content Outline and Assessment Objectives

The Surgery examination is designed for end-of-course or end-of-clinical rotation/clerkship assessment for students enrolled at a college of osteopathic medicine (COM). Individual COMs may also administer the examination at other times in accordance with their curriculum goals and mission. This examination emphasizes core knowledge and elements of osteopathic principles and practice in the discipline of Surgery that are essential for the pre-doctoral osteopathic medical student.

The exam blueprint below contains the Surgery topics covered in two dimensions: Dimension 1 – Patient Presentation.

Dimension 1: Patient Presentation

Topic%
Anesthesia4–8%
Endocrine/Breast Issues5–13%
Fluids5–12%
Gastrointestinal System26–35%
Hepatobiliary System13–20%
Hernias5–13%
Infections4–8%
Skin & Subcutaneous Tissues4–8%
Trauma5–12%

General Learner-Centered Objectives

Based on general learner-centered objectives, as outlined in the Surgery Examination Blueprint, the examinee will be required to demonstrate the ability to apply:

  1. Foundational content knowledge to situations and patient presentations encountered in clinical settings and important to Surgery.
  2. Foundational content knowledge and clinical problem-solving ability related to particular physician tasks critical to Surgery.
  3. Knowledge and clinical problem-solving as related to the Fundamental Osteopathic Medical Competency Domains, including osteopathic principles and practice and OMT, osteopathic medical knowledge, interpersonal and communication skills, practice-based learning and improvement, systems-based practice, professionalism and patient care.
  4. Osteopathic principles and practice in commonly encountered patient care scenarios.

Selected Specific Learner-Centered Objectives for Surgery

For Surgery, the examinee will be required to demonstrate the ability to diagnose and manage selected patient presentations and clinical situations involving, but not limited to:

  1. Abdominal defects and hernias in the adult and pediatric patient
  2. Endocrine and breast and related issues: thyroid, parathyroid, adrenal, pancreas, pituitary and other glands; surgical issues of the breasts
  3. Fluids: shock, fluid and electrolytes, surgical nutrition, coagulation and blood
  4. Gastrointestinal and related issues: esophagus, diaphragm, stomach, duodenum, small intestine, large intestine, rectum and appendix
  5. General surgical issues in urology, gynecology, and pediatrics
  6. Hepatobiliary and related issues: pancreas, biliary tract, liver and spleen
  7. Osteopathic principles and practice in surgical care: somatic dysfunction, viscerosomatic relationships and osteopathic manipulative treatment techniques
  8. Surgical oncology and surgical pathology
  9. Trauma: musculoskeletal injury and fractures; blunt and penetrating chest injury diagnosis and care
  10. Wounds and infections: skin and subcutaneous tissues, immunology and transplantation

Selected Student and Faculty Learning Resources for Surgery

In addition to the aforementioned objectives, examples of supplementary resources used by the NBOME to inform the development of the Surgery exam are listed below:

Practice Examination

The Surgery Practice Exam is primarily designed to assist the candidate in navigating through the examination, and it is provided to facilitate the actual testing experience. It is not designed to give the candidate a score or provide information about how a candidate might actually perform on the examination. When an answer choice is selected, it will not be recorded for scoring and the selection will not be saved once another item is viewed. If you wish to track your answer choices, you must record them on your own. A special function is provided that allows you to view the correct answer for each item by clicking on the “Show Answer” button located below the answer choices. The “Show Answer” button will not appear on the actual examination.

Launch the Surgery Practice Exam

Additional Resources

Following is a select number of resources related to the discipline of Surgery:

TitleAuthorEditionYear
Essentials of SurgeryLawrence5th Edition2012
Sabiston Textbook of SurgeryTownsend20th Edition2016
Schwartz's Principles of SurgeryBrunicardi10th Edition2015
An Osteopathic Approach to Diagnosis and TreatmentDiGiovanna3rd Edition2004
Foundations of Osteopathic MedicineAOA3rd Edition2010
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