Core Knowledge & Elements of Osteopathic Principles in the Discipline of 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 accord 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 and Dimension 2 – Physician Tasks.
Dimension 1: Patient Presentation
|Fluids||5 - 12%|
|Skin/Subcutaneous Tissues||4 - 8%|
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:
- Foundational content knowledge to situations and patient presentations encountered in clinical settings and important to Surgery.
- Foundational content knowledge and clinical problem-solving ability related to particular physician tasks critical to Surgery.
- 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.
- 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:
- Abdominal defects and hernias in the adult and pediatric patient
- Endocrine and breast and related issues: thyroid, parathyroid, adrenal, pancreas, pituitary and other glands; surgical issues of the breasts
- Fluids: shock, fluid and electrolytes, surgical nutrition, coagulation and blood
- Gastrointestinal and related issues: esophagus, diaphragm, stomach, duodenum, small intestine, large intestine, rectum, and appendix
- General surgical issues in urology, gynecology, and pediatrics
- Hepatobiliary and related issues: pancreas, biliary tract, liver and spleen
- Osteopathic principles and practice in surgical care: somatic dysfunction, viscerosomatic relationships and osteopathic manipulative treatment techniques
- Surgical oncology and surgical pathology
- Trauma: musculoskeletal injury and fractures; blunt and penetrating chest injury diagnosis and care
- 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:
- Association for Surgical Education (ASE) – The Manual of Surgical Objectives, 4th Edition
- American Association of Colleges of Osteopathic Medicine (AACOM) – Educational Council on Osteopathic Principles (ECOP)
- American Osteopathic Association (AOA) – Surgery
- American Osteopathic Association (AOA) and the American College of Osteopathic Surgeons (ACOS) – Basic Standards for Residency Training in Surgery and the Surgical Subspecialties
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
|Essentials of Surgery||Lawrence||5th Edition||2012|
|Sabiston Textbook of Surgery||Townsend||20th Edition||2016|
|Schwartz's Principles of Surgery||Brunicardi||10th Edition||2015|
|An Osteopathic Approach to Diagnosis and Treatment||DiGiovanna||3rd Edition||2004|
|Foundations of Osteopathic Medicine||AOA||3rd Edition||2010|
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