ABPS General Surgery study materials
ABPS General Surgery study resources

ABPS General Surgery study plan

ABPS General Surgery · Give each week a clear focus.

8 weeks · About 7 hours per week

Week 1

Alimentary Tract and Abdominal Surgery & Trauma and Acute Care Surgery

  • Draw the peritoneal attachments and blood supply of the stomach, duodenum, and small bowel, then explain how each predicts patterns of ischemia and obstruction.

  • Compare the presentation, diagnostic steps, and operative indications for small-bowel obstruction, large-bowel obstruction, and closed-loop obstruction.

  • Perform a primary and secondary trauma survey aloud on three simulated scenarios, stating the trigger for laparotomy in each.

  • List bedside findings that distinguish acute cholecystitis, pancreatitis, and perforated viscus, and map each to the first three management actions.

Your checkpoint

Produce a one-page acute-abdomen decision grid covering 10 diagnoses and pass a 25-question self-written quiz at 80% or higher.

Week 2

Alimentary Tract and Abdominal Surgery & Surgical Critical Care

  • Trace nutrient absorption and resection consequences along the GI tract, and predict which patients need parenteral nutrition or specific supplementation.

  • Explain sepsis and septic shock bundles, vasopressor selection, and lactate clearance targets in postoperative surgical patients.

  • Differentiate ARDS from cardiogenic pulmonary edema using ventilator, imaging, and hemodynamic criteria.

  • Calculate fluid resuscitation and maintenance needs for a 70-kg adult with abdominal sepsis, showing each step.

Your checkpoint

Write 12 ICU-to-ward handoff summaries for GI surgical patients, each with problem list, ventilator status, fluids, and escalation plan, and self-score against a 10-item checklist.

Week 3

Surgical Oncology including Breast and Endocrine & Hepatobiliary, Pancreatic and Transplant Surgery

  • Map breast cancer staging, receptor status, and surgical options to a treatment sequence for early, locally advanced, and metastatic disease.

  • Compare thyroidectomy, parathyroidectomy, and adrenalectomy indications, complications, and postoperative monitoring.

  • Outline workup and operative decision-making for obstructive jaundice, gallstone pancreatitis, and a pancreatic head mass.

  • Explain transplant immunosuppression phases and the signs of acute rejection in kidney and liver recipients.

Your checkpoint

Create a 20-row oncology, endocrine, and HPB table linking diagnosis, key test, operation, and one complication; complete 30 original questions with a score of 75% or higher.

Week 4

Trauma and Acute Care Surgery & Surgical Critical Care

  • Apply damage-control resuscitation principles to hemorrhagic shock, including blood product ratios, calcium replacement, and hypothermia prevention.

  • Interpret arterial blood gases and ventilator waveforms in surgical ICU patients and propose two changes for each abnormality.

  • Build a burn resuscitation and airway plan for a 40% TBSA inhalation injury.

  • Prioritize operating room triage for five simultaneous trauma and emergency general surgery cases.

Your checkpoint

Score at least 75% on a 50-question mixed set covering domains 1-4 and document a 5-case triage log with rationale.

Week 5

Vascular and Thoracic Surgery & Perioperative Care, Anesthesia and Pain Management

  • Compare open, endovascular, and hybrid repair for AAA, carotid stenosis, and peripheral arterial disease, including follow-up surveillance.

  • Explain thoracic trauma management for pneumothorax, hemothorax, rib fractures, and esophageal injury.

  • Plan perioperative risk assessment for cardiac, pulmonary, and renal complications using functional capacity and risk indices.

  • Design an opioid-sparing multimodal analgesia plan for major abdominal surgery, including regional options and discharge tapering.

Your checkpoint

Draft two clinical pathways, one for acute limb ischemia and one for thoracotomy pain, each with 8 decision nodes, and pass a 10-question self-test at 80% or higher.

Week 6

Surgical Oncology including Breast and Endocrine & Perioperative Care, Anesthesia and Pain Management

  • Stage common surgical oncology scenarios for colon cancer, melanoma, and sarcoma and state margins, lymph node sampling, and adjuvant referral triggers.

  • Reconcile perioperative anticoagulation and antiplatelet therapy for elective and urgent operations using procedure bleed risk.

  • Explain enhanced recovery components and identify three deviations that predict readmission.

  • Prepare a preoperative goals-of-care and informed consent discussion for a high-risk oncologic resection.

Your checkpoint

Complete a 40-question mixed oncology and perioperative set at 80% or higher and write three consent scripts with risk quantification.

Week 7

Hepatobiliary, Pancreatic and Transplant Surgery & Vascular and Thoracic Surgery

  • Interpret liver function tests and imaging in hepatocellular carcinoma, cholangiocarcinoma, and colorectal liver metastases to propose resection or transplant referral.

  • Manage pancreatic fistula, posthepatectomy liver failure, and biliary leak using standardized definitions and step-up therapy.

  • Evaluate vascular access options and complications for hemodialysis and long-term chemotherapy.

  • Decide when thoracic surgery consultation is urgent for empyema, mediastinitis, or massive hemoptysis.

Your checkpoint

Build a 15-case HPB, vascular, and thoracic complication portfolio with diagnosis, first 24-hour actions, and definitive plan; score at least 75% on 30 mixed questions.

Week 8

Pediatric, Plastic and Reconstructive Surgery; Professional Practice

  • Distinguish pediatric surgical emergencies such as pyloric stenosis, intussusception, malrotation, and appendicitis by age, examination, and imaging.

  • Outline cleft lip and palate repair, burn reconstruction, and skin graft principles with timing and functional goals.

  • Apply professional practice concepts including informed consent, error disclosure, teamwork, and resource stewardship in two scenarios.

  • Review all prior missed items and schedule spaced repetition for weak domains.

Your checkpoint

Take a 100-question cumulative self-assessment, score at least 75%, and produce a one-page remediation plan for any domain below 70%.

Milestones

Week 4: Achieve 75% or higher on the 50-question mixed set for domains 1-4 and complete the 5-case triage log with written rationale for each case.

Week 6: Achieve 80% or higher on the 40-question oncology and perioperative set and submit three consent scripts for self-review against a risk-communication checklist.

Week 8: Achieve 75% or higher on the 100-question cumulative self-assessment and write a remediation plan for every domain scoring below 70%.