The AAST ACS Program Directors have developed an outline of trauma and emergency general surgery topics that are felt to represent the minimum expectations for 2^nd year fellows.  This curriculum is meant to highlight topics that should expand upon the fellow’s general surgery training.  These are meant to supplement the fellow’s knowledge base and expose them to some of the dilemmas faced by the practicing ACS surgeon.

Trauma Topics

• Neurologic Injuries
  • Traumatic Brain Injury
  • Spine and Spinal Cord Injury
  • Blunt Cerebrovascular Injury
• Facial Trauma
• Penetrating Neck Trauma
  • Esophageal Injury
• Thoracic Trauma
  • Cardiac Injuries
  • Traumatic Cardiac Arrest
  • Chest Wall Injury and Rib Fractures
  • Hemothorax and Pneumothorax
  • Pulmonary Injury
  • Great Vessel Injury
• Thoracoabdominal and Diaphragm Injury
• Resuscitation in Trauma, Damage Control Resuscitation, and Trauma Induced Coagulopathy
• Abdominal Trauma
  • Penetrating Injury to the Abdomen
  • Abdominal Wall Injuries
  • Abdominal Damage Control and Open Abdomen
• Organ Specific Management
  • Hepatic Trauma
  • Splenic Injury
  • Kidney Injury
  • Pancreatic Injury
  • Gastric and Duodenal Injury
  • Genitourinary Injury
  • Colon and Rectal Injury
• Vascular Trauma
  • Abdominal Vascular Trauma
  • Extremity Vascular Trauma (General Concepts)
  • Upper Extremity Vascular Trauma
  • Lower Extremity Vascular Trauma
  • Extremity Trauma (Non-Vascular)
• Pelvic Trauma
• Special Trauma Populations
  • Pediatric Trauma
  • Trauma in Pregnancy
  • Trauma in Older Adult Patients
  • Thermal Injury
  • Cold Exposure
• Miscellaneous Trauma
  • DVT Prophylaxis in Trauma
  • Trauma System Administration and Injury Prevention
  • Disaster Response and Triage
  • Firearm Injury and Ballistics

EGS Topics

• Damage Control in Emergency General Surgery
• Breast Abscess and Infection
• Hernias
  • Inguinal Hernias
  • Ventral/Incisional Hernias
  • Parastomal Hernias
  • Unusual Hernias
• Esophageal Disease
• Gastrointestinal Hemorrhage
  • Acute Upper GI Bleed
  • Acute Lower GI Bleed
• Liver Disease
  • Hepatic Abscesses
  • Liver Masses
• Gallbladder and Gallstone Related Disease
  • Cholecystitis
  • Choledocholithiasis
  • Ascending Cholangitis
• Splenic Diseases
• Pancreatitis
• Peptic Ulcer Disease
• Paraesophageal Hernia and Gastric Volvulus
• Duodenal Disease
• Small Bowel Diseases
  • Obstruction, Internal Hernia and Malrotation
  • Small Bowel Diverticulitis and Meckel's Diverticulum
• Acute Mesenteric Ischemia
• Inflammatory Bowel Disease
• Colonic Diseases
  • Colonic Obstruction
  • Colonic Diverticulitis
  • Ischemic Colitis
  • Clostridium difficile Colitis
• Appendiceal Diseases
• Anorectal Disease
• Necrotizing Soft Tissue Infections
• Vascular Extremity Emergencies
• Gynecologic Conditions
• Urologic Conditions
• Special EGS Populations
  • Pediatric Emergency General Surgery
  • Emergency Surgery During Pregnancy
  • Emergency Surgery in the Older Adult Patient
  • Emergency Surgery in the Cirrhotic Patient
  • Emergency Surgery in the Obese Patient and Post-Bariatric Surgery Patient
  • Unexpected Malignancy in EGS
  • Surgery in Immunocompromised Patients
  • Thoracic Issues in General Surgery
• Miscellaneous EGS
  • DVT Prophylaxis in Emergency General Surgery

Miscellaneous Topics

• Billing and Coding in Acute Care Surgery
• Role of Minimally Invasive Surgery in Acute Care Surgery