Accreditation council for garduate medical education core competencies. Systemic response to injury and metabolic support. Fluid and electrolyte management of the surgical patient. Hemostasis, surgical bleeding and transfusión. Shock. Surgical infections. Trauma. Burns. Wound healing. Oncology. Transplantation. Patient safety. Physiologic monitoring of the surgical patient. Minimally invasive surgery, robotics, and natural orifice transluminal endoscopic surgery. Molecular and genomic surgery. Specific considerations. The skin and subcutaneous tissue. The breast. Disorders of the head and neck. Chest Wall, lung, mediastinum, and pleura. Congenital heart disease. Acquired heart disease. Thoracic aneurysms and aortic dissection. Arterial disease. Venous and lymphatic disease. Esophagus and diaphragmatic hernia. Stomach. The surgical management of obesity. Small intestine. Colon, rectum, and anus. The appendix. Liver. Gallbladder and the extrahepatic biliary system. Pancreas. Spleen. Abdominal Wall, omentum, mesentery, and retroperitoneum. Soft tissue sarcomas. Inguinal hernias. Thyroid, parathyroid, and adrenal. Pediatric surgery. Urology. Gynecology. Neurosurgery. Orthopedic surgery. Surgery of the hand and wrist. Plastic and reconstructive surgery. Surgical considerations in the elderly. Anesthesia of the surgical patient. Ethics, palliative care, and care at the end of life. Key references.