New Application: Pediatric Surgery
Review Committee for Surgery
ACGME
515 North State Street, Suite 2000 Chicago, Illinois 60654  312.755.5000  www.acgme.org
INSTITUTIONS
Sponsoring Institution
1. Is the pediatric surgery program at a site accredited by the Joint Commission on Accreditation of
Healthcare Organizations (JCAHO) or its equivalent, and classified as general hospital or children’s
hospital? [PR I.A.1] ...................................................................................................... ☐ YES ☐ NO
a) Is there a separate pediatric surgical service? ........................................................ ☐ YES ☐ NO
If “NO,” explain.
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b) Are there specific beds assigned to the pediatric surgery service? ......................... ☐ YES ☐ NO
c) Are the pediatric surgical patients on separate units or are pediatric patients with surgical and
medical disease housed on the same units? ............................................... ☐ Separate ☐ Same
2. Describe the facilities and staff and variety of services, including adequate inpatient surgical
admissions, intensive care units for both infants and older children, and departments of radiology,
pathology, and emergency in which infants and children can be managed 24 hours a day.
[PR I.A.1.a)] (Limit response to 400 words)
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a) Is there a separate PICU? ...................................................................................... ☐ YES ☐ NO
b) Is there a separate surgical NICU?......................................................................... ☐ YES ☐ NO
(1) Does any member of the surgical staff have an official position in the NICU?
......................................................................................................................... ☐ YES ☐ NO
c) Is there evidence of up-to-date, 24-hour imaging capability (on-site) in the following
procedures/services?
(1)
(2)
(3)
(4)
(5)
Computed tomography (CT) ............................................................................. ☐ YES ☐ NO
Magnetic resonance imaging (MRI) .................................................................. ☐ YES ☐ NO
Nuclear medicine facilities ................................................................................ ☐ YES ☐ NO
Ultrasonography ............................................................................................... ☐ YES ☐ NO
Interventional radiography/angiography ............................................................ ☐ YES ☐ NO
d) Are pathology services (consultants) available at all times (24-hour basis) to the pediatric
surgical service? .................................................................................................... ☐ YES ☐ NO
3. Is there a residency program in pediatrics whose residents rotate through the same integrated
site(s) as the pediatric surgical fellows? [PR I.A.3.] ...................................................... ☐ YES ☐ NO
Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
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a) Indicate who writes the orders on pediatric surgical patients. (Only pediatric surgeons? Only
pediatricians? Both pediatricians and pediatric surgeons?)
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Participating Sites
1. For integrated sites will the program director [PR I.B.4.a)-d)]
a)
b)
c)
d)
appoint the members of the faculty at the integrated site? ...................................... ☐ YES ☐ NO
appoint the chief or director of the teaching service in the integrated site? ............ ☐ YES ☐ NO
appoint all fellows in the program? ......................................................................... ☐ YES ☐ NO
determine all rotations and assignments of both fellows and members of the faculty?
............................................................................................................................... ☐ YES ☐ NO
2. Do outside rotations exceed six months of the 24-month program? [PR I.B.3.] . ☐ YES ☐ NO ☐ N/A
3. Will integrated sites be in close geographic proximity to allow all fellows to attend joint conferences,
basic science lectures, and morbidity and mortality reviews regularly and in a central location?
[PR I.B.5.] .................................................................................................................... ☐ YES ☐ NO
If “NO”, describe how an equivalent educational program of lectures and conferences in the
integrated site will occur and be fully documented.
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PROGRAM PERSONNEL AND RESOURCES
Program Director
1. Is the length of the program director’s appointment at least three years? [PR II.A.2.a)]
.................................................................................................................................... ☐ YES ☐ NO
2. Will the program director monitor and verify fellows’ operative data at least semi-annually?
[PR II.A.4.q)] ................................................................................................................ ☐ YES ☐ NO
Faculty
1. In addition to the program director, is there, for each approved residency position, at least one fulltime faculty member whose major function is to support the residency program? [PR II.B.6.]
.................................................................................................................................... ☐ YES ☐ NO
2. Are key staff appointments for a period long enough to ensure continuity in the supervision of the
program? [PR II.B.6.a)] ................................................................................................ ☐ YES ☐ NO
3. To contribute to fellow education in the care of critically-ill children, will the faculty include at least:
a) One neonatologist? [PR II.B.7.a)] ........................................................................... ☐ YES ☐ NO
(1) Indicate who writes the orders on neonatal surgical patients. (Only pediatric surgeons? Only
neonatologist? Both neonatologist and pediatric surgeons?
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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b) One pediatric intensivist? [PR II.B.7.b)] .................................................................. ☐ YES ☐ NO
(1) Indicate who writes the orders on the surgical patients. (Only pediatric surgeons? Only
intensivist? Both intensivist and pediatric surgeons?)
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(2) If the intensivist writes orders rather than the surgeon, indicate what type of orders.
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Resources
1. Describe the average census, for an academic year, in all units: general pediatric surgical service,
PICU, NICU, others. [PR II.D.1.]
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2. In order to ensure that each fellow successfully completes the required clinical experience, does the
institution perform at least 1200 procedures annually? [PR II.D.1.a)] ........................... ☐ YES ☐ NO
APPOINTMENT OF FELLOWS AND OTHER LEARNERS
Will there be any residents/fellows in both ACGME-accredited and non-accredited programs in the
sponsoring and participating sites that may impact the educational experience of the program fellows?
[PR III.D.2.] ........................................................................................................................ ☐ YES ☐ NO
If “YES”, list here. Add rows if necessary.
Resident/Fellow (ACGMEaccredited or non-accredited)
Number
Relationship to pediatric
surgery fellows in the program
EDUCATIONAL PROGRAM
Patient Care
1. Indicate the settings and activities in which fellows will demonstrate competence in each of the
following areas of patient care. Also indicate the method(s) used to assess competence.
Competency Area
Settings/Activities
Surgical perioperative management, including:
Congenital, neoplastic,
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infectious, and other
acquired conditions of the
gastrointestinal system and
other abdominal organs;
diaphragm and thorax,
exclusive of the heart;
endocrine glands; head and
neck; gonads and
reproductive organs;
Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Assessment Method(s)
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Updated 5/2015
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Competency Area
Settings/Activities
Assessment Method(s)
integument; and blood and
vascular system
[PR IV.A.5.a).(2).(a).(i)]
Operative and non-operative Click here to enter text.
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traumatic conditions of the
abdomen, chest, head and
neck, and extremities, with
sufficient experience in the
management of children who
have sustained injuries to
multiple organs
[PR IV.A.5.a).(2).(a).(ii)]
Endoscopy of the airway and Click here to enter text.
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gastrointestinal tract,
including laryngoscopy,
bronchoscopy,
esophagoscopy,
gastroduodenoscopy, and
lower intestinal endoscopy
[PR IV.A.5.a).(2).(a).(iii)]
Recognition and
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management of clotting and
coagulation disorders
[PR IV.A.5.a).(2).(a).(iv)]
Advanced laparoscopic and Click here to enter text.
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thoracoscopic techniques
[PR IV.A.5.a).(2).(a).(v)]
Care of the critically-ill infant or child, including [PR IV.A.5.a).(2).(a).(vi)]
Cardiopulmonary
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resuscitation (CPR)
[PR
IV.A.5.a).(2).(a).(vi).(a)]
Management of patients Click here to enter text.
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on ventilators
[PR
IV.A.5.a).(2).(a).(vi).(b)]
Nutritional assessment
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and management
[PR
IV.A.5.a).(2).(a).(vi).(c)]
Pre-operative evaluation of
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patients, the making of
provisional diagnoses, initiation
of diagnostic procedures,
formation of preliminary
treatment plans, and provision of
outpatient follow-up care of
surgical patients
[PR IV.A.5.a).(2).(b)]
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2. Is there a trauma service? [PR IV.A.5.a).(2).(a).(ii)] ...................................................... ☐ YES ☐ NO
a) State which service admits the pediatric patient with multiple trauma and is responsible for the
patient’s care. [PR IV.A.5.a).(2).(a).(ii)]
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3. Who writes nutrition orders, and respiratory orders? [PR IV.A.5.a).(2).(a).(vi).(a)]
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4. Who manages patients on ventilators? [PR IV.A.5.a).(2).(a).(vi).(b)]
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5. Will follow-up care include not only short- but long-term evaluation and progress, particularly with
major congenital anomalies or neoplasm cases? [PR IV.A.5.a).(2).(b).(i)] .................... ☐ YES ☐ NO
If “NO”, explain.
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Medical Knowledge
Indicate the activities (lectures, conferences, journal clubs, clinical teaching rounds, etc.) in which
fellows will demonstrate competence in their knowledge of the following areas. Also indicate the
method(s) that will be used to assess competence.
Competency Area
Basic principles of cardiothoracic
surgery, gynecology,
neurological surgery, orthopaedic
surgery, otolaryngology,
anesthesia, urology, vascular
surgery, transplant surgery, and
the management of burns
[PR IV.A.5.b).(1)]
Principles in the management of
patients on ventilators and
extracorporeal membrane
oxygenation (ECMO)
[PR IV.A.5.b).(2)]
Invasive monitoring techniques
and interpretation
[PR IV.A.5.b).(3)]
Settings/Activities
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Assessment Method(s)
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Practice-based Learning and Improvement
1. Briefly describe one learning activity in which fellows demonstrate the ability to investigate and
evaluate their care of patients, to appraise and assimilate scientific evidence, and to continuously
improve patient care based on constant self-evaluation and life-long learning. [PR IV.A.5.c)] (Limit
response to 400 words)
Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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2. Briefly describe one planned learning activity in which fellows engage to identify strengths,
deficiencies, and limits in their knowledge and expertise (self-reflection and self-assessment); set
learning and improvement goals; and identify and perform appropriate learning activities to achieve
self-identified goals (life-long learning). [PR IV.A.5.c).(1)-(3)] (Limit response to 400 words)
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3. Briefly describe one planned quality improvement activity or project that will allow fellows to
demonstrate the ability to analyze, improve, and change practice or patient care. Describe planning,
implementation, evaluation, and provisions of faculty member support and supervision that will
guide this process. [PR IV.A.5.c).(4)] (Limit response to 400 words)
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4. Briefly describe how fellows will receive and incorporate formative evaluation feedback into daily
practice. (If a specific tool is used to evaluate these skills, have it available for review by the site
visitor.) [PR IV.A.5.c).(5)] (Limit response to 400 words)
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5. Briefly describe one example of a learning activity in which fellows engage to develop the skills
needed to use information technology to locate, appraise, and assimilate evidence from scientific
studies and apply it to their patients' health problems. [PR IV.A.5.c).(6)-(7)] (Limit response to 400
words)
The description should include:
 Locating information
 Using information technology
 Appraising information
 Assimilating evidence information (from scientific studies)
 Applying information to patient care
 Conducting a comprehensive literature search
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6. Briefly describe how fellows will participate in the education of patients, families, students,
residents, and other health professionals. [PR IV.A.5.c).(8)] (Limit response to 400 words)
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7. Briefly describe how fellows will, during their chief pediatric year, personally organize the formal
pediatric conferences and morbidity and mortality conferences, and be directly responsible for a
significant share of these conferences. [PR IV.A.5.c).(9)] (Limit response to 400 words)
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8. Briefly describe how fellows will have significant responsibilities for teaching junior residents and
medical students. [PR IV.A.5.c).(10)] (Limit response to 400 words)
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Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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Interpersonal and Communication Skills
1. Briefly describe one learning activity in which fellows demonstrate interpersonal and communication
skills that result in the effective exchange of information and collaboration with patients, their
families, and health professionals. [PR IV.A.5.d)] (Limit response to 400 words)
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2. Briefly describe one learning activity in which fellows develop competence in communicating
effectively with patients and families across a broad range of socioeconomic and cultural
backgrounds, and with physicians, other health professionals, and health-related agencies. [PR
IV.A.5.d).(1)-(2)] (Limit response to 400 words)
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3. Briefly describe one learning activity in which fellows develop their skills and habits to work
effectively as members or leaders of a health care team or other professional group. In the
example, identify the members of the team, responsibilities of the team members, and how team
members communicate to accomplish responsibilities. [PR IV.A.5.d).(3)] (Limit response to 400
words)
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4. Briefly describe how fellows will be provided with opportunities to act in a consultative role to other
physicians and health professionals. [PR IV.A.5.d).(4)] (Limit response to 400 words)
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5. Briefly describe how fellows will be provided with opportunities to maintain comprehensive, timely,
and legible medical records, if applicable. [PR IV.A.5.d).(5)] (Limit response to 400 words)
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6. Briefly describe how fellows will be provided with opportunities to provide care as consultants,
under appropriate supervision, in the emergency department and with other specialists, such as
neonatologists and intensivists. [PR IV.A.5.d).(6)] (Limit response to 400 words)
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Professionalism
Briefly describe the learning activity(ies), other than lecture, by which fellows demonstrate a
commitment to carrying out professional responsibilities and an adherence to ethical principles,
including: compassion, integrity, and respect for others; responsiveness to patient needs that
supersedes self-interest; respect for patient privacy and autonomy; accountability to patients, society,
and the profession; and sensitivity and responsiveness to a diverse patient population, including to
diversity in gender, age, culture, race, religion, disabilities, and sexual orientation. [PR IV.A.5.e).(1)-(5)]
(Limit response to 400 words)
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Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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Systems-based Practice
1. Briefly describe the learning activity(ies) through which fellows demonstrate an awareness of and
responsiveness to the larger context and system of health care, as well as the ability to call
effectively on other resources in the system to provide optimal health care. [PR IV.A.5.f)] (Limit
response to 400 words)
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2. Briefly describe the learning activity(ies) through which fellows achieve competence in the elements
of systems-based practice: working effectively in various health care delivery settings and systems,
coordinating patient care within the health care system; incorporating considerations of costcontainment and risk-benefit analysis in patient care; advocating for quality patient care and optimal
patient care systems; and working in interprofessional teams to enhance patient safety and care
quality. [PR IV.A.5.f).(1)-(5)] (Limit response to 400 words)
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Curriculum Organization and Fellow Experiences
1. Will the final 12 months of clinical education be at the chief level, with responsibility for patient
management, and semi-independent operative experience under appropriate supervision? [PR
IV.A.6.b)] ...................................................................................................................... ☐ YES ☐ NO
2. Briefly describe how the academic program will emphasize the scholarly attributes of selfinstruction, teaching, basic sciences, skilled clinical analysis, sound surgical judgment, and
research creativity. [PR IV.A.6.c)] (Limit response to 400 words)
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3. Briefly describe how fellows will be provided with primary responsibility, under the supervision of
pediatric surgery faculty members, in the care of critically-ill surgical patients to allow them to
acquire the requisite specialty-specific knowledge and skills, and to obtain competence in the pre-,
intra-, and post-operative care of such patients. [PR IV.A.6.d)] (Limit response to 400 words)
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4. Will there be coordination of care and collegial relationships between pediatric surgeons,
neonatologists, and critical care intensivists concerning the management of medical problems in
these complex critically-ill patients? [PR IV.A.6.d).(1)].................................................. ☐ YES ☐ NO
5. Briefly describe how fellows will document an appropriate breadth, volume, and balance of
operative experience as primary surgeon. [PR IV.A.6.e)] (Limit response to 400 words)
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6. Will fellows document a total of 800 major pediatric surgery procedures as surgeon during the
program? [PR IV.A.6.f)] ................................................................................................ ☐ YES ☐ NO
7. Will fellows share primary responsibility for the same patient with, or serve as teaching assistants
for a general surgery chief resident? [PR IV.A.6.g)] ..................................................... ☐ YES ☐ NO
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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8. Will fellows experience at least one half-day session per week of outpatient activity without other
clinical or educational responsibilities? [PR IV.A.6.h)] .................................................. ☐ YES ☐ NO
PROGRAM EVALUATION AND IMPROVEMENT
Will the results of the American Board of Surgery Pediatric Surgery In-training Examination be used as
an evaluation tool? [PR V.C.4.] .......................................................................................... ☐ YES ☐ NO
FELLOW DUTY HOURS IN THE LEARNING AND WORKING ENVIRONMENT
Supervision of Fellows
Will there be attending supervision of fellows in the surgical outpatient clinic? [PR VI.D.] .. ☐ YES ☐ NO
If “NO”, explain. Not to exceed a half-page.
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Clinical Responsibilities
1. Briefly describe how the program will ensure that the workload associated with optimal clinical care
of surgical patients will reflect the continuum from the moment of admission to the point to
discharge. [PR VI.E.1.] (Limit response to 400 words)
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a) Who writes the surgical discharge orders, and what service dictates the discharge summary?
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b) Indicate who dictates the discharge summary on neonatal surgical patients:
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2. Will the surgical teams be made up of attending surgeons, residents at various PG levels, medical
students (when appropriate), and other health care providers? [PR VI.E.2.] ................ ☐ YES ☐ NO
If “NO”, explain.
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3. Will the work of the caregiver team be assigned to team members based on each member’s level of
education, experience, and competence? [PR VI.E.3.]................................................. ☐ YES ☐ NO
If “NO”, explain.
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4. Will work assignments keep pace with residents’ increased competence and responsibility as they
progress through the program? [PR VI.E.4.] ................................................................ ☐ YES ☐ NO
If “NO”, explain.
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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Teamwork
1. Briefly describe the opportunities fellows will have to collaborate with surgical residents, and
especially with faculty members, other physicians outside of their specialties, and non-traditional
health care providers, to best formulate treatment plans for an increasingly diverse patient
population. [PR VI.F.2.] (Limit response to 400 words)
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2. Will fellows assume personal responsibility to complete all tasks to which they are assigned (or
which they voluntarily assume) in a timely fashion? [PR VI.F.3.] .................................. ☐ YES ☐ NO
a) If completing the tasks in the hours assigned is not possible, briefly describe how fellows will
learn and utilize the established methods for handing off remaining tasks to another member of
the fellow team so that patient care is not compromised. [PR VI.F.3.a)] (Limit response to 400
words)
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3. Will lines of authority be defined by the program, and assure that all residents have a working
knowledge of expected reporting relationships to maximize quality care and patient safety?
[PR VI.F.4] ................................................................................................................... ☐ YES ☐ NO
Maximum Frequency of In-House Night Float
Briefly describe fellow night float rotations, including: (a) the number of consecutive nights of night float;
(b) the maximum number of consecutive weeks of night float per year; (c) the maximum number of
months of night float per year; and (d) the frequency of night float rotations. [PR VI.G.6.]
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Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
Updated 5/2015
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INSTITUTIONAL DATA
On the following pages, supply the operative data for the pediatric surgical service at each site to which
the fellows rotate. The numbers should include all procedures performed at each site. Use site numbers
from ADS.
Provide data for the last two (2) complete academic years. NOTE: Each operation may have credit for
only one procedure. Choose the most significant component. Each operation can have only one
primary surgeon; teaching assistants can be counted concurrently, as appropriate.
INCLUSIVE DATES:
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OPERATIVE PROCEDURES
Skin/Soft Tissue/Musculoskeletal
Burn debridement or grafting
Complex wound closure
Breast
Pilonidal cyst excision
Major excision soft tissue tumor
Major soft tissue repair for trauma
Other (skin/soft tissue/musculoskeletal)
Head and Neck
Cleft lip/palate repair
Thyroidectomy (any)
Parathyroidectomy (any)
Branchial cleft cyst/sinus
Thyroglossal duct cyst/sinus
Cystic hygroma/lymphangioma
Dermoid/other cyst
Major tumor (head and neck)
Other (head and neck)
Thoracic
Tracheostomy
Laryngeal or tracheal resection and/or reconstruction
Repair chest wall deformity
Resection chest wall tumor
Excision mediastinal cyst
Excision mediastinal tumor
Pulmonary resection: open
Pulmonary resection: scope
Thoracotomy for trauma
Lung biopsy: open
Lung biopsy: scope
Decortication/pleurectomy/blebectomy: open
Decortication/pleurectomy/blebectomy: scope
Esophageal resection or replacement
Esophagomyotomy
Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
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OPERATIVE PROCEDURES
Repair esophageal atresia/tracheoesophageal fistula
Thoracoscopy: other
Thoracotomy: other
Other (thoracic)
Diaphragm
Repair diaphragmatic hernia
Plication of diaphragm
Transthoracic and/or retroperitoneal exposure for scoliosis
Other (diaphragm)
Cardiovascular
Patent ductus arteriosus
Coarctation
Vascular ring
Any open heart procedure
Any closed heart procedure
Aortopexy
Renal artery reconstruction
Peripheral artery reconstruction
Construction or take down AV fistula/shunt
Surgical placement/removal central access line (any
external or port)
Dialysis access insertion/removal
Cannulate/ECMO
Major vessel reconstruction
Vascular trauma
Vascular: post-operative exploration
Other (Cardiovascular)
Abdominal
Antireflux procedure: open
Antireflux procedure: scope
Pyloroplasty/gastric resection with or without vagotomy
Pyloroplasty/gastric resect with or without vagotomy:
laparoscopic
Any gastrostomy/jejunostomy: open
Any gastrostomy/jejunostomy: scope
Pyloromyotomy: open
Pyloromyotomy: scope
Operation for malrotation
Duodenal atresia
Repair intestinal atresia, stenosis or web
Intestinal resection: open
Intestinal resection: scope
Intestinal resection/repair or ostomy for IBD
Intestinal resect/repair or ostomy for IBD: laparoscopic
Intestinal resection/repair or ostomy for trauma
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©2015 Accreditation Council for Graduate Medical Education (ACGME)
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OPERATIVE PROCEDURES
Intestinal resect/repair or ostomy for trauma: laparoscopic
Bowel resection: open
Bowel resection: scope
Laparotomy or resection for intussusception-malrotationvolvulus
Ostomy for anorectal malformation: open
Ostomy for anorectal malformation: laparoscopic
Ostomy for Hirschsprung's: open
Ostomy for Hirschsprung's: laparoscopic
Ostomy for other: open
Ostomy for other: laparoscopic
Closure/revision any ostomy/fistula: open
Closure/revision any ostomy/fistula: scope
Appendectomy: open
Appendectomy: scope
Perineal procedure for imperforate anus
Pull through for Hirschsprung's: open
Pull through for Hirschsprung's: scope
Pull through for IBD or polyposis: open
Pull through for IBD or polyposis: scope
Exploratory lap with or without biopsy: open
Exploratory lap with or without biopsy: laparoscopic
Excision of omental/mesenteric cyst
Omphalocele (any surgical repair)
Gastroschisis (any surgical repair)
Resection urachal remnant
Resection omphalomesenteric duct/cyst
Excision neuroblastoma/adrenal/other retroperitoneal
tumor
Excision sacrococcygeal teratoma
Diagnostic laparoscopy
Adrenal: open
Adrenal: scope
Other (abdominal)
Hernia Repair
Pediatric repair inguinal hernia > 6 months
Infant repair inguinal hernia < 6 months
Repair umbilical hernia
Repair ventral hernia
Repair femoral hernia
Hernia repair: scope
Other (hernia repair)
Liver/Biliary
Major hepatic resection/repair: tumor
Major hepatic resection/repair: trauma
Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
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Updated 5/2015
Page 13 of 15
OPERATIVE PROCEDURES
Major hepatic resection/repair: other
Lysis of adhesions
Liver: biliary atresia
Liver biopsy: open
Liver harvest
Liver transplant
Cholecystectomy with or without common bile duct
exploration: open
Cholecystectomy with or without common bile duct
exploration: scope
Portoenterostomy
Excision choledochal cyst
Portosystemic shunts or other operations for portal
hypertension
Pancreatic resection for: trauma
Pancreatic resection for: hyperinsulinism
Pancreatic resection for: tumor
Pancreas: other
Operations for pseudocyst
Splenorrhaphy
Splenectomy: open
Splenectomy: scope
Other (liver)
Genitourinary
Nephrectomy (total or partial): tumor
Nephrectomy (total or partial): trauma
Nephrectomy (total or partial/nephrorrhaphy) other
Nephrectomy (total or partial): other
Renal transplant
Renal: scope
Renal biopsy (open)
Cystectomy (total or partial)
Operation for nephro-uretero lithiasis
Enteric conduit (any)
Bladder augmentation or repair (any)
Pyeloplasty/UPJ reconstruction
Ureteral reconstruction/reimplantation
Reconstruct cloacal exstrophy
Circumcision (OR only)
Orchidopexy: open
Orchidopexy: scope
Orchiectomy
Operation for torsion testis or appendages
Operation for varicocele: open
Operation for varicocele: scope
Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
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Updated 5/2015
Page 14 of 15
OPERATIVE PROCEDURES
Procedures for intersex (vaginal reconstruction,
clitoroplasty, etc.)
Vaginal procedures: open
Oophorectomy (total or partial)
Hysterectomy/salpingectomy: open
Hysterectomy/salpingectomy: scope
Repair complex laceration vagina/perineum
Other (genitourinary)
Endoscopic Procedures
Diagnostic thoracoscopy
Cystoscopy/colposcopy
Laryngoscopy/bronchoscopy
Esophagoscopy
Esophagoscopy: gastroscopy
Removal foreign body esophagus or trachea
Esophageal dilatation
Colonoscopy
Sigmoidoscopy
Other endoscopy
Trauma
Non-operative trauma
Total Operative Experience
Non-Operative Treatment of Major Or Multi System
Trauma
Pediatric Surgery
©2015 Accreditation Council for Graduate Medical Education (ACGME)
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Updated 5/2015
Page 15 of 15