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General Surgery Continuous Certification Assessment

For guidance on how to update your ongoing certification requirements, please see this document.

Topics and References

    The General Surgery Continuous Certification Assessment focuses on the latest and most important developments in practice to assist diplomates in staying up to date. In addition to the Core module that all diplomates must complete, general surgery diplomates are able to select their second module from four practice-related areas. These four areas were determined based on review of diplomates' operative logs submitted over the past few years. More areas will be added in the future based on feedback from diplomates and surgical societies.

    Practice characteristics, patient population, and educational interests may make some modules more relevant to certain diplomates than others. Please click on the module names below to see the topic areas that will be addressed in the assessment.

    Selecting a module does not lock you into a track. Diplomates are free to select a different practice area for the next assessment they take.

    New reference lists are posted on the ABS website each year prior to the start of the assessment window. See our Assessment Reference Archive to find a catalog of all reference lists used in previous years.

Registration Available: Aug. 1, 2022
Assessment Window: Aug. 29-Nov. 7, 2022

Please click on the module titles below to expand the topic lists and access the reference lists for the 2022 General Surgery Continuous Certification Assessment.

  • Advanced Directives/Do-Not-Resuscitate Orders
  • Anesthesia and Enhanced Recovery
  • Anticoagulation
  • Appendicitis
  • Cardiovascular Complications
  • Chest Tube Placement and Management
  • Colorectal Cancer
  • Enteral/Parenteral Nutrition
  • Geriatric: Decision-Making
  • Geriatric: Frail Patients
  • Geriatric: Intensive Care Unit
  • Infection: Clostridioides difficile
  • Infection: COVID-19
  • Infection: Intra-abdominal
  • Robotic Surgery
  • Thromboelastography/Thromboelastometry
  • Trauma in Pregnancy

Core Surgery Module References (pdf)

  • Abdominal Wall Hernias and Reconstruction
  • Bile Duct Injury
  • Cholecystitis
  • Choledochal Cyst
  • Colorectal Metastases
  • Common Bile Duct Exploration
  • Femoral Hernias
  • Gallbladder Cancer
  • Gallbladder Polyps
  • Geriatric Patients
  • Intra-abdominal Infection
  • Pancreatic Neoplasms
  • Pancreatitis
  • Polyposis Syndromes
  • Retroperitoneal Masses
  • Splenic Injury

Abdomen Module References (pdf)

  • Anal Cancer
  • Aortoenteric Fistula
  • Appendicitis
  • Bariatric Surgery
  • Clostridium difficile Colitis
  • Colon Cancer
  • Colonic Volvulus
  • Diverticulitis
  • Esophageal Caustic Ingestion and Foreign Bodies
  • Esophageal Motility Disorders
  • Esophageal Perforation
  • Gastrointestinal Stromal Tumors (GISTs)
  • Helicobacter pylori Infection
  • Hemorrhoids
  • Inflammatory Bowel Disease
  • Meckel's Diverticulum
  • Pneumatosis Intestinalis
  • Radiation-induced Problems
  • Rectal Cancer
  • Upper Gastrointestinal Cancer Surgery

Alimentary Tract Module References (pdf)

  • Atypical Lobular Hyperplasia and Lobular Carcinoma In Situ
  • Axillary Management
  • Benign Breast Disease, Fat Necrosis
  • Benign Breast Disease, Fibroepithelial Lesions
  • Benign Breast Disease, Fibrocystic Breast Changes
  • Breast Cancer, Inflammatory
  • Breast Cancer, Invasive Carcinoma
  • Breast Cancer, Male
  • Breast Cancer, Paget's Disease of the Nipple
  • Granulomatous Mastitis
  • Mastectomy
  • Mondor's Disease
  • Nipple Discharge
  • Palpable/Non-palpable Breast Lesions
  • Phyllodes Tumors
  • Postmastectomy Reconstruction Options

Breast Surgery Module References (pdf)

  • Abdominal Wall Reconstruction
  • Acute Respiratory Distress Syndrome
  • Appendiceal Neoplasms
  • Bladder Injury, Repair
  • Breast Cancer Surgery
  • Breast Mass
  • Cardiac Arrhythmias
  • Colonic Diverticulitis
  • Crohn's Disease
  • Colonic Volvulus
  • Duodenal Injury
  • Emergency Department Thoracotomy
  • Extremity Fractures
  • Groin Pain
  • Melanoma
  • Nutritional Support
  • Pain, Acute: Management
  • Pancreatic Neoplasm, Cystic
  • Septic Shock

Comprehensive General Surgery Module References (pdf)


Preparing for the Assessment

While taking the assessment, question rationales and reference citations are displayed every time an answer is submitted. Completing the assessment and reading the rationales is an educational experience which may not require any preparation.

You will have up to two weeks to complete the assessment once you begin, with the opportunity to save your progress and continue at a later time during this two-week period. The last day to begin the assessment to ensure that you have the full two weeks is Monday, Oct. 24, 2022.

Please note: Your personal two-week time limit will start the moment you click the “Begin” button on the ABS portal – do not click it until you are absolutely sure that you are ready to begin your assessment.

General Surgery Assessment References

The ABS has listed topics to allow you to choose which module fits your needs and interests and hone in on the areas that you should be aware of for the assessment. References are provided for transparency about the sources that support the development of the assessment. The references reflect that the assessment primarily focuses on important evidence-based recent updates to surgical practice. Diplomates are neither required nor expected to read all of these references before or during the completion of the assessment.

The reference lists that the ABS provides include all references used with a single key reference for each topic, including those which explain why the wrong answers are incorrect. References that are available open-source are indicated. Diplomates may choose to refer to these lists either before or during the assessment.

New reference lists are posted on the ABS website each year prior to the start of the assessment window. See our Assessment Reference Archive to find a catalog of all reference lists used in previous years.

Navigating the Assessment and Testing Strategies

Please keep the following in mind during the assessment:

  • The 40 questions addressing either Core Surgery or the selected modular area will be presented in a random order. The patient scenarios in Core Surgery may not reflect the practice-related area that was selected, but the underlying topics addressed in those questions relate to core surgical concepts.
  • One question is displayed at a time, which must be answered to proceed. It is not possible to navigate backwards to previously answered questions.
  • Due to the forward-only navigation, it is recommended that the rationale be read in full before moving on to the next question.
  • Every time an answer is submitted for scoring, progress is saved. If the assessment is continued on a different computer or technical difficulties are experienced, previous work will not be lost.
  • Participants should track the number of correct and incorrect answers themselves. Participants must get at least 16 questions correct on the first attempt in order to be given access to the questions for a second attempt. If a participant is not on track to get 16 correct, it would be worthwhile to change the approach proactively.
  • Correctly answering 80% (32 questions) is required to pass, with two chances to answer. A score of at least 40% (16 questions) must be achieved on the first attempt to qualify for a second attempt in the same testing administration. Participants are encouraged to do their best on all assessment attempts.
  • If presented with a difficult question, reviewing the references provided for that topic on the ABS website can facilitate a focused literature review. It may not be not necessary to use the specific references cited in order to determine the correct answer.

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