“…The knowledge and skills these students acquire form the basis for their future care of patients with surgical problems, decisions regarding appropriate surgical consultation, and serve as their foundation for office-based procedural skills [3]. However, great variation exists in the structure and administration of surgical clerkships in the United States and even across multiple sites at a given institution [4,5]. Thus, the basic technical skills and knowledge of surgical pathophysiology amongst graduating medical students is varied at the commencement of post-graduate education.…”