American College Of Surgeons - Inspiring Quality: Highest Standards, Better Outcomes


Intended Audience

General Surgeons


Upon completion of SESAP® 15, participants should be able to:

  • Compare their cognitive knowledge at the beginning of the program with evidence-based surgical content for self-assessment purposes
  • Achieve and demonstrate mastery of surgical content to reach predetermined standards across all categories
  • Apply newly acquired knowledge to surgical practice
  • Prepare effectively for recertification examinations

Requirements to Earn CME Credit

To earn continuing medical education (CME) credit, participants must have purchased a SESAP 15 CME CD-ROM or the SESAP 15 CME Web version. SESAP 15 includes 830 questions across 15 categories. Participants enrolled for CME credit will be asked to read each question, select an answer, and review the corresponding critique and preferred answer. Participants will test their mastery of the content just learned by answering the same questions in a scrambled fashion, and must achieve a cumulative score of 80 percent within three attempts. If the score is less than 80 percent, the learner will be asked to review the incorrect questions and answer those questions again until 80 percent is achieved. If a score of 80-percent correct is not achieved within the third round, the learner will be asked to start the section over again.

Participants may request CME credit for each category as it is completed by answering 80 percent of the questions correctly, completing an evaluation form, and submitting the materials to the American College of Surgeons (ACS) by Internet. A document recording the credit will be available to print. If a category has multiple parts, each part must be completed at the 80-percent level to claim credit for the category.

Participants may prefer to claim CME credit once after completing all the categories. After achieving a score of 80 percent for each category, participants will be asked to complete an overall program evaluation form and submit materials to ACS using the Internet. Upon successful submission, a CME certificate will be available to print.

Estimated Time to Complete Activity

The estimated time to complete this activity is 90 hours.


The American College of Surgeons is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CME Credit

The American College of Surgeons designates this enduring material for a maximum of 90 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Release Date

SESAP 15 was published in October 2013 and is certified for credit through October 2016.

Author Disclosure Information

In accordance with the ACCME’s Accreditation Criteria, ACS must ensure that anyone in a position to control the content of the educational activity has disclosed all relevant financial relationships with any commercial interest. The SESAP 15 Planning Committee Members, Editors, and Authors were required to complete disclosure forms and report all financial relationships. The ACCME defines a ‘commercial interest’ as “any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on, patients.” It does not consider providers of clinical service directly to patients to be commercial interests. The ACCME considers “relevant” financial relationships as financial transactions (in any amount) that may create a conflict of interest and occur within the 12 months preceding the time that the individual is being asked to assume a role controlling content of the educational activity.

The ACCME also requires that ACS manage any reported conflict and eliminate the potential for bias as it pertains to the development of SESAP. Anyone who disclosed a potential conflict pertaining to his or her role in SESAP 15 has been contacted, and the disclosures listed below have been managed to our satisfaction. However, if you perceive a bias while participating in the program, please advise us of the circumstances when completing the evaluation form. The requirement for disclosure is not intended to imply any impropriety of such relationships, but simply to identify such relationships through full disclosure and to allow participants to make their own judgments regarding the program.


Disclosure information is listed below for planning committee members, contributors, and ACS staff involved in the development of SESAP 15.

Reid B. Adams, MD, FACS (Principal Investigator—Karl Storz; Principal Investigator & Independent Research Contractor—NewLinks Genetics; Independent Research Contractor—Nycomed Takeda)
Richard M. Bell, MD, FACS (Nothing to disclose)
David C. Borgstrom, MD, FACS (Nothing to disclose)
Judy C. Boughey, MB, BChir, FACS (Nothing to disclose)
Karen J. Brasel, MD, MPH, FACS (Nothing to disclose)
David R. Brenin, MD, FACS (Consultant—InSightec)
David A. Bull, MD, FACS (Nothing to disclose)
Herbert Chen, MD, FACS (Nothing to disclose)
Clay Cothren Burlew, MD, FACS (Nothing to disclose)
David W. Easter, MD, FACS (Speaker honorarium—Covidien; Scientific Advisory Board honorarium—Histogen)
Mary E. Fallat, MD, FACS (Nothing to disclose)
Jason B. Fleming, MD, FACS (Nothing to disclose)
T. Clark Gamblin, MD, MS, FACS (Speaker honorarium—Salient Solutions; Speaker honorarium—Covidien; Speaker honorarium—Onyx/Bayer; Consultant—Nycomed)
David A. Gerber, MD, FACS (Consultant—Clinipace; Consultant—Tengion; Consultant—Pathfinder Therapeutics)
Nicole S. Gibran, MD, FACS (Consultant & Advisory Board honorarium—Molnlycke)
Amy J. Goldberg, MD, FACS (Nothing to disclose)
Philip C. Guzzetta, Jr., MD, FACS (Nothing to disclose)
Shelby A. Holt, MD, FACS (Nothing to disclose)
Roger D. Hurst, MD, FACS (Nothing to disclose)
Kamal M. F. Itani, MD, FACS (Principal Investigator—LifeCell; Site Investigator—Merck; Site Investigator—Sanofi-Pasteur; Site Investigator—Cubist; Advisory Board honorarium—Forest Pharmaceuticals; CME program faculty honorarium—MedDirect; CME program faculty honorarium—Avid)
Richard P. M. Koehler, MD, FACS (Nothing to disclose)
Lorrie A. Langdale, MD, FACS (Nothing to disclose)
Forrest O. Moore, MD, FACS (Editor—Wiley-Blackwell)
Lena M. Napolitano, MD, FACS, FCCP, FCCM (Nothing to disclose)
Raminder Nirula, MD, MPH, FACS (Nothing to disclose)
John T. Paige, MD, FACS (Co-Editor—Oxford University Press)
Robert R. Quickel, MD, FACS (Nothing to disclose)
Jeffrey C. Reese, MD, FACS (Nothing to disclose)
Matthew B. Rossi, MD, FACS (Nothing to disclose)
Thomas T. Sato, MD, FACS, FAAP (Nothing to disclose)
Timothy D. Sielaff, MD, PhD, MBA, FACS (Nothing to disclose)
David A. Spain, MD, FACS (Nothing to disclose)
Judith L. Trudel, MD, MSc, MHPE, FACS (Nothing to disclose)
William W. Turner, Jr., MD, FACS (Nothing to disclose)
James G. Tyburski, MD, FACS (Nothing to disclose)
Daniel Vargo, MD, FACS (Speaker–Teacher honorarium—LifeCell/KCI)
Vic Velanovich, MD, FACS (Nothing to disclose)
John T. Vetto, MD, FACS (Speaker honorarium—Merck; spouse’s employer—Genentech)
Travis P. Webb, MD, MHPE, FACS (Nothing to disclose)
John A. Weigelt, MD, DVM, FACS (Consultant honorarium—Pfizer)
Robert M. Whitfield, MD, FACS (Nothing to disclose)
Catherine M. Wittgen, MD, FACS (Speaker honorarium—Bristol-Meyers Squibb; Speaker honorarium—Sanofi; Speaker honorarium—Organogenesis; Principal Investigator & Advisory Board member—Bayer HealthCare Pharmaceuticals; Principal Investigator—CryoLife)
Ajit K. Sachdeva, MD, FRCSC, FACS (Nothing to disclose)
Patrice Gabler Blair, MPH (Nothing to disclose)
Belinda A. Andry (Nothing to disclose)
Chrysa M. Cullather (Nothing to disclose)
Julie A. Cwik (Nothing to disclose)


To earn CME, participants must use either the SESAP 15 CME CD-ROM or the SESAP 15 CME Web version. The SESAP print version is available as a supplement to the electronic versions.