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

Continuing Medical Education

Log in to the SRGS CME test system

You must log in to the site using your ACS-SRGS username and password. Your eight-digit username can be found on the address label or on your annual renewal notice. Your password is your last name. If you have customized your log in, please use it here. If you have trouble logging in, please contact us at or 800-631-0033.

Learning Objectives

This activity is designed for general surgeons, surgical residents, and allied professionals. Regular reading of SRGS should enable learners to:

  • Maintain an excellent knowledge base in all areas of general surgery
  • Develop comparative and critical literature reading skills
  • Apply newly acquired knowledge to surgical practice
  • Prepare effectively for recertification exams

Requirements to Earn CME Credit

To be eligible for SRGS continuing medical education (CME) credit, you must have an active subscription to SRGS. CME credit is not retroactive. If you are a new subscriber, eligibility begins with the current issue.

You must complete the pre- and posttest to earn credit. The multiple-choice pretest must be completed before reading SRGS. To activate the posttest for CME credit, you must complete all 20 pretest questions. Progress on the pretest can be saved and completed later. When completed, the correct answer for each question and score are provided. Date completed and percent correct appear on your CME test index page. The pretest score does not appear on the your transcript; it is intended for internal reporting only.

The posttest is taken after reading SRGS and confers AMA PRA Category 1 Credits™. The 20-question, multiple-choice posttest must be completed after reading the issue. You can save your progress on the posttest and complete it later. You have two attempts to select the correct answer, after which time the answer and supporting documentation from the issue are reviewed. The score that appears on your CME test index page is based on the percentage answered correctly on the first attempt.

After completing four mandatory evaluation questions, your CME credits will be posted automatically to the American College of Surgeons (ACS) MyCME database. You can view your transcript by clicking the View CME button at the bottom of CME test index page or on the ACS MyCME page. You can print certificates for individual tests from their online transcript.

Minimum Hardware/Software Requirements

Windows XP, Windows Vista, Windows 7, or Windows 8:

Intel Pentium 4 processor; Microsoft Windows XP with Service Pack 2 or later, Windows Vista, Windows 7, or Windows 8; 512 MB of RAM; Microsoft Internet Explorer 8 or greater, Firefox 22 or greater, or Google Chrome 28 or greater, with JavaScript, cookies, and pop-up windows enabled*; high color (16-bit) display; 800 × 600 display resolution; 8X CD-ROM drive; 500 MB available hard disk space.

Mac OS X:

Intel processor; Mac OS X 10.6.x or later; 512 MB of RAM; Safari 5 or greater, Firefox 22 or greater, or Google Chrome 28 or greater, with JavaScript, cookies, and pop-up windows enabled*; 500 MB free hard disk space; 8X CD-ROM drive; 1024 × 768 display with thousands of colors.

*Performance on other browsers or platforms may vary. Adobe Reader is also required.

Tablets and Smartphones:

The online version of SRGS and digital edition files (epub and mobi) are compatible with most tablets and smartphones.

Dates of Original Release–Termination Date

SRGS is a periodical published as an annual subscription eight times a year. The cycle of topics covered span four years. When a topic is revised, the older enduring material is no longer certified for credit.


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 80 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

The above credit reflects 80 AMA PRA Category 1 Credits™ annually/10 per issue.

AMA PRA credit may only be claimed by, and awarded to, physicians, defined by the AMA as individuals who have completed an allopathic (MD), osteopathic (DO), or an equivalent medical degree from another country. If you need a nonphysician certificate of completion, please contact

Disclosure Policy

In accordance with the ACCME’s accreditation criteria, the American College of Surgeons 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 SRGS Editorial Board are 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 SRGS. Anyone who disclosed a potential conflict pertaining to his or her role in SRGS has been contacted, and the disclosures listed below have been managed to our satisfaction. However, if you perceive a bias while participating in this enduring material, please advise us of the circumstances. 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 the audience to form its own judgments regarding this enduring material.

Disclosure information for SRGS Editorial Board members for 2015:

Nita Ahuja, MD, FACS (Nothing to disclose)
L. D. Britt, MD, MPH, FACS (Nothing to disclose)
Ara Darzi, FRCS, KBE, FMedSci, FACS, (Board member expenses–G.E. Healthymagination)
Karen Deveney, MD, FACS (Nothing to disclose)
Michael B. Edye, MD, FACS (Nothing to disclose)
Jean C. Emond, MD, FACS (Nothing to disclose)
John Ferrara, MD, FACS (Nothing to disclose)
Lewis Flint, MD, FACS (Nothing to disclose)
Donald E. Fry, MD, FACS (Speaker honoraria–Merck and CareFusion; Consultant honoraria–Ethicon and IrriMax Corporation)
Amy L. Halverson, MD, FACS (Nothing to disclose)
Tyler G. Hughes, MD, FACS (Nothing to disclose)
Roger Keith, MD, FACS (Nothing to disclose)
Solly Mizrahi MD, FACS (Nothing to disclose)
Chandrajit Premanand Raut, MD, MSc, FACS (Nothing to disclose)
Raul J. Rosenthal, MD, FACS (Educational grants–Covidien, Ethicon, and STORZ)
Ajit K. Sachdeva, MD, FACS, FRCSC (Nothing to disclose)
Eduardo de Santibañes, MD, PhD, FACS (Nothing to disclose)
Murray Shames, MD, FACS, (Speaker honoraria–Cook, Gore, and Medtronic)
Nathaniel J. Soper, MD, FACS (Nothing to disclose)
Steven Steinberg, MD, FACS (Nothing to disclose)
Girma Tefera, MD, FACS (Nothing to disclose)
Christopher B. Weldon, MD, PhD, FACS (Nothing to disclose)
Steven D. Wexner, MD, PhD (Hon), FACS, FRCS, FRCS(Ed), (Consulting fees–Alesi Surgical, Axonics Modulation Technologies, Brace Pharmaceuticals, CareFusion, Cubist Pharmaceuticals, Incontinence Devices, Inc., KARL STORZ Endoscopy-America, Inc., KCI, LifeBond, Mederi Therapeutics, Medtronic, Novadaq, Pragma, Inventor’s income–Covidien,Unique Surgical Innovations, LLC; Stock options–Asana Medical, CRH Medical, EZ Surgical, Intuitive Surgical, NeatStitch, novoGI, and Renew Medical)

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