The Army Military Civilian Trauma Team Training program is designed to provide medical servicemembers exposure to more severe trauma and surgical patients than they typically experience in a military treatment facility. The injuries received by our soldiers overseas have a dynamic distribution with which our physicians must constantly be aware of and prepare for. Due to the diverse medical needs and injury patterns of patients presenting to emergency departments across all 50 states, our emergency physicians gain experience in an inequitable manner that may lead to deficiencies in certain skills due to a lack of patient contact. To alleviate this unbalance, the US Army has partnered with Oregon Health and Sciences University (OHSU) and Cooper University Health Care (Cooper U) under the Army Military-Civilian Trauma Team Training program to sustain their battlefield skills in high-volume trauma centers. The Army Military Civilian Trauma Team Training program's stated goal is "to advance military trauma operational readiness for deployment around the globe by partnering with high-volume civilian trauma centers to gain critical teamwork and technical trauma skills." The goal of this assessment program is to evaluate a soldier's baseline trauma management competency and track their improvement throughout the duration of their Army Military Civilian Trauma Team Training participation. Service members conduct two to three year rotations through the program in preparation for deployment to a forward medical unit or combat support hospital. By providing a method to assess and track a participant's trauma skills, this assessment program will provide a comprehensive and objective measure of benefit for the Army Military Civilian Trauma Team Training.