The awardee, Cooper University Hospital, supports this Military Civilian partnership in collaboration with the DHHS, DHA and DoD. The goal of this partnership is to provide and support the complete clinical integration of military medical personnel in a collaborative and welcoming active clinical setting located within a well-established, busy university American College of Surgeon’s accredited adult and pediatric urban trauma center that cares for all persons regardless of ability to pay, race, gender, identity, or situation in life. The objectives and outcomes are 1) to provide military personnel daily opportunities for provision of direct patient care in a real clinical setting including trauma bays, EMS units, helicopters, operating rooms, intensive care units, patient wards, emergency departments, and other active clinical settings where military medical personnel can hone and maintain crucial and measurable knowledge, skills and abilities to ensure medical readiness in the face of military actions and mass casualty events; 2) allow for the cross exchange of clinical skills and knowledge to enhance and improve the provision of care to both the injured citizen, visitor and warrior thru exposure and interaction with potentially seriously injured and ill patients and ultimately reduce the incident of preventable deaths and needless suffering in both the military and civilian setting; 3) Contribute to the knowledge and experience of our Nation’s military and civilian healthcare systems to better weather future conflicts, pandemics, and disasters in a more efficient and effective manner. The Products of this project are aiding in the achievement of zero preventable deaths in a national and military trauma care system through integration and collaboration of trauma systems.