Nebraska Medicine/University of Nebraska Medical Center (UNMC) proposes to create a military-civilian partnership (MCP) at its American College of Surgeons-verified, Level 1 trauma center in Omaha, NE. The goal of this project is to create a partnership between military trauma surgeons and their civilian counterparts with the aim of sustaining trauma readiness to support the future needs of the nation. The objectives of this project are: 1) to create and administer a sustainable MCP where military trauma surgeons and their teams can work alongside the trauma teams at Nebraska Medicine/UNMC; 2) to provide a high acuity clinical environment in which the military surgeon/team can sustain their skills; 3) to furnish targeted, relevant training opportunities and educational curriculum; 4) to promote an open exchange of information and experiences, benefiting both military and Nebraska Medicine/UNMC personnel. The expected outcomes of this project are: 1) full integration of military trauma surgeons/teams into the care of the injured patient at Nebraska Medicine/UNMC; 2) all the benefits from the complex, quaternary care environment at Nebraska Medicine/UNMC to maintain and/or their trauma skillset; 3) given the educational focus of Nebraska Medicine/UNMC, ample opportunities exist to learn current management and additional skills. The products from the MCP are: 1) military trauma surgeons/teams who are ready to respond to conflicts, natural disaster or other crises; 2) a durable MCP providing an established mechanism for future needs; 3) evaluation of the military surgeons/teams; 4) data tracking the involvement of the military surgeons/teams in the care of the injured patient at Nebraska Medicine/UNMC.