The Intensive Trauma and Surgical Skills Elective (ITSSC) is a full immersion, hyper-realisticTM and experiential learning training course. The course is designed to expose students to trauma, mass casualty, resource limited medicine and lifesaving surgical skills in a forward deployed military environment. This full immersion training provides hands-on experience in a variety of combat medicine scenarios under the tutelage of experienced active duty and retired military medicine providers. Student teams participate in triage, pre-operative assessment, stabilization, the performance of trauma surgery, and the transport of patients to higher echelons of care. The course uses all the techniques of the theater, TV, and film industry to enhance live training. Realistic educational tactical exercises employ state-of-the-art Hollywood battlefield special effects, combat wound simulations, role players, subject matter experts, combat training coordinators, and training scenarios. The immersive environment provides critical training designed to meet the unique needs of students who will serve in the United States armed services as medical officers. Travel to the training site, meals, and lodging at the training site are included.