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Military Health System

Emergency War Surgery Course (EWSC)

Format: Resident with Distant Learning Requirements

The EWSC establishes combat training competencies and coordinates training to develop and sustain DOD trauma surgeons located in operational environments, military treatment facilities, or at Level I trauma treatment facilities. This course is intended for DOD trauma surgeons, orthopedic surgeons, and surgical sub-specialties; however, physician assistants, trauma nurses, medical technicians, and surgical technicians are able to attend and audit the course to gain exposure facilitating assistance to the surgical physicians. The course consists of didactic distant learning lectures and an in-person laboratory practicum. The course facilitators (general surgeons, orthopedic surgeons, and other surgical specialties) will guide and assist students to gain a better understanding of surgical treatment techniques unique to the care of the trauma injured patient in an austere environment. This course will help surgeons understand the pathophysiology of war wounds to best care for the injured casualty. This course content is standardized among the three services by mutual agreement and sharing of curriculum. Completion of distance learning activity is required prior to course attendance.

ASSET+

The Advanced Surgical Skills for Exposure in Trauma (ASSET) course establishes combat training competencies and coordinates training to develop and sustain DOD trauma surgeons located in operational environments, military treatment facilities, or at Level I trauma treatment facilities. This course is intended for DOD trauma surgeons, orthopedic surgeons, surgical sub-specialties, physician assistants, trauma nurses, medical technicians, and surgical technicians. Students will receive a manual prior to taking the course which provides an overview of key surgical exposures in five key anatomic areas: neck, chest, abdomen and pelvis, and upper and lower extremities. The two-day cadaver and simulator-based course follows this modular, body region approach. Each section begins with a short, case-based overview; followed by a hands-on exposure performed by students under the guidance of faculty. The student-to-faculty ratio is low, allowing extensive faculty guidance and interaction with students. The student assesses their ability to perform each exposure independently and is evaluated on knowledge and technical skills. This course will fulfill the skills element of the General Surgery KSA requirements for all services. Skills will follow the Clinical Practice Guideline recommendations for pre-deployment training.

COTS+

The purpose of the Combat Orthopedic Trauma Surgery course is to establish combat training competencies and coordinate training to develop and sustain DOD orthopedic surgeons located in operational environments, military treatment facilities, or at Level I trauma treatment facilities. This course is intended for DOD orthopedic surgeons, trauma surgeons, surgical sub-specialties, physician assistants, trauma nurses, medical technicians, and surgical technicians. In addition to fractures, it is not uncommon for battlefield extremity injuries to also have complex soft tissue injuries, vascular injuries, and/or burns. During this intensive course, surgeons and other healthcare providers will receive practical surgical training that will prepare them to stabilize and resuscitate extremity trauma. Attendees will also learn the appropriate deployed setting soft tissue coverage techniques for these wounds. Each section begins with a short, case-based overview, followed by a hands-on exposure performed by students under the guidance of faculty. The student-to-faculty ratio is low, allowing extensive faculty guidance and interaction with students. The student assesses their ability to perform each exposure independently and is evaluated on knowledge and technical skills. This course will fulfill the skills element of the Orthopedic Surgery KSAs requirements for all services. Skills will follow CPG recommendations for pre-deployment training.

The EWSC offers up to 30 CMEs. Nurses can petition to convert CMEs to CEUs.

ATTRS Registration Instructions

EWSC ASSET+

The Advanced Surgical Skills for Exposure in Trauma (ASSET) course establishes combat training competencies and coordinates training to develop and sustain DOD trauma surgeons, located in operational environments, military treatment facilities, or at Level I trauma treatment facilities. This course is intended for DOD trauma surgeons, orthopedic surgeons, surgical sub-specialties, trauma nurses, medical technicians, and surgical technicians.

Course didactic: self-paced completion in JKO for all participants prior to attendance at resident course; surgeons, non-surgeons, and nurses.

Day 1

  • ASSET+ (Advanced Surgical Skills Exposure in Trauma)
  • Surgeons will perform the course skills

Day 2

  • ASSET+ (Advanced Surgical Skills Exposure in Trauma)
  • Surgeons will perform course skills
  • Post-course test will be administered
  • Certificates and CME

Participants will receive an email from MODS with instructions on how to access CME credits.

EWSC COTS+

The Combat Orthopedic Trauma Surgery (COTS) course establishes combat training competencies and coordinate training to develop and sustain DOD orthopedic surgeons located in operational environments, military treatment facilities, or at Level I trauma treatment facilities. This course is intended for DOD orthopedic surgeons, trauma surgeons, surgical sub-specialties, physician assistants, trauma nurses, medical technicians, and surgical technicians.

Course didactic: self-paced completion in JKO for all participants prior to attendance at resident course; surgeons, non-surgeons, and nurses.

Day 1

  • ASSET+ (Advanced Surgical Skills Exposure in Trauma)
  • Surgeons will perform the course skills

Day 2

  • COTS+ (Combat Orthopedic Trauma Surgery Skills)
  • Surgeons will perform course skills
  • Post-course test will be administered
  • Certificates and CME

Participants will receive an email from MODS with instructions on how to access CME credits.

Steps for Each Service to Enroll in EWSC

U.S. Army

All students must complete a DA Form 3838, signed by their commander. Forward the signed DA Form 3838 and current physical fitness test to the service specific point of contact listed below. Seats are limited for this course and are not controlled by DMRTI or the instructor staff.

  • U.S. Army Active: Submit approved DA Form 3838 to Assignment Officer
  • U.S. Army Nurse Corps: usarmy.knox.hrc.mbx.opmd-nurse-corps1@mail.mil
  • U.S. Army Medical Corps: usarmy.knox.hrc.mbx.opmd-medical-corps@mail.mil
  • U.S. Army Reserves: TPU/IMA/IRR Soldiers - Individual commands/units are responsible for ATRRS enrollment and funding
  • U.S. Army National Guard: ARNG-TRI/Contractor (OES Action Officer) Management and Training Consultants
    • Arlington Hall Station #1
    • 111 S. George Mason Drive
    • Arlington, VA 22204
    • (703) 607-1354

U.S. Air Force

  • DSN: 487-9618
  • COMM: (210) 652-9618
  • Course information should be addressed to the Functional Point of Contact once you CAC in at the following website https://www.my.af.mil/etcacourses/default1.asp
  • If you cannot find a course contact within the course data click the FUNC P.O.C tab at the top of the page to locate the appropriate functional point of contact.

U.S. Navy

Coast Guard

  • Contact Medical Readiness Division, COMM: 202-475-5183

Course Links and Documents

Upcoming Courses

Class Report Date Start Date End Date Locations Course Notes
ASSET+ Aug. 1, 2022 Aug. 2, 2022 Aug. 3, 2022 Naval Medical Center Portsmouth, VA  
COTS+ Aug. 3, 2022 Aug. 4, 2022 Aug. 5, 2022 Naval Medical Center Portsmouth, VA  
ASSET+ Aug. 21, 2022 Aug. 22, 2022 Aug. 23, 2022 Spring Branch, TX  
COTS+ Aug. 24, 2022 Aug. 25, 2022 Aug. 26, 2022 Spring Branch, TX  
ASSET+ Oct. 24, 2022 Oct. 25, 2022  Oct. 26, 2022  Naval Medical Center San Diego, CA  
COTS+ Oct. 26, 2022 Oct .27, 2022 Oct. 28, 2022  Naval Medical Center San Diego, CA  
COTS+  Nov. 16, 2022 Nov. 17, 2022 Nov .18, 2022 Joint Base San Antonio/ Spring Branch, TX  

ASSET+

(STaRC)

Nov. 30, 2022 Dec. 1, 2022  Dec. 2, 2022 Joint Base San Antonio/ Spring Branch, TX  
ASSET+ Jan. 30,2023  Jan. 31, 2023 Feb. 1, 2023  Naval Medical Center Portsmouth, VA  
COTS+ Feb. 1, 2023  Feb. 2, 2023  Feb. 3, 2023  Naval Medical Center Portsmouth, VA  
ASSET+ Feb. 15, 2023  Feb. 16, 2023 Feb 17, 2023 Joint Base San Antonio/ Spring Branch, TX  
COTS+ April 19, 2023 April 20, 2023 April 21, 2023 Joint Base San Antonio/ Spring Branch, TX
 
ASSET+ May 1, 2023  May 2, 2023 May 3, 2023  Naval Medical Center San Diego, CA
 
COTS+ May 2, 2023  May 4, 2023  May 5, 2023  Naval Medical Center San Diego, CA
 
ASSET+ May 31, 2023  June 1, 2023  June 2, 2023  Joint Base San Antonio/ Spring Branch, TX  
ASSET+ July 31, 2023 Aug. 1, 2023 Aug. 2, 2023 Naval Medical Center Portsmouth, VA  
COTS+ Aug. 2, 2023 Aug. 3, 2023  Aug. 4, 2023 Naval Medical Center Portsmouth, VA
 

ASSET+

(STaRC)


Aug. 2, 2023
Aug. 3, 2023  Aug. 4, 2023
Joint Base San Antonio/ Spring Branch, TX   
COTS+ Sept. 6, 2023 Sept. 7, 2023 Sept. 8, 2023 Joint Base San Antonio/ Spring Branch, TX
 

*This course has been cancelled.

All course dates may be rescheduled if the minimum student quota requirement has not been met. In the rare event of course cancellation or date change, DMRTI will notify all students as soon as changes are confirmed. Confirmed registered students will have priority in the next course.

Last Updated: June 28, 2022
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