Major Bryan Gamble, MD, FACS
The US Army continues to support military treatment facilities (MTFs), military-civilian partnerships, and evolving operational requirements. Surgeons are taking advantage of the US Army Training and Doctrine Command (TRADOC)’s approval of the 4-week Captains Career Course to complete professional military education. This course offers less disruption to the clinical practices and personal lives of learners than the 9-week version. While centralized management has benefited surgeons, our decreased interaction with, and influence on, the Forward Resuscitative Surgical Detachments (FRSD) has been to the units’ detriment. Our consultant group is leading efforts to address this gap and better prepare the Army Role II FRSD for their mission. Army surgeons remain thoroughly involved with supporting the ongoing efforts of the ESS.
Commander Diego Vicente, MD, FACS
The US Navy continues to be a distinguished global leader in military medicine with world-class clinical expertise augmenting operational readiness. In 2024-2025, Navy surgeons supported military treatment facilities and operational commands around the world, and developed new partnerships that enhanced trauma care, surgical training, and medical innovation.
Navy surgeons continue to lead in the expansion of military-civilian trauma partnerships, including a new University of Pennsylvania Navy Austere Resuscitative Surgical Care Team, the Expeditionary Resuscitative Surgical System. This enhanced support from Penn Medicine signals the success and sustainability of these partnerships and reinforces the Navy’s central role in high-volume trauma environments.
With the support of the established cancer centers at the Naval Medical Center, Portsmouth, and Walter Reed National Military Medical Center, ESS members developed a cancer center program at Naval Medical Center San Diego. These military cancer centers continue to be a cornerstone of graduate medical education and have increased surgical case complexity.
In July 2025, the Navy Surgery welcomed 27 new surgery interns, including the recipient of the prestigious Colonel Jeffrey P. Kavolius Award in Academic Excellence in Surgery, Emily Stapleton, MD (Uniformed Services University class of 2025). To further invest in the future of Navy surgeons, 42 physicians were selected for general surgery training in military and civilian residency programs, and 11 surgeons were approved for further fellowship training. Additionally, Navy medical students, interns, and general medical officers seeking surgical training have increased access to civilian programs through the Defense Health Agency partnerships. In 2026, both Temple University and Penn State University will become dedicated locations to train future Navy surgeons.
On the global stage, the Hospital Ship USNS Mercy (T-AH 19) completed the Pacific Partnership 2024 mission, and Pacific Partnership 2026 preparations are underway with an ESS member as the assistant mission planner. This continued leadership demonstrates Navy surgeons’ critical role in international humanitarian assistance and disaster response.
Research and innovation remain a central focus, with new collaborative initiatives launched in partnership with the Naval Health Research Center, 1st Medical Battalion, Murtha Cancer Center, and Joint Pathology Center. These efforts continue to advance surgical science, operational medicine, and combat casualty care.
Navy surgeons remain at the forefront of academic and professional leadership, playing vital roles within the ESS and serving in key positions across multiple committees within the ACS and other prestigious medical societies.
These accomplishments as well as some “sea stories,” will be shared in the new quarterly general surgery e-newsletter The Surgeons’ Scroll.
The activities and achievements described here are examples of the Navy's unwavering dedication to excellence in national defense, education, leadership, and the art and science of surgery.
The Navy continues to push for increased recruitment and retention and is excited to welcome a new group of mid-career and late-career surgeons joining the Navy surgical community in 2025–2026.
Lieutenant Colonel Mary Stuever, MD, FACS
The ACS Advanced Surgical Skills for Exposure in Trauma (ASSET) course was completed on April 28 and 29, at Khalifa University in partnership with the UAE Ministry of Defense and the Abu Dhabi Department of Health. Members of the Trauma, Burn, and Rehabilitation Medicine (TBRM) team served as lead subject matter experts and coordinators and provided the majority of instructors. There were 16 participants, eight civilian and eight military. The overall response to the course was excellent, with participants citing this as the best training course that they have attended. The demand signal for additional ASSET courses is strong, and continued collaborative support is recommended to ensure the trauma surgical training needs are met for Abu Dhabi, The Emirates, and the Gulf Corporation Council region.
The ASSET course was offered at Semmelweiss University in Budapest, Hungary on April 16 and 17. Thirty-two civilian and military students (US and international) attended the course taught by international faculty from the US and Finland.
Another ASSET course was offered at Universitätsklinikum Saarland on June 16 and 17 in Homburg, Germany. This course will be a partnership with the Landstuhl Regional Medical Center (LRMC), the European Sim Center, and Landstuhl and UKS.
Lieutenant Colonel Remealle How, MD, FACS, assumed the role of Air Force Trauma Consultant taking over the role previously held by Colonel Brian Gavitt, MD, FACS. Dr. Gavitt served in this role for four years. His leadership and guidance for career development are greatly appreciated by all those he served. Thank you, Dr. Gavitt, for your support and leadership as the trauma consultant.
The LRMC received a certification as an Uberregionales Trauma Zentrum or “supra-regional trauma center” by the German Trauma Society. This designation recognizes LRMC’s continued excellence in trauma care and its integration into the German trauma system. LRMC is the only American hospital outside the US to receive such a designation.
Readiness training continues to be a concern for all MTF surgeons. Current efforts by Colonel Justin Fox, MD, FACS, and Colonel Ryan Earnest, MD, FACS, are underway to strengthen military-civilian partnerships. The first Military-Civilian Partnership Symposium was held this April.
Major Omar Rokayak, DO, FACS
The ESS continues to proudly support the essential role of Reserve and National Guard surgeons in contributing to the strength and adaptability of the joint US military medical force. Representing nearly 60% of the US military’s surgical capability, these professionals bring critical expertise from high-volume civilian trauma centers, academic institutions, as well as community and private practice into the joint force. Their dual roles uniquely position them to lead in readiness, healthcare research and innovation, and rapid deployment in support of domestic emergencies, humanitarian missions, and global conflicts. As the evolution of modern warfare continues, so too does the need for a more integrated surgical force, one that takes advantage of the depth and flexibility provided by our Reserve and Guard components.
The ESS remains committed to supporting these surgeons through mentorship, professional development, regular updates, and advocacy. By facilitating valuable Continuous Medical Education opportunities, strengthening military-civilian partnerships, and amplifying the Reserve and Guard voice, the society further ensures that all military surgeons, regardless of duty status, are prepared for current and future challenges. The ESS leverages the unique perspectives and experiences of Reserve and Guard surgeons toward the advancement of trauma care and disaster preparedness on a national and international scale.
Major Elise Fannon, MD, MPP
As your representative on the Executive Council, I'm excited to share a few key updates and opportunities for resident and fellow members of the ESS.
Be sure to join us at the ESS Annual Symposium—a unique opportunity to connect with fellow military surgeons, gain insight into upcoming initiatives, and contribute to the future direction of military surgical training and leadership.
We also invite you to attend the Military Fallen Surgeons Educational Symposium in September at the American Association for the Surgery of Trauma (AAST), where military surgery, service, and sacrifice take center stage. It’s an inspiring session that reminds us why we do what we do—and why we do it together.
If you haven't officially joined the ESS, now is the time. Residents and fellows receive reduced membership rates, and with new initiatives rolling out, it’s the best way to stay connected and involved.
We’re thrilled to announce that a new smartphone app is currently in development, designed to enhance engagement and strengthen connections across the spectrum of military surgery—from trainees to senior staff. Stay tuned for more details as we build a tool that reflects the strength and unity of our community.
Whether you're just starting or preparing for the next step, there's never been a better time to lean into the ESS. We’re here for each other—past, present, and future.
We look forward to seeing everyone at the ESS Symposium during the 2025 ACS Clinical Congress in Chicago, Illinois.
Please join us for the ESS Reception on Monday, Oct. 6, 2025, from 1800–2100 at the Union League Club of Chicago.