“The surgical resident interested in learning trauma will bypass a residency at a quiet community hospital for a residency at a fast-paced Level 1 trauma center treating a high volume of trauma patients. A Level 1 trauma center residency is far more rigorous—and not particularly glamorous—but the intensive culture of a dedicated trauma center will cultivate the decisive judgment and action required of a surgeon specializing in trauma. By choice or by chance, we must actively test our limits to know our capabilities.”