Deployed medicine requires unique skill sets. These skills differ from those maintained at traditional U.S. civilian and military treatment facilities. Military-Civilian partnerships offer adequate clinical exposure, but they do not address logistics, austerity, and limited resources. Global health engagements offer all these mission essential tasks along with high acuity and volume. Between 2022 and 2023, two global health engagement programs were piloted with Joint Task Force Bravo. DoD teams completed missions at a level 1 trauma center in Central America with a trauma volume 50 times greater than most DoD treatment facilities and performed 1-2 months of KSAs in 1-2 weeks. When entire teams execute these missions, they support a truly ready medical force and prepare teams to provide damage control resuscitation and prolonged casualty care. These skills and the partnerships built through subject matter expert exchanges cannot be met through simulation. Come learn from leaders across the MHS enterprise to include: KSA program developers, Joint Trauma System leaders, Joint Task Force liaison officers, and expeditionary medical platforms.