Trauma care requires a multidisciplinary approach, with surgeons ensuring timely and effective treatment for severely injured patients while collaborating closely with intensivists, emergency physicians, and rehabilitation teams. In addition to advanced surgical skills, trauma surgeons develop non-technical competencies such as leadership, communication, and decision-making to coordinate care effectively. This chapter addresses the challenges of maintaining trauma surgical competence in Europe, focusing on essential training programmes, quality improvement initiatives, and interdisciplinary collaboration. It also examines the impact of an ageing population, the integration of new technologies, and the vital role of surgical involvement in intensive care units (ICUs). Structured education and continuous professional development are critical to improving outcomes for trauma patients. ESTES, Polytrauma, Whitebook.
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