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The field of trauma and critical care has been gaining momentum in the last few decades in terms of dynamic changes in practice, scope of practice, and its popularity among young surgeons to enter the field. It is important to gain insight on its history and its evolving scope of practice before making a decision to enter the field. Application and interview process has become easier in the last few years with easy access to fellowship program information. It is important to choose a fellowship based on the needs of the surgeon entering the field.