Instructors act as surgeons during a mock surgery while 68D operating room specialist students assigned to the U.S. Army Medical Center of Excellence operate in surgical technologist and nurse circulator roles, Jan. 12, 2023, at the Medical Education and Training Campus, Fort Sam Houston, Texas. This is a culminating exercise which tests everything that they have learned in the last eight weeks of the total 10 weeks of Phase 1. (U.S. Air Force photo by Tristin English)