MiraMed On Call (MMOC) provides support for Trauma Centers designated by the American College of Surgeons (ACoS), who are qualified as definitive care centers for adult as well as pediatric patients. Our trauma registrars are required to maintain a designation of Certified Specialist in Trauma Registry (CSTR) and Certified Abbreviated Injury Scaling Specialist (CAISS), a trauma scoring system vital to trauma research, as recognition of their knowledge of basic trauma registry. A CSTR is a valuable asset to the functionality of an efficient trauma program; their contribution to abstract trauma injuries at a designated trauma center contributes to the information used nationwide to improve overall patient safety and care. This data is collected by the Centers for Disease Control and Prevention (CDC) for performance improvement and patient safety monitoring.