PORTSMOUTH, Va. (Aug. 6, 2020) Surgeons participate in the inaugural Combat Orthopaedic Trauma Surgical Skills (COTS+) course at Naval Medical Center Portsmouth (NMCP), Aug. 6, 2020. COTS+ is designed to provide deploying orthopaedic surgeons the skills necessary to manage extremity trauma. (U.S. Navy photo by Mass Communication Specialist 2nd Class Kris R. Lindstrom)