step 1: get into an ACGME or AOA approved medical school
step 2: graduate in good standing and pass all 3 steps of the COMLEX or USMLE
step 3: match into a AOA or ACGME general surgery residency
step 4: finish your residency in good standing and become BE or BC in general surgery
step 5: apply for a fellowship in trauma surgery...what, they're usually 1-2 years in duration right??
did I leave anything out, anybody?