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Downtown Billings, MT


A newborn at St. Vincent Healthcare



Program Overview

Initiated by interested residents in 2000, the MFMR uniquely and enthusiastically supports a three-year, longitudinal Wilderness Medicine Track integrated with residency training in family medicine. While all residents are exposed to our Core Curriculum in Wilderness Medicine, "Trackers" are supported in further training through a 5-day course in Wilderness Advanced Life Support (WALS), our biannual Update in Wilderness Medicine at Chico Hot Springs, time to attend one of the national Wilderness Medical Society conferences, practical skills workshops, and options to pursue clinical experience, research, writing and public address in topics of wilderness medicine. Participants in this intensive training track will leave the residency as Practitioners and Educators in Wilderness Medicine.

Goals/Objectives

The wilderness medicine practitioner wears many hats, and training in family medicine at the urban/rural interface of Billings provides ample opportunity to don them all. Further, as the MFMR has the primary goal of placing doctors in rural areas, the program recognizes that the skills and knowledge derived from training in wilderness medicine is directly transferable to rural medicine whether it be in the outpatient, hospital or emergency department setting.

  • Provide ongoing support of residents' efforts in research and writing on salient topics in wilderness and rural medicine
  • Educate Trackers, residents, faculty and visiting medical students in the pathophysiology, diagnosis, and management of injuries and illness that occur in "wilderness"
  • Introduce residents to the necessary skills and experience to become medical advisors to outdoor organizations and pre-hospital providers
  • Develop and support our future educators in wilderness medicine
  • Continue local efforts in outreach and education to provide practioners and the general public alike with evidence-based and practical applications of medicine to the rural and wilderness settings
  • Support the efforts of other like-minded organizations in the US and abroad
  • Provide residents and faculty time together in the great outdoors
Wilderness Medicine Intensive Study Track Requirements
  • Complete research or significant practicum contributive to the development of wilderness medicine
  • Publish at least 2 general interest wilderness medicine articles in local, regional, or national publications
  • Present 6 different wilderness medicine topics to residents, community health providers, students, or the general public
  • Complete a minimum of 2 month-long rotations involving wilderness medicine
  • Attend a minimum of 1 *CME conference in wilderness medicine
  • Organize and lead 2 field workshops
  • Attend and complete the Wilderness Advanced Life Support course
  • Maintain membership in the Wilderness Medical Society
  • Help organize the bi-annual Update in Wilderness Medicine at Chico Hot Springs

Click to see the inaugural article describing our wilderness medicine curriculum in the Journal of Wilderness and Environmental Medicine.

  • Erica L. Peterson, MD; William C. Snider, DO; Roxanne Fahrenwald, MD A Model for Wilderness Medicine Education in a Family Practice Residency Wilderness and Environmental Medicine: Vol. 13, No. 4, pp. 266-268.
Opportunities

Montana and the Northern Rockies are blessed with a vast expanse of varied wild lands, central of which is the Greater Yellowstone Ecosystem that supports the majority of the nation's populations of grizzlies, wolves, elk and native trout. MFMR residents have half-day to weeks-long access to this enormous wilderness complex. Within an easy access are:

  • Yellowstone National Park
  • Fishing: world class native trout
    • Bighorn
    • Stillwater
    • Yellowstone
    • Back country lakes
  • Hunting: you name it
  • Hiking: day hikes to weeks-long wilderness outings
    • Red Lodge
    • Absaroka-Beartooth Wilderness
    • The Crazies
  • Rock Climbing:
    • Rock: year-round, sandstone, limestone, dolomite, granite …
  • Ice Climbing: the birthplace of North American ice climbing: Hyalite, Cody, Paradise Valley
  • Alpinism: hidden gems throughout the Absaroka-Beartooth Wilderness
  • Indoor bouldering Gym: SteepWorld
  • River Running: lazy drift boat fishing to the stomping, expeditionary kayaking
  • Downhill skiing
  • Cross-country skiing
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