Prof. Chris Imray, world expert on cold weather injuries to join Polar Medicine Faculty

Have you heard about our new 5 day Expedition & Wilderness Medicine course held in Slovenia? For more on this exciting new course click THIS LINK to receive the latest information and early bird discount code.

Snow Sports Injuries

The Adventure Medic have recently published the ‘Practical Approach to Snowsports Injuries (Part II)’. The second in a series of articles by Dr Edi Albert, explores knee and shoulder injuries discussing how the approach of a ski doctor may differ from a hospital-based doctor or surgeon.

To learn more about Polar Medicine join Chris Imray, world renowned cold injuries expert and lead author of the recent Extreme, expedition and wilderness medicine article published by the Lancet.Alongside Chris we’re sending an expert faculty of seasoned polar medics and travellers teaching how to survive, provide medical care and function as part of a team in such a harsh environment.

If camping out in snowholes and challenging your limits with cold water immersion excites you, snap up one of the last Polar Medicine places here!

Part I of Dr Alberts’ series.

White Mars

EWM faculty member Dr Alex Kumar and Extreme Medicine speaker Dr Mike Barratt talk to CNN about the effect of extreme isolation on the human body.

Alex Kumar recalls his time with the European Space Agency discussing the physiological changes which occurred while facing extreme isolation in the world’s most hostile, monotonous and challenging environments, Antarctica. While Mike Barratt backs up Alex’s comments adding his findings and experiences from NASA’s human research programme.

CNN – The closest thing on Earth to a Mission to Mars

‘Survivor’ selects EWM to provide medical backup

Home to the world’s most adventurous medics, we’re proud to announce we’ve been selected as the medical operations provider for the Emmy Award-winning US reality show, “Survivor.”

Mark Hannaford, Managing Director of Expedition & Wilderness Medicine and the Extreme Medicine Conference series explains;

“At Expedition & Wilderness Medicine, we excel in providing medical back-up in challenging locations, so we’re delighted to support contestants and crew on one of the world’s longest running reality TV shows. We have the world’s largest network of medics equipped to work in remote and austere locations and look forward to developing a great working relationship with the amazing team at Survivor.”

Be prepared

‘Our Trauma workshop enables a more resilient, effective and efficient approach treating acutely injured and unwell patients. The focused patient assessment and stepwise approach enables the optimal treatment to the critical patient in the shortest time frame.’

Take a look at a workshop scenario in action and let Advance Paramedic, Eoin Walker explain what going on.

Held in a London Ambulance Service training facility, we have access to the best equipment, emergency vehicles and training spaces offering realistic scenarios to mimic the pressures of pre-hospital care.

Click HERE for more information and to book.

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CBS’s Emmy Award-winning ‘Survivor’ selects EWM to provide its medical backup

Home to the world’s most adventurous medics, Devon based Extreme Medicine is proud to announce that it has been selected as the medical operations provider for a US reality show, CBS’s Emmy Award-winning “Survivor.”Survivor logo

The rules of Survivor are simple:  A group of people are abandoned in the middle of some of the most unforgiving places on earth.  Divided into teams, they participate in challenges and every three days, the losing tribe must trek to Tribal Council to vote out one of their own. Halfway through the game, the challenges shift to individual competitions when the tribes merge into one with ultimately, one winning Sole Survivor.

Mark Hannaford, Managing Director of Expedition & Wilderness Medicine and Extreme Medicine explains;

Here at Extreme Medicine, we excel in providing medical back-up in challenging locations so we’re delighted to support contestants and crew on one of the world’s longest running reality TV shows.  We have the world’s largest network of doctors and medics equipped to work in remote and austere locations and look forward to developing a great working relationship with the amazing team at Survivor.”

 

 

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New Expedition Medicine Course in Slovenia

Kicking off the year with a big announcement!
We’re super excited to bring you the first major announcement of the year – keep reading to find out the latest developments at EWM.

2016 is shaping up to be a great year and while we can’t give away too much just now, there are more big announcements on the way.

Supporting medical professionals

We’ve previously shared blogs discussing the issue of PTSD in Paramedics / EMTs in the hope that discussion can improve awareness and lead to greater support. Earlier this week we shared an article from the Guardian recounting one doctor’s experience with depression and feelings of suicide.

The reaction to this issue has been huge and we’ve since been approached by a number of people who have wanted to privately share their experiences with us.

If anyone has a story to share, has written a blog or simply knows of great support services available, please get in touch and we’d be delighted to use our many platforms to spread awareness to bring about better care for those who dedicate their lives to helping others.

Some useful resources we have found so far are:
Support 4 Doctors
BMA Counselling and Doctor Advisor Service 

Keeping in touch

We know from experience that sometimes our emails don’t reach you and end up in junk mailboxes, to solve this problem simply save ‘admin@expedition-medicine.com’ to your email address book.

If you’re booked on to a course or have sent in an enquiry and don’t seem to have heard from us, please drop us an email or give us a ring…we’re always keen to hear from you!

New Expedition Medicine Course in Slovenia

We’re taking our ever-popular UK based Expedition & Wilderness Medicine to the stunning Lake Bohinj, Slovenia, we can’t wait to get stuck in!

We’ll hold the course over five days and plan to take the challenge and excitement to the next level including, a night under the stars, more outdoor skills sessions and some surprise challenges.

Our ever popular workshops will be extended, allowing more in-depth learning with greater opportunity for Q&A sessions. Mornings are dedicated to stimulating lectures exploring many areas of expedition medicine, equipping you with the knowledge you need to tackle remote and austere environments with confidence.

For more information on this fantastic new course, get in touch with us HERE.

Where next

Our Pre-hospital Trauma Care workshop in London kicks off the year with two days of hands-on learning in London’s premier pre-hospital training facility. With a heavy focus on Crew Resource Management, you’ll come away a new understanding of how to best manage teams in extremely stressful environments when the chips are down.

Polar Medicine returns to Norway with a specialist faculty  including one of the world’s leading experts in frostbite management, Professor Chris Imray. This highly practical course will challenge and excite you everyday leaving you better equipped to face the challenges of cold weather environments. 

Keswick is the next location for our UK based EWM course and we can’t wait to get there. If you’re looking to put the fun back in to medicine, then look no further!

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A world first. The Extreme Medicine academic programme offered in collaboration with Extreme Medicine and the University of Exeter, a World Top 100 University.

A world first.  The Extreme Medicine academic programme offered in collaboration with Extreme Medicine and the University of Exeter, a World Top 100 University.
Extreme Medicine academic program

We are extremely proud to be working with The University of Exeter, a world top 100 university, to deliver a credible and academically sound post graduate qualification in Extreme Medicine.

Patrons. Sir Ranulph Fiennes, Dr David Nott.

The first intake of students is scheduled for September 2016, to mirror the academic year.

Clinical governance and demonstration of core skills and competencies are core values of modern medicine and we have developed our Extreme Medicine Masters Programme to fit with this. There is an expected consensus paper from the Royal College of Surgeons Edinburgh, and the Faculty of Prehospital Care, detailing expected competencies for providing travel and expedition medicine. The Masters Programme is designed around this curriculum for the first sixty credits, and will give you a high quality post graduate qualification.

Here at Extreme Medicine, we are passionate about exploring the breadth and depth of Expedition, Wilderness and Extreme Medicine and the Masters Programme will allow you to build a bespoke programme to fit with your interests and passion.

Recent Lancet articles have highlighted to growing interest in Extreme Medicine.

‘I am delighted that these two papers are now in press. I think they reflect many of the sentiments and thrust of the hugely successful Extreme Medicine Conferences.’   Professor Chris Imray.

So what does the Post Graduate Masters Programme in Extreme Medicine involve?
A Post Graduate Masters programme is made up of 180 credits earned over three years. This is divided into individual years of 60 credits each. Each credit in any reputable university based Masters Programme is equivalent to 10 hours of learning time. These hours include all reading, written work and practical work. Let’s break this down more into the individual years.Year 1 – Post Graduate Certificate in Extreme Medicine This gives the first 60 credits and on finishing this you will be awarded The Post Graduate Certificate in Extreme Medicine (PgCert Extreme Medicine). You will have an in depth knowledge of expedition medicine and how to reflect on your own work and also critically appraise that of others. This is the qualification that will demonstrate a sound knowledge of Expedition Medicine, and as regulation tightens, you will be able to use this to prove the required level of knowledge and skill. Some people will choose to stop at this point, however we anticipate most students will want to progress to the Diploma and MSc levels.
This first year is made up of the following core modulesIntroductory weekend module
This will be a key weekend to set the scene and define the learning skills needed, the work to be covered in the year and the structure of the course. This will either be based in University of Exeter or form a preface to the Expedition and Wilderness Medicine course below; a detail to be confirmed.

Expedition and Wilderness Medicine Course module – 30 Credits
This module will provide half the credits for the PgCert and forms the bulk of the knowledge base. Students will attend a UK based Expedition and Wilderness Medicine Course at a venue of their choice. The venues are the Lake District, Snowdonia and Dartmoor; all stunning locations.

This course will be lecture and practical based and will give the basic overview needed. You will then be able to use this framework to undertake self-directed learning to expand your knowledge and learn to critically think about expedition planning and logistics. The key ethos behind Masters level learning is to be able to interpret information, critically appraise it then make informed and reasoned arguments in presented work. You will be able to demonstrate this approach in the 5000 word project where you will be given a choice of hypothetical scenarios to plan for. Successful completion of this project will award 30 credits. This will need to be an in depth piece of work that shows a high level of thinking and planning and should go beyond just the medicine.

UK Based Trauma Course – 15 credits
The leading cause of injury and death overseas is trauma, in particular, road traffic collisions. Trauma care at the roadside is a vital skill to have and this will be taught on the established four-day Trauma Course. This trauma course is also accredited by the Royal College of Surgeons of Edinburgh.

The course will cover all the important skills for trauma management at the roadside. As part of this, you will be given a short evidence research project to undertake on one aspect of trauma care that would be relevant to being an overseas medic.

Leadership and Situational Awareness Module – 15 credits
This module has been designed to provide high challenge in a supportive and formative team environment. This will be a weekend on Dartmoor and will be a rolling set of overlapping challenges designed to test application of knowledge, lateral thinking and resourcefulness. It will run from Saturday morning to Sunday afternoon including overnight on the moor. Expect the unexpected. Following this, there will be debriefing and then a short written piece. There is no pass or fail on this, however the value will come from personal insights and reflection on these and how to apply your learning to self development.

Year 2 – Post Graduate Diploma in Extreme Medicine – 60 credits
Using the skills you have developed in year one, you will be able to choose elective modules to learn about specific areas of Expedition Medicine in more depth. Prime examples would be High Altitude Medicine, Polar Medicine, Dive Medicine, Tropical Medicine, Medicine in Hot Environments, Leadership and Situational Awareness, Logistics, Disaster Relief, Global Health and Prehospital Trauma Care. Ideally, you would plan some form of practical experience in the fields you choose.

Each module will be assessed on your learning log and a written piece of 5000 words for each module. On successful completion of this module, you will awarded the International Diploma in Extreme Medicine from the University of Exeter and Extreme Medicine.

This is a higher level post graduate qualification and will allow you to demonstrate in depth knowledge in your chosen fields.

Year 3 – MSc in Extreme Medicine – 60 credits
This is the final year and will be 60 credits based on a relevant research project, a significant overseas project or challenge.  You will be given the opportunity to present your project at the annual highly acclaimed Extreme Medicine Conference.

Additional information
The Masters Programme in Extreme Medicine is delivered by Extreme Medicine and The University of Exeter. Participants will be students of Exeter University and will have access to the facilities and resources. The programme is designed for people who work busy jobs and a good proportion of the work can be completed in your own time at home.

There will be tutor support by email and also bi-monthly reviews of progress and learning logs.

What should I do now? Sit tight, we still have some exciting developments to confirm but we are will send you our next installment very soon.

With our thanks, on behalf of Extreme Medicine,

Mark Hannaford FRGS FRSA, Managing Director Expedition & Wilderness Medicine.
Dr Alex Rowe, Medical Director Expedition & Wilderness Medicine.
Dr Malcolm Hilton, Hospital Sub-Dean, University of Exeter Medical School

Copyright © 2016 Expedition & Wilderness Medicine, All rights reserved.
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LANCET ARTICLES ON EXTREME MEDICINE & EXPEDITION MEDICINE

LANCET ARTICLES ON EXTREME MEDICINEProf. Chris Imray on Everest

‘I am delighted that these two papers are now in press. I think they reflect many of the sentiments and thrust of the hugely successful Extreme Medicine Conferences.’   Professor Chris Imray..

We’re delighted that long standing friends and collaborators of EWM, Professor Chris Imray successfully co-authored two relevant and contemporary articles in the Extreme Medicine series, published in the latest issue of “The Lancet.” By sharing their thoughts and experiences, Chris Imray  and his co-authors have produced a primary academic reference for  Extreme Medicine, reinforcing all that we here at Expedition & Wilderness Medicine have advocated for years.  The Lancet articles now give “medicine in the extremes”  the academic credibility and international platform for discussion, this emergent sub-speciality so rightly deserves.

Mark Hannaford, Managing Director.

Extreme Medicine Conference

lancet article on Extreme Medicine lancet 3 lancet article on Extreme Medicine

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The latest news, views and opportunities from EWM Towers

Expedition & Wilderness Medicine

To take advantage of the World Extreme Medicine Expo early bird offer use discount code WEMEEARLYBIRD30 at the checkout.

Response to the Paris attacks

The medical response to multisite terrorist attacks in Paris reviews the coordinated effort from the emergency services and Assistance
Publique-Hôpitaux de Paris (APHP) .
The article offers the perspective of an Emergency Physician, Anaesthesiologist and a Trauma Surgeon, before offering a conclusion.

It’s clear no matter what the plan, it’s the people; doctors, nurses, emergency services, administrators, volunteers and many others, that enable a successful response.
View the FULL ARTICLE on the Lancet’s website.

Jobs and opportunities

The European Space Agency is once again looking for a doctor to join them for a year of research and experiments at the Concordia research station in Antarctica.
Click HERE to see the post on the ESA website.

Luangwa Safari Association Medical Fund need a doctor for 3-6 months to provide care for staff and guest in addition to providing care at Kakumbi Rural Health Centre.
Check out the full details HERE and to read a previous doctor’s blog written during her time in the role click HERE

Course pick

Mountain Medicine 2016 following another extremely successful course in Nepal trekking to Kala Patthar and Everest Base Camp.
The first piece of feedback we received told us “this was the most amazing trip I have been on” and it is comments like these we aim for and pride ourselves on.
Pre-hospital Trauma Workshops will continue throughout 2016. We focus on initial care around head injuries, chest injuries, traumatic cardiac arrest, blast and ballistic injuries. We’ll also touch on crew resource management and effective leadership on scene in the single and multi casualty scenarios.

“We treat athletes like NASA treats astronauts”.

Last month saw the launch of Vollebak, a new brand that aims to tackle the fundamental issues faced by extreme sports people.

Having lived through the highs and lows that come with racing and training in the world’s toughest environments, founders and adventure athletes Steve and Nick Tidball, started working on products and experiments to help athletes relax and survive.
Click HERE to find out more.

Expedition & Wilderness Medicine Courses

World Extreme Medicine Conference & Expo

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Vollebak launch

vbLast month saw the launch of Vollebak, a new brand that aims to tackle the fundamental issues faced by extreme sports people. Having lived through the highs and lows that come with racing and training in the world’s toughest environments, founders and adventure athletes Steve and Nick Tidball, started working on products and experiments to help athletes relax and survive.

 

Their Baker Miller Pink Hoodie is the world’s most relaxing piece of technical clothing. Whether your mind is racing the night before an event, you’re counting down the hours to the race start, or you’re ready to collapse with exhaustion on the plane home, this is the ultimate hoodie to zone out in. Engineered to chill you out, it’s designed to improve performance and speed recovery by activating your parasympathetic nervous system. The second is an ultra tough alpine jacket designed to help save your life, that’s been described as “adventure armour” by Discovery. Both products and accompanying experiments are available on their website www.vollebak.com

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BBC Worldwide reports on Extreme Medicine

Extreme Medicine ConferenceReally pleased we where about to help to the team from BBC Worldwide produce such an amazing piece on the this years Extreme Medicine Conference – next years conference promises to be even more ground-breaking; if your in the ‘know’ there are a limited number super priced early bird tickets available ….

  • By Richard Hollingham, BBC

25 November 2015

The International World Extreme Medicine Conference in London is not for the faint-hearted.

As I sneak into the back of the main lecture hall, record-breaking polar explorer Sir Ranulph Fiennes is in full flow – vividly describing the state of his companion’s frostbitten foot during an Arctic expedition. Fiennes details how a plate of rotten skin peeled away in his friend’s boot exposing the nerve ends. There are pictures. Even some of the hardened medics in the audience have to look away.

Sir Ranulph has travelled to the ends of the Earth to tackle the coldest, highest and most dangerous environments. Several times he has barely lived to tell the tale – suffering starvation, sickness and the loss of fingers to frostbite, some of which he amputated himself.

Read more….

http://www.bbc.com/future/story/20151125-the-challenges-of-carrying-out-surgery-in-space

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20% off entry to Extreme Medicine ’15 as our way of saying ‘thank you for marching’

Junior doctors take the streets in London
With junior doctors taking to the streets in what must be one of the most articulate, well dressed and peaceful demonstrations ever we are glad to be presenting the Extreme Medicine Conference a week later to illustrated that the NHS is not the only option career-wise

World-class speakers, recruiters and inspiring presentations the conference offers real access to a new world of medicine.

Book your place now.  For the next 48 hours, unfortunately not combinable with other offers. in support of our junior doctors are offering 20% off entry to Extreme Medicine ’15 as our way of saying ‘thank you for marching’

WEMEEXPO15SPECIAL20 – use this code at checkout

‘Perhaps the most interesting medical conference I know of’   Senior health correspondent – mainstream media outlet in conversation..
Thank you for marching

A thank you..

For the next 48 hours, unfortunately not combinable with other offers, in support of our junior doctors are offering 20% off entry to Extreme Medicine ’15 as our way of saying ‘thank you for marching’

WEMEEXPO15SPECIAL20 – use this code at checkout

Rob Holden & Ebola

Extreme Medicine is like no medical conference you’ve ever attended.

Extreme Medicine Conference London

BMJ ‘Image of the Week’

Extreme Medicine ’15 image chosen for BMJ ‘image of the week’  We are super proud to see one of the MSF Gallery images for this year’s conference featured this week

We are always grateful of the BMJ’s support for our conference and we are really looking forward to seeing them at this years gathering.

 

There are still limited tickets available – book yours now..

Kunduz & MSF

Kunduz

New Session;  Board member for MSF (UK) Dr Javid Abdelmoneim will be speaking about MSF’s reaction to the bombing of their registered medical facility in Kunduz

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Junior contracts getting you down? See what Katie Owens did with her medical training!

Why expedition medicine is a valuable trek into the unknown

Authors: Katie Ovens

Publication date:  22 Sep 2015  BMJ Careers

Alumni of Expedition Medicine, Wales


As an expedition doctor in Tanzania Katie Ovens gained useful clinical and managerial experience

Throughout my foundation years I knew that I wanted to have a year to broaden my knowledge of medicine and to gain experience in an entirely new setting, outside hospital, before continuing on to specialty training.

At the end of my first year of medical school I volunteered for a charity in Zambia for four weeks promoting health in remote communities, and I also spent one month in Sarawak General Hospital in Borneo for my medical elective. Both of these trips gave me an insight into working abroad and provided the opportunity to combine my passion for travel with my interest in medicine. As a qualified doctor I was keen to work abroad more independently, where my skills would be fully used and I would have exposure to more tropical medicine.

My introduction to expedition medicine was a four day course in Plas-y-Brenin in Wales. The course incorporated lectures, practical sessions, and small group sessions on common medical issues; advice for working on expeditions; and specific skills required for expeditions (such as rope skills and navigation). The inspirational speakers had an extensive knowledge of the field.

Raleigh International

BMJ article about expedition medicine in Tanzania - BMJ Careers

BMJ article about expedition medicine in Tanzania – BMJ Careers

The week after the course I took part in Raleigh International’s gruelling assessment weekend. Raleigh International is a sustainable development charity, giving young people the chance to work in developing countries. During the assessment weekend I had to complete multiple tasks based on expedition scenarios to demonstrate my ability to lead a team while also working as a team member. This was both physically and mentally challenging.

Three days later I accepted the dual role of volunteer manager and medic in Tanzania for 13 weeks. As a volunteer manager I was responsible for supporting a group of young people carrying out sustainable development projects and trekking. I also helped set up the trek projects and ensured the success of sustainable development projects on site.

Before deploying to Tanzania I attended the Raleigh training weekend for volunteer managers. This training mainly focused on sustainable development, how to provide life coaching to young people on an informal basis, and the main aims and conduct of the charity. There was no specific medical training but pre-reading was provided on common medical problems in expedition and tropical medicine. Recognising that I was likely to come across conditions I may never have seen, I also learnt some specific expedition medicine by reading expedition medicine books. The Oxford Handbook of Expedition and Wilderness Medicine is particularly good.[1]

Working as a volunteer manager

After arriving in Tanzania all volunteer managers had a two week induction before the volunteers arrived. During this time we were given final training and helped to set up the projects. Each expedition is split into three 19 day phases and during the induction phase all of the volunteer managers gave their preferences on whether they would like to work on a particular project or whether they would enjoy leading a trek.

I was allocated to work on a project that brought clean water to a remote village. In the second phase I was the field base medic, and, finally, leader of a 20 day trek in the Usambara mountains. Setting up projects included casualty evacuation planning, risk assessments, route planning, meeting project partners, and locating houses suitable for homestay. The evacuation planning was very detailed and included visits to local hospitals, dispensaries, and airstrips to plan for all eventualities. In addition to being able to take patients to these local facilities we also had email and phone advice available from the UK through Raleigh.

I underestimated the volunteer manager role before going to Tanzania, but it turned out to be an incredibly rewarding aspect of my trip. I gave daily feedback to members of my team, helping them to think through important life decisions and plan for the future. I was also responsible for the success of the projects and the safety of the team round the clock. Having responsibility for a team of young people aged 17 to 24 did mean at times that I had the role of mum, from teaching how to chop onions to saying things like “be careful,” “don’t get too near the edge,” or “please don’t hold the machete like that.”

During induction, medics teach first aid and general expedition health to managers and volunteers, as some groups do not have a medic. Education was fundamental throughout the expedition and needed to be tailored to the particular environment. For example, living with families meant that hand hygiene and bleaching utensils was essential to reduce the chances of contracting gastroenteritis.

As field base medic I travelled to groups without a medic and held medical clinics in remote locations, as well as giving telephone advice, which was a new and rewarding challenge. The main medical problems I encountered were diarrhoea and vomiting, fever, dehydration, rashes, skin infections, wound care, scorpion stings, and mental health problems. Expeditions can be stressful so this latter problem was common, ranging from homesickness to severe depression.

Washing a volunteer’s vomit covered clothes and bleaching floors to help reduce a diarrhoea and vomiting outbreak were jobs I hadn’t anticipated. On site you are often the only Raleigh medic available and your nearest medical colleague can be several hours away. However, I was always able to contact the field base medic to discuss patients and get a second opinion (either via mobile, or satellite phone if there was poor reception). Being able to discuss patients with other medics meant that I never felt isolated, and preparing detailed casualty evacuation plans reassured me that I knew how I could get to the nearest health facility if needed.

Foot care

During trekking, foot care and general hygiene advice was essential. In the first few days of the trek we covered feet, hips, and shoulders with a good quality zinc oxide tape to prevent blisters. We also decided to implement daily foot siestas where everyone had to wash, dry, and talc their feet, and as a result we avoided any major foot problems.

I missed out on the usual highlights of a trip to Tanzania such as a safari, climbing Kilimanjaro, or a visit to the island of Zanzibar. However, I had an incredible experience working with inspirational people. I gained valuable experience as a leader and working alongside others in a management team. As I was a similar age to some of the volunteers, one of my main challenges was gaining the authority to lead the team.

I learnt to be flexible in difficult and remote environments, and gained independence as a clinician. After this expedition I studied for the diploma in tropical medicine in Liverpool, which covered tropical medicine, child health, parasitology, and public health. I hope to use what I learnt from the diploma and my experience in Tanzania in future expeditions and as a trainee doctor in the United Kingdom, where I hope to specialise in genitourinary medicine.

What to consider before going on a trip

It is important to consider the type of expedition before applying for jobs. Recognising your experience and limitations is fundamental. I had not worked as a doctor outside a hospital or general practice setting so wanted to work with a charity that was well set up in terms of risk assessment, casualty evacuation plans, and support in the UK from abroad.

I also wanted to work with a charity that supplied the medical kit and had other doctors on the expedition. I preferred jobs where the doctor was also a manager so that I could challenge myself not only medically but also on an individual level.

It is important to factor in buying general kit such as walking boots, a rucksack, and a sleeping bag as some expedition kit is quite expensive. Make sure that you also organise professional medical indemnity—some companies will provide a discount for voluntary work.

Competing interests: I continue to do voluntary (unpaid) work at assessment weekends in the UK with Raleigh International and receive travel expenses to get to these events.

References

  1. Johnson C, Anderson SR, Dallimore J, Winser S, Warrell D, Imray C. Oxford handbook of expedition and wilderness medicine. 2nd ed. Oxford Medical Handbooks, 2015.

Katie Ovens locum senior house officer, Birmingham, UK

katie.ovens@nhs.net

Cite this as BMJ Careers  visit site 
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