Teaching wilderness and outdoor medicine in a city.
BACKGROUND
Teaching medical students wilderness medicine helps students learn how to apply skills such as leadership, teamwork and managing medical emergencies. The literature contains papers that describe methods for delivering this type of teaching, but they use specialised centres and a significant number of tutors. This paper describes a course delivered within the university and a nearby outdoor centre.


METHODS
A course that covered outdoor emergency skills, and expedition and leadership skills, was delivered to third-year medical students. The usefulness of the course was assessed using student and tutor evaluations and the end-of-course assessment results. Practical scenarios were used to stimulate learning and the course finished with a camping trip, during which the students had to manage injuries in the field.


RESULTS
The course was successfully delivered using only two tutors. The results of the evaluations indicated that the students had gained a good knowledge of the areas covered; they enjoyed the course and were able to apply first-aid skills to the outdoor situation. The students especially liked the approach of using practical scenarios to help them apply the principles that they had learned in the course.


CONCLUSIONS
The course was successful because of the use of scenarios that encouraged the students to actively manage casualties and work as a team. We were able to deliver the course at a reasonable cost by using the facilities of a local outdoor camping centre.
Undergraduate Tayside Centre for General Practice, University of Dundee, UKDepartment of Medicine, University of Dundee, UK.
Penny
P
Lockwood
Paul
P
Middleton
D003479:Curriculum; D004501:Education, Medical / Q000379:methods*; D004630:Emergencies; D006801:Humans; D015397:Program Evaluation; D013663:Teaching / Q000379:methods; D055814:Wilderness; D014947:Wounds and Injuries / Q000628:therapy