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Curriculum Guidelines for Wilderness Medicine Medical Student Electives: 2025 Update.
Walker B Plash1, Daniel F Leiva2, Kevin D Watkins3
1Department of Emergency Medicine, University of South Alabama, Mobile, AL.
Wilderness & Environmental Medicine
|February 21, 2025
Summary
Wilderness medicine education is evolving. This study identifies key entrustable professional activities (EPAs) and observable practice activities (OPAs) for graduate medical students, enhancing curriculum standardization and assessment in this growing field.
Area of Science:
- Medical Education
- Wilderness Medicine
- Graduate Medical Training
Background:
- Wilderness medicine electives are increasingly popular for graduate medical students.
- Existing curriculum guidelines focus on knowledge-based competencies.
- Medical education now emphasizes learner-centric, outcome-based, and entrustable professional activities (EPAs).
Purpose of the Study:
- To establish expert recommendations for wilderness medicine EPAs and observable practice activities (OPAs) for graduate medical students.
- To align these EPAs and OPAs within the framework of entrustable professional practice.
- To improve the assessment of developmental progression and entrustment in wilderness medicine electives.
Main Methods:
- Survey of current graduate-level wilderness medicine elective directors.
- Expert panel to determine fundamental EPAs and OPAs.
- Mapping wilderness medicine EPAs and OPAs to existing competencies.
Main Results:
- Identified expert-recommended EPAs and OPAs for wilderness medicine electives.
- Established a framework for assessing entrustment in graduate wilderness medicine training.
- Provided a basis for standardizing curriculum and assessment.
Conclusions:
- Wilderness medicine EPAs and OPAs offer a holistic approach to assessing graduate medical student readiness.
- This framework supports standardized, competency-based evaluation in wilderness medicine education.
- Further development can enhance the measurement of entrustment and progression in the field.
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