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Wilderness Medicine Training Effect on Perceived Confidence Practicing in Deployed Environments.

Capt Mackson Martin1, Maj Jill D London1, Anna T Wiley2

  • 1Family Medicine Residency Program, Offutt AFB, Bellevue, NE 68123, United States.

Military Medicine
|November 29, 2025
PubMed
Summary

Wilderness medicine training significantly boosts military physicians' confidence in providing care in low-resource deployed settings. This training is valuable even for those without prior deployment experience, enhancing readiness.

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Area of Science:

  • Operational Medicine
  • Medical Education
  • Wilderness Medicine

Background:

  • Military physicians lack standardized training for deployed, low-resource settings.
  • Existing courses like Tactical Combat Casualty Care (TCCC) Tier 4 and Prolonged Casualty Care (PCC) Guidelines have limited availability or lack hands-on components.
  • Operational medicine training is often restricted to specific institutions, limiting broad accessibility.

Purpose of the Study:

  • To assess if wilderness medicine training enhances military family medicine physicians' confidence in providing patient care in low-resource deployed environments.
  • To determine the impact of formal or independent wilderness medicine training on self-reported confidence levels.

Main Methods:

  • A cross-sectional study surveyed 305 attendees of the 2023 Uniformed Services Academy of Family Physicians (USAFP) Annual Meeting.
  • The anonymous online survey measured wilderness medicine training history and confidence in deployed care.
  • Statistical analyses included descriptive statistics, Somers' d, and ordinal logistic regression.

Main Results:

  • Physicians with formal wilderness medicine training reported significantly higher confidence in providing care in low-resource deployed settings (38.5% vs. 25.7% "Very" or "Extremely" confident; P=.003).
  • Even among those with no deployment experience, formal wilderness medicine training correlated with increased confidence (18.2% vs. 2.1% "Very" or "Extremely" confident; P=.005).

Conclusions:

  • Wilderness medicine training is linked to a statistically significant increase in self-reported confidence for military family medicine physicians in low-resource deployed settings.
  • Findings suggest a need for further research into the translation of wilderness medicine training to improved patient outcomes in operational medicine.
  • Future studies should explore specific impactful components of wilderness medicine training and its effects on other medical specialties.