Pre-course format:
Online Reading and Online Pre-test: 6 hours
• Each topic will also have key principles provided in outline format prior to taking the course, such as epidemiology, pathophysiology, symptoms, and treatment in addition to focusing on the course themes of preparation, application and improvisation.
• Each course topic will have a file of paramount articles in the medical literature addressing the key issues regarding that topic. Course participants will access and read pertinent articles, outlines and notes online via the course website. There will be a 30 question online pre-test to be completed by participants, prior to arriving in Chile.
Daily format:
Each daily itinerary will likely require 12-14 hours of daylight. Ideally, the course should take place in February for optimal daylight till 9:30, water-levels of the Futaleufu and weather.
Daily Activity:
• Will be structure around topics discussed in lecture that morning or evening as well as the daily simulation.
Lectures: 19 total hours
• Will likely use power generator at Campo on the Futa for any PowerPoint presentations.
• Will take place either in morning or evening and will last approximately 30-40 minutes.
Daily Simulation: 7 total hours
• Will employ guides to act out a given injury or illness during the daily activity.
• Adaptation & improvisation by the participants will be encouraged. Physicians will be asked to think outside the box & adapt their medical skills in unique outdoor scenarios.
• Components of simulation will include initial presentation with minimal verbal interaction with instructors. Physicians in course will be expected to address each simulation as a team. After plan has been executed by the team, the instructors will provide feedback and key learning points from the simulation.
• Each simulation should last approximately 1 hour.
Post-course CME completion:
Again, this portion of the course will be online, allowing the course participants to complete their CME fulfillment upon return to their homes.
Multiple choice test: 1 hour
• 60 question online post-test for CME credit.
Experience essay: 1 hour
• Participants will be asked to write a reflection on their experience in addition to providing formal feedback on the course and the lecturers.
Estimated Total CME credits: 34 hours
Post-Course CME Test: Example Questions
1. Above what altitude is illness most commonly a problem?
A. 1,500 meters (5,000 feet)
B. 2,500 meters (8,200 feet)
C. 3,500 meters (11,500 feet)
D. 4,500 meters (14,700 feet)
2. How much, on average, does the temperature decrease for every 1000 meters of altitude?
A. 2-3 degrees Celsius
B. 6-7 degrees Celsius
C. 8-10 degrees Celsius
3. What is the most important way to prevent altitude sickness?
A. Hydration
B. Sleep at least 8-10 hours per night.
C. Ascend slowly
D. Use preventive medications (stimulants)
E. None of the above
4. What is the mortality of being struck by lightning?
A. 5%
B. 20%
C. 60%
D. 80%
E. 95%
5. Below approximately what core temperature does the human body lose the ability to regulate?
A. 92o F
B. 90o F
C. 88o F
D. 86o F
E. 82o F
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