This fellowship is a rigorous year-long educational experience in Emergency Medicine under austere conditions. While developing expertise can take years, this fellowship is uniquely designed to propel the fellow along in the process. We feel this particular skill-set, offered in this fellowship, is applicable to many career paths within wilderness and international EM-- whether the fellow goes on to develop a wilderness education program, becomes a rescue specialist, develops a community health program or helps EM development in the developing world; serve as a representative of a governmental or non-governmental organization; or lead a wilderness expedition in a medical capacity. The fellow will have access to our department’s national experts in Wilderness, Austere, Disaster and International EM, along with their unique and long-standing relationships with other countries and programs that have been cultivated over several decades.
In addition, the fellow will be eligible to earn the prestigious Diploma in Mountain Medicine, endorsed by the UIAA (International Mountaineering and Climbing Federation), IKAR (International Commission for Alpine Rescue), and ISMM (International Society for Mountain Medicine).
Through a combination of field work, study projects, conferences, clinical shifts in the ED and a series of fundamental didactics, the fellow should gain vastly expedited experience in austere emergency medicine.
While there is necessarily built-in flexibility to accommodate the fellow’s career interests, the basic architecture of the fellowship is as follows:
Operational and medical team member, Albuquerque Mountain Rescue
Grand Canyon NP medical direction
Educational training, Yosemite and Joshua Tree NP
Badwater 135 Ultramarathon, Death Valley NP
Bataan Memorial Death March, White Sands, NM
Taos Ski Clinic
Hardrock 100, Silverton, CO
Institute for Altitude Medicine, Telluride
New Mexico Disaster Medical Assistance Team
Educational initiatives-online courses and podcast development
2-4 week training, Air Zermatt, Switzerland
Training with SAR Santiago, Chile
Medical work, Aconcagua NP, Argentina
Nepal Study Tour (November)
Latin America/PACEMD EM and WFR development (Mexico, Panama, Colombia, Peru, Argentina)
Kenya (fall and/or spring) – remote clinic and research experience
SAMU 93, Paris France
Mountain Medicine, University of Bern, Switzerland
Many other opportunities exist in areas such as Central and South America, India, and Cambodia. Fellow may also participate in giving emergency medicine talks at various conferences internationally.
The fellow will be expected to attend in the UNM Emergency Department at approximately 0.5 FTE.These shifts will be interspersed throughout the year to accommodate the fellow’s field work and international conference attendance. The fellow will be at the level of assistant professor.
Throughout the year, the fellow will enjoy a series of didactics delivered by our highly experienced attendings in topics pertaining to their interest while covering the fundamental principles of international EM, and EM in remote and austere environments. The fellow is encouraged to enhance his or her language skill commensurate with where fellow would later focus his or her future career goals.
Search and Rescue Medicine
Animal and Plant Hazards
Travel and Tropical Medicine
Wilderness Trauma and Resuscitation
Disaster and Tactical Medicine
International Medicine Development
Our faculty have a combined 60 years experience in wilderness, austere, disaster and international EM and several are nationally recognized leaders in the field.
Darryl Macias, MD, DiMM, Fellowship Director
Jenna White MD, DiMM, Assistant Fellowship Director
Jason Williams EMT-P, DiMM, Director for Austere and Mountain Medicine
Trevor Mayschak, EMT-P, DiMM
Eric Gregory, EMT-I, Survival Unlimited
Megan Dell, MD
Phil Seidenberg, MD
Joe Alcock MD
UNM EMS Medical Consortium
We welcome the serious applicant interested in collaborating with our enthusiastic group. Candidates must have completed an ACGME accredited emergency medicine residency. Your complete application will include:
Please email these items to:
Darryl Macias MD, Director: UNM Wilderness and Austere Medicine Fellowship
MSC11 6025 1 University of New Mexico
Albuquerque NM 87131