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The Diploma in Mountain Medicine (DiMM) is an exciting program designed to train participants in the essentials of caring for patients in the technical mountain environment. The DiMM has set the standard for nearly 20 years in Europe and other parts of the world for the education of doctors, mid-level providers, nurses, and medics in mountain medicine and rescue. The Wilderness Medical Society is partnering with the University of Utah and University of Colorado to introduce this exciting program in the USA. The DiMM is an internationally recognized course certifying that the participant has undergone rigorous training and testing. The medical commissions of the International Mountaineering and Climbing Federation (UIAA) and International Commission for Alpine Rescue (ICAR), together with the International Society for Mountain Medicine (ISMM), established minimal requirements for these courses in 1997.

The Diploma in Mountain Medicine is open to candidates that possess (or will possess in the near future) a nationally recognized professional medical certification appropriate to the level of the DiMM curriculum. These include Medical Doctor (MD), Doctor of Osteopathy (DO), Registered Nurse (RN), Physician Assistant (PA), Advanced Practice Registered Nurse (APRN), Paramedic (EMT-P), Advanced EMT (EMT-A). Other certifications may be eligible and will be evaluated on a case-by-case basis. Medical experience should include previous emergency medicine or pre-hospital care. Historically, successful candidates will also have some exposure to rock climbing, mountaineering, backcountry skiing and/or search and rescue.

The WMS/University of Utah/University of Colorado program meets requirements of and is fully approved by UIAA, ICAR, and ISMM.




The DiMM

  • Is intended as continuing education for doctors, mid-level providers, nurses, and medics who work in or aspire to work in austere environments.
  • The required coursework is an ideal blend of didactic and practical education in wilderness medicine, technical rescue, and self-sufficiency in the backcountry.
  • This skill set crosses a multitude of disciplines including expedition medicine, search and rescue operations, mountain guiding, ski patrol, and mountain recreationalists.

The program is divided into four week-long sessions that should be completed within a two to three-year time period.All sessions have limited space, register early!



February: WMS Winter Conference & Pre-Conference

July: Alpine Skills and Rescue Session

WMS Summer Conference & Pre-Conference

September: Rock Skills and Rescue Session

February 18-24, 2016

July 3-10, 2016
July 10-17, 2016

July 29-August 4, 2016

September 11-18, 2016
September 25-October 2, 2016

  • Two of these week-long sessions will be primarily didactic and offered in conjunction with the WMS Winter and Summer Conferences.
  • Attendance at pre-conference workshops and selected conference lectures will be required.
  • The definitive mountain medicine authorities will serve as faculty at both the Winter Conference occurring each February, and at the Summer Conference each July (or the World Congress in select years).
  • The other two week-long sessions will be aimed at acquisition of practical mountain rescue skills. The experts at Remote Rescue Training will teach these dynamic technical courses.  The Alpine session will take place on the glaciated slopes of Washington’s Mount Rainier and focus on rescue techniques in typical alpine mountaineering terrain.  The Rock session will be located in Utah’s Wasatch Range with a focus on cliff and crag rescue. In both of these phenomenal classrooms, participants will learn technical rescue skills necessary to access and transport patients in rugged mountain terrain.
  • Following attendance in each session, DiMM candidates are required to complete and pass an open-book online exam within 60 days.

Due to the demanding physical nature of the DiMM field sessions, some basic prerequisites are required to ensure a safe learning environment for all participants. Doctors, mid-level providers, nurses, or medics enrolling in this program of study must have experience with backcountry hiking, beginner/intermediate-level rock climbing safety systems, snow travel, and cold weather camping.

The academic nature of the Diploma requires participants to pass both written and skills examinations in order to complete the program. During skill sessions, instructors will perform reasonable remediation for any participant that does not meet the minimum skill standards set by ICAR/UIAA/ISMM and the WMS DiMM. If the participant still has not passed these skills by the end of the session, as determined by the instructors, he/she will be required to re-take that session at their own cost. The participant will be given a maximum of two attempts to successfully complete any certain skill session and three attempts to pass a specific written exam.  If the participant does not pass a certain written exam or skill session after these attempts, the Diploma cannot be awarded.



  • $200 non-refundable deposit.
  • $2,150 per session* (x 4 sessions). Goal is to complete sessions in 2 years.

(Maximum enrollment: Alpine section = 10, Rock section = 14)

* A surcharge may be required to cover costs if full enrollment numbers are not met for skills sessions. Enrolled students will have option to reevaluate.


    • Registration for Winter and Summer WMS Conferences plus applicable workshops
    • Membership in the Wilderness Medical Society for one year
    • One to two day pre or post-conference to cover material not included in regular meeting
    • Alpine Skills and Rescue session - Mt. Rainier National Park, Washington. Includes room and board for four nights at the Paradise Inn and three nights camping at Camp Muir. (Camp food supplied by participants.)
    • Rock Skills and Rescue session - Brighton, Utah. Includes room and board at the Wasatch Mountain Club Lodge.

Excludes travel to course location and personal gear requirements.


To begin your pursuit of the DiMM, enroll as a DiMM candidate by submitting the deposit in the Trading Post. Unless notified otherwise, you should then register as a DiMM candidate (instead of "Doctoral" or "Non-Doctoral", etc.) for the WMS Winter and/or Summer Conference(s).You must complete both of the DiMM didactic sessions based around the Summer or Winter Conference before attending either of the DiMM field sessions.If you have questions about this unique and special opportunity, please contact Loren at (801)913-2613.


Course Directors:
Scott McIntosh, MD; MPH; DiMM
George Rodway, PhD; APRN; DiMM
Christopher Davis, MD; DiMM; DTM&H
Ryan Paterson, MD; DiMM; DTM&H

Core Faculty
Emily Sagalyn, MD; DiMM
Jenn Dow, MD; DiMM

Advisory Board Faculty
Peter Hackett, MD

Technical and Rescue Advisory Board:
Andrew Rich, WEMT-Advanced, AMGA certified guide


Annual WMS Winter and Summer Conferences

Topics covered**:

  • High altitude
  • Hypothermia
  • Cold injuries (frostbite and trench foot)
  • Heat and solar radiation, hyperthermia
  • Nutrition
  • Pre-existing medical conditions in the mountains
  • Medical problems in remote areas
  • Children in the mountains
  • Avalanche & weather
  • Rescue organization
  • Communications during rescue
  • Patient assessment
  • Search and rescue techniques
  • Patient packaging
  • Patient transport
  • Helicopters
  • Field treatment
  • Field trauma treatment
  • Analgesia
  • Mountain navigation


Alpine Skills and Rescue Mount Rainier National Park, WA

Topics covered**:

Expedition food planning
Mountaineering gear review
Climbing knots
Snow travel considerations
Personal safety systems
Crampons and ice axe use
Self-arrest, self-belay, safe glissading practices
Patient transport on snow/rock/ice
Snow anchors
Ice anchors
Raising/lowering systems
Roped team travel
Glacial camp craft
Self/team crevasse rescue
Avalanche awareness/rescue
Glaciology and glacier navigation
Ice climbing
Rescue team organization
Helicopter considerations
Improvised raising/lowering techniques
Terrain management strategies
Short roping/short pitching
Snow shelters
Medical kits
Advanced rescue techniques
Scenarios (ongoing to reinforce practical skills)
Medical treatment discussions
Mount Rainier summit attempt (weather dependent)

Rock Skills and Rescue Wasatch Range, UT

Topics Covered**:

  • Personal safety systems
  • Climbing knots
  • Belaying
  • Movement on rock
  • Rappelling
  • Lowering
  • Ascending
  • Rock Anchors (natural and artificial)
  • Double rope rescue systems
  • Pick-offs
  • Mechanical advantage
  • Low-angle litter lowers and raises
  • High-angle litter lowers and raises
  • Local SAR team cache tour
  • Mountain Weather
  • Navigation
  • Patient transport
  • Improvised rescue techniques
  • Bivouac techniques
  • Rock climbing
  • Risk management in exposed terrain
  • Short roping/short pitching
  • Rescue team organization
  • Helicopter considerations
  • Medical treatment discussions
  • Scenarios (ongoing to reinforce practical skills)
  • Local technical summit attempt (weather dependent)

** Curriculum topics may change slightly depending on overall course organization

Photos courtesy of Remote Rescue Training