WILDERNESS MEDICINE

An elective for residents and medical students in Columbia, SC

introduction

Over the past several decades, the number of people participating in outdoor and adventure activities has grown exponentially. Interest in hiking, camping, canoeing, scuba and other activities has steadily increased and US National Parks are enjoying record attendance every year. It is logical that wilderness related emergencies parallel the increased interaction with the outdoors. The goal of this course is to provide physicians, medical students, and other health care professionals with the practical and theoretical knowledge necessary to deal with a wide range of wilderness, travel, and environmental emergencies.

COURSE STRUCTURE

The course involves several components including classroom instruction, outdoor laboratory sessions and several more involved excursions including a final wilderness practicum and backpacking trip. Courses are taught by attending physicians on the campus of Prisma Health Richland in Columbia, SC. The classroom curriculum has been designed to provide an in-depth exposure to the theory of Wilderness and Travel Medicine. The outdoor laboratory sessions provide an opportunity for participants to apply this theory in a practical setting. The excursions immerse participants in the outdoors where education and practice meet. The course culminates with the wilderness practicum in the Blue Ridge Mountains of NC. By the end of the course the participants will have an understanding of the epidemiology, physiology and clinical practice of Wilderness, Environmental, and Travel Medicine.

excursions

Wilderness practicum in Pisgah National Forest 

Practice the fundamentals of search and rescue, survival, and wilderness emergency care while enjoying plenty of time for hiking, fishing, biking, and relaxation. 

Optional three-day (two-night) backpacking trip from Hot Springs, NC to Max Patch on the Appalachian Trail.

One-day experience at the U.S. National Whitewater Center

Experience a wide range of outdoor activities including climbing, rafting, low and high ropes courses, paddle boarding, and much more.

Live venomous animal seminar at Riverbanks Zoo & Botanical Gardens

Learn about local and exotic snakes from the experts.

outdoor labs

  • Land Navigation, Harbison State Forest - practice orienteering skills for search and rescue
  • Shelter building, Sesquicentennial State Park - develop the skills to stay alive while staying put
  • Wilderness Scenarios, Earlwood Park - you and your team evaluate, treat, and extricate victims

Featured Lectures

  • Heat & Cold Illness
  • Effects of Altitude
  • Infectious Disease related to Travel & Wildernss Environments
  • Marine and Land Evenomations
  • Arctic Scenarios
  • Hunting & Fishing Injuries
  • Lightning & Burns
  • White Water Rescue
  • Poisonous Plants
  • Helipcopter Operations

FACULTY

 

Stanley Hassinger, MD

WM Co-Director

Residency: Palmetto Health, Class of 2014

Medical School: University of North Carolina School of Medicine, Class of 2011

Dr. Hassinger received his bachelor degree from North Carolina State University. He graduated from the University of North Carolina School of Medicine at Chapel Hill in 2011 and matriculated into the emergency medicine residency at Palmetto Health. He graduated from our program in 2014.  During his senior year of training he was a chief resident. He joined Carolina Care after graduation.

Marc Kushinka, MD, FAWM

WM Co-Director

Residency: Prisma Health, Class of 2019


Medical School: Medical College of Georgie, Class of 2016

Dr. Kushinka graduated from the Medical College of Georgia in 2016 and completed his residency in emergency medicine at Prisma Health Richland in 2019. Marc began work on his FAWM during residency and completed the fellowship in 2020. He lives and works in Columbia, practicing emergency medicine in the Prisma system. He is an avid runner and enjoys hiking and backpacking. Dr. Kushinka joined the leadership of the WM course in 2022 as Co-Director.

Christian Simpson, MD, FAWM

WM faculty

Residency: Prisma Health Columbia, Class of 2017

Medical School: University of North Carolina School of Medicine, Class of 2014

Dr. Simpson received his bachelor degree from North Carolina State University. He graduated from UNC Chapel Hill School of Medicine in 2014 and matriculated into the emergency medicine residency at Prisma Health in Columbia. He graduated from our program in 2017.  During his senior year of training he was the Wilderness Subspecialty Track resident and earned his Fellowship in the Academy of Wilderness Medicine (FAWM). He lives and works in Raleigh, NC.

Allison Harvey, MD

WM faculty

Year of appointment: 1999
EM Residency: Prisma Health Columbia, Class of 1998
Medical School: University of Florida, Class of 1995

 

Dr. Harvey is a native Floridian who received both her bachelor and medical degrees from the University of Florida.  She matriculated into the emergency medicine residency at Prisma Health and graduated from our program in 1997.  During her senior year of training she was chief resident, and she joined our staff as faculty after graduation.

She has been involved with the Wilderness Medicine Rotation since it's foundation in the late 1990's.  She was the rotation director from 2006 until 2012.

Zach Kiker, MD

WM faculty

Residency: Palmetto Health, Class of 2011
Medical School: East Carolina University, Class of 2008

Dr. Kiker is a native North Carolinian who received both his bachelor and medical degrees from East Carolina University. He matriculated into the emergency medicine residency at Palmetto Health and graduated from our program in 2010.  During his senior year of training he was chief resident, and he joined our staff as faculty after graduation. Dr. Kiker was Director of the WM course in 2013 and Co-Director from 2014-2021. He is the Physician Executive at Prisma Health Baptist Parkridge Hospital, the medical director of the Parkridge ED, and an avid outdoorsman.

Ron Fuerst, MD

WM faculty emeritus

Year of appointment: 1995
EM Residency: MCP, Class of 1990
Medical School: Tulane University, Class of 1987
Pediatric EM Fellowship: University of Florida, 1991

Dr. Fuerst was born in Sumter, South Carolina.  He received his undergraduate degree from the University of Tampa and attended medical school at Tulane Medical School.

He trained in emergency medicine at the Medical College of Pennsylvania in Philadelphia and then completed a fellowship in pediatric emergency medicine at the University of Florida in Gainesville.

Dr. Fuerst founded and directed the Wilderness Medicine rotation for its first decade of its existence.

 

additional information

Due to the unique nature of this elective, students need to be in good physical condition. Participants will need to supply their own medium weight hiking boots, weatherproof tent, sleeping bag, food, and backpack appropriate for a multi-day hiking trip if going on the optional backpacking trip. Please note there is an additional charge of $300 for the course.

REGISTRATION

We accept medical students and residents on this rotation.  If you are interested in participating, please contact Sherry Allen at 830-434-3790 or e-mail at sherry.allen@prismahealth.org.

NEXT ROTATION

The course is held once annually. Next rotation: September 26 - October 23, 2022 (Block 4 for Richland residents)