9-Day Extended Format


The authoritative austere medicine course for remote professionals and leaders who operate in low-resource, remote and other austere environments where definitive care may be severely delayed or inaccessible.

This course has no prerequisites, however requires significant prework for those with no prior medical training. Upon successful completion, participants receive certification, valid for three (3) years.

This course exceeds the recommended curriculum of the Wilderness Medical Education Collaborative and successful graduates will be awarded both a WFR and AFR certification.

Course Outline

Day 1: BLS Practical Assessment, Critical Systems Review

Day 2: Depart for Camp, IM Lab, Anaphylaxi, Asthma, Intake Medicated Concerns, Simulation

Day 3: Simulations, Wound Lab

Day 4: Simulations, Break Camp

Day 5: OSCEs, Exam


Upon successful completion of the course, participants receive  internationally recognised certifications from Austere & Emergency Medicine International: Wilderness First Response (WFR) and Austere First Response (AFR), valid for three years. Re-certification can be achieved by attending a refresher course, or by completing a portfolio of ongoing learning and taking the re-certification exam.

A picture of a badge with the Rod of Asclepius in the center. There is text to the left that says "Austere & Emergency Medicine International"

Prerequisites & Recertification

Eligible graduates from other wilderness medical schools may recertify their WFR with this course.

Candidates wishing to recertify must have a current AFR or WFR certification (unexpired or within the grace period of the issuing school) earned in one of the following course types:

  1. An AFR or WFR course with a minimum of 72 hours of in-person instruction,
  2. An AFR or WFR minimum 72-hour Hybrid course with a minimum of 45 hours of in-person instruction, or
  3. An AFR or WFR Recertification course with a minimum of 16 hours of in-person instruction.

To recertify, you must attend all 5 full days of the course.

Location & Logistics

The course starts promptly at 0830 each morning and will end around 1800 hrs on the final day.

Accomodation & Catering

Course fees include tuition and materials only. Airport pickup is available at an additional cost. Lunch will be available on-site.

Nearby hotels that previous students have used include the M-Design hotel and Hilton Garden.

Course fees exclude flights, accomodation, airport transfer, breakfast and dinner on course days, all meals on non-course days.

What to bring
Participants should bring a notepad and pen, and internet connected device. Participants also require personal camping equipment for use on days 2-4 when we go outdoors for simulations. Tents and cooking equipment will be provided.

Those attending should bring sturdy, closed toe shoes, a raincoat and clothes that are ok to get wet/dirty/ripped/stained.

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Partial scholarships and bursaries are available on this course. For more information:

Please select your preferred option: