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Medicine Grand Rounds - TheĀ Art and Practice of Wilderness Medicine: Building Towards a Collaborative Future in Medicine

Dr. Harris emphasizes the importance of weaving science with humanity, and bringing the advances of academic medicine to underserved areas. He describes how MGH is providing remote medical support for global climate scientists, as well as on-site advocacy for a remote area in Alaska that is suffering from the effects of climate change as well as from being extremely isolated. He believes that the collaborative strength in wilderness medicine can lead the way to preempt in-hospital care by providing good care in underserved places. He describes his research in hypoxia and high altitude sickness, and its effects on the cellular level and in mitochondrial disease. He advocates for environmental justice and the continued support of wilderness medicine to expand access to care in remote and resource limited areas. Dr. Harris seeks to expand the reach of medical expertise to under-served areas around the globe. His area of research expertise examines the acute physiologic effects of low oxygen states, using high altitude (hypobaric hypoxia) as a model. In addition, the MGH Division of Wilderness Medicine is dedicated to examining the impact of climate change/environmental degradation on individual and public health, advocating for rational public policy to mitigate these risks.

Activity Details

Start Date: November 16, 2018
End Date: November 16, 2020
Link: View Presentation
  • N. Stuart Harris, MD, MFA, FRCP Edin.
    Associate Professor of Emergency Medicine
    Harvard Medical School
    Attending Physician, Emergency Medicine
    Chief, Division of Wilderness Medicine 
    Massachusetts General Hospital

    Dr. Harris is both faculty and course director for National Outdoor Leadership School (NOLS) Wilderness Medicine and is a former NOLS instructor in the Lower 48 and Alaska. He has served as medical staff with a National Park Service climbing ranger patrol on Denali, led the MGH response immediately following the 2011 Japan Tsunami disaster, and pursued research with the Himalayan Rescue Association in the Khumbu Valley of Nepal (Mt. Everest region) over the last 20 years.

There is no fee for this activity, but to receive credit you must register online and complete the online Attestation and Evaluation form (you must register to access this form).

Learning Outcome

At the conclusion of this activity, participants will be able to define and describe the academic practice of Wilderness Medicine, identify the moral calling of the provision of expert medical care into under-served areas, and discuss areas of collaboration between Wilderness Medicine, Emergency Medicine, and Internal Medicine.


Dartmouth-Hitchcock is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians.

Dartmouth-Hitchcock designates this enduring material for a maximum of 1 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Requirements for Successful Completion

In order to receive credit for this Continuing Medical Education (CME) activity, you must:

  • View the entire presentation
  • Complete the online Attestation of Attendance & Evaluation Form (you must register to access).
Speaker Disclosure

In accordance with the disclosure policy of Dartmouth-Hitchcock/Geisel School of Medicine at Dartmouth as well as standards set forth by the Accreditation Council on Continuing Medical Education and the Nursing Continuing Education Council standards set forth by the American Nurses Credentialing Center Commission on Accreditation, continuing medical education and nursing education activity director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content have been asked to disclose any financial relationship* they have to a commercial interest (any entity producing, marketing, re-selling, or distributing health care goods or services consumed by, or used on patients). Such disclosure is not intended to suggest or condone bias in any presentation, but is elicited to provide participants with information that might be of potential importance to their evaluation of a given activity.

The following Activity Physician Director(s), planning committee member(s), speaker(s), author(s) or anyone in a position to control the content for The Art and Practice of Wilderness Medicine: Building Towards a Collaborative Future in Medicine (Medicine Grand Rounds) have reported the following financial interest or relationship* with various companies/organizations. The Activity Director and Planning Committee member roles were resolved by altering the individual’s control over content about the products or services of the commercial interest by the Associate Dean for CME and the Department of Medicine Chair. The speaker reported no conflicts of interest. All potential conflict(s) were resolved. 

* Kelly Kieffer, MD ~ her spouse is a consultant for OcculoBio. 

* Richard I. Rothstein, MD ~ has research support from Baranova (research grant to Dartmouth-Hitchcock Medical Center) and has other financial interest from Takeda. 

Other planning committee member(s), speaker(s), activity director(s), author(s) or anyone in a position to control the content for this program report no financial interest or relationship* with any company(ies) or organizations whose product may be germane to the content of their presentations.

*A “financial interest or relationship" refers to an equity position, receipt of royalties, consultantship, funding by a research grant, receiving honoraria for educational services elsewhere, or to any other relationship to a company that provides sufficient reason for disclosure, in keeping with the spirit of the stated policy.

Provider Contact Information

Provider contact information for questions regarding accreditation of the activity:

Center for Learning and Professional Development
Dartmouth-Hitchcock Medical Center

Type:     Internet Activity (Enduring Material)
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