Wilderness Medicine CME

Middle Fork Of The Salmon River Raft Expedition

September 1 - 6, 2024
September 1 - 6, 2025

6 DAYS / 5 NIGHTS from $3,700

Our staff at 1-800-246-7238 is ready to help

Trip Highlights

  • Pristine alpine scenery, deep gorges, waterfalls, and solitude in the largest wilderness area in the US

  • Rich history featuring indigenous pictographs and relics from early explorers

  • Incredibly clear water and world-class trout fishing & instruction (equipment provided)

  • Beaches and natural hot springs... the Middle Fork is famous for both!

  • Over 100 exciting rapids (up to class III+). Experience them from a raft or inflatable kayak - the choice is yours!

  • Spectacular flight from Stanley to the put-in (as required)

Imagine crystal clear water flowing through a canyon deeper than the Grand Canyon. Picture natural hot springs, fishing for blue ribbon trout, and more than 100 class I to III+ rapids in the largest wilderness area in the US.

The Middle Fork of the Salmon is a spectacular, remote, and pristine wilderness much as it was 100 years ago. Named by National Geographic as one of the top three river trips in the world, the Middle Fork provides the vacation of a lifetime and the perfect backdrop for a CME medical conference.

We allow plenty of time for relaxing, hiking, and soaking in hot springs. Fishing is world-class - it's common to catch over 100 fish during your six days.

The river is also at a "user-friendly" level in the fall giving participants a chance to experience optional inflatable kayaking.

Salmon whitewater rafting travel CME Idaho

Itinerary Snapshot

Middle Fork Of The Salmon River Raft Expedition
Wilderness Medicine CME

Dates & Pricing

Prices are based on double occupancy.

Trips include: Ground transportation to and from Stanley, all meals from lunch on day 1 to lunch on day 6, all camping equipment, all rafting equipment, watercrafts (oar boats, paddle raft, inflatable kayaks, inflatable SUPs), all commissary equipment for meals and camp, 3 dry bags, and MFRE mug to use and take home after trip.

Trips do not include: Flights to and from Stanley, flight into Indian Creek, motel in Stanley for nights before and after trip, travel insurance, optional tipping of guides, and additional alcoholic beverages.

September 1 - 6, 2024

$3,700 per person

$789 Optional CME Cost
(16 AMA PRA Category 1 Credits™)

$155 Scenic Flight to Indian Creek

Available - Filling Quickly

September 1 - 6, 2025

$3,850 per person

$789 Optional CME Cost
(16 AMA PRA Category 1 Credits™)

$155 Scenic Flight to Indian Creek

Available - Filling Quickly

Questions? Ready to reserve your spot?
Speak to an expert at Bio Bio Expeditions - the award winning outfitter of this trip


A few of the publications Bio Bio Expeditions has been featured in:

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Whitewater rafting CME wilderness medcine CE

Testimonials From Your Colleagues

"Awesome faculty, very knowledgable, and they communicate well. Friendly and very competent guides. Food was too good! Beautiful location! Activities were a good balance of challenge for our group."

Bill Schroa, MD - Family Practice, Durango, Colo.

"Everyone on the faculty was fabulous. I love them all. Excellent guide staff. Location is beautiful, remote, relaxing, and conducive to joyful learning. This course has enhanced who I am."

Susan Ralston, ARNP, Phoenix, AZ

"Phenomenal guide staff! Top notch! Everyone was eager to make your experience a positive one. Faculty is knowledgable and easy to approach. You Cant beat the itinerary!"

Randi Wagner, MD Family Practice

Faculty for the Middle Fork Of The Salmon River Raft Expedition

Wilderness Medicine CME

September 1 - 6, 2024

David M Fiore

David M. Fiore, MD

University of Nevada Reno, School of Medicine faculty since 1992. Lead faculty for the wilderness medicine program, including student resident wilderness medicine tracks and a wilderness medicine fellowship. Especially active in the worlds of whitewater and backcountry skiing, Board of Directors for the Sierra Avalanche Center since 2010. Multiple national and international publications and professional presentations on wilderness medicine. Physician and physician educator in Saipan, Myanmar and Bhutan.


  • Altitude Illness
  • Hypothermia
  • Frostbite and Other Cold Injuries
  • Environmental Heat Illness
  • Traveler's Diarrhea, Giardia & Other Waterborne Wilderness Infections
  • Surviving the Unexpected Night Out
  • Lightning Injuries
  • Improvised Medical and Trauma Care
  • Management of Fractures and Dislocations
  • Preparing for Foreign Travel
  • Backcountry Medical Kits
  • Wilderness Wound Management
  • Patient Assessment in Wilderness Settings
  • Wilderness Dermatology
  • Marine Hazards & Envenomations
  • Snake Envenomation


"This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Wilderness and Travel Medicine. The Center for Emergency Medical Education is accredited by the ACCME to provide continuing medical education for physicians."

The Center for Emergency Medical Education designates this live activity for a maximum of
16 AMA PRA Category 1 CreditsTM.

Physicians should claim only the credit commensurate with the extent of their participation in the activity.

This trip is planned, outfitted and conducted by Bio Bio Expeditions, or subcontractors arranged by Bio Bio Expeditions. Please note that Wilderness and Travel Medicine, LLC is responsible for the CME Educational content only. Wilderness and Travel Medicine reserves the right to change or substitute the faculty for any CME course without advance or prior notice to participants.

For more information or to register for this trip please call

Bio Bio Expeditions at 1-800-246-7238