Wilderness Medicine CME

Middle Fork & Main Salmon River Rafting CME

June 11 - 17, 2021

7 DAYS / 6 NIGHTS from $2,950

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

  • Beaches and natural hot springs... Enjoy both the Middle Fork and Main Salmon rivers in one trip!

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

This trip has it all! 200 miles in 7 days? Are you kidding me?! It is easy to do, as the river is high and flowing fast. The Middle Fork of the Salmon River is the premier wilderness rafting trip in the United States. Its gin-clear water flows 100 miles through designated “Wild & Scenic” river, across the largest roadless wilderness area in the country, and in a canyon that is deeper than the Grand Canyon! It boasts half a dozen natural hot springs, blue ribbon trout fishing, and more than 100 grade I-III (IV in June) rapids. Often called the “River of No Return,” the Main Stem of the Salmon River is chock full of historic miners’ cabins, homesteads, and Shoshone Sheepeater and Nez Perce pictographs and pit houses. The early river runners called the it the “River of No Return,” because the wooden scows (large, flat-bottomed boats used for transporting freight) used in the early 20th century were scrapped at the end of their journey and used to build many of the cabinets you’ll see in the canyon.

On this epic 200 mile adventure in 7 days (average 28.5 miles a day) we bring Oar Rafts and Paddle rafts only. The river is high and is running between 8-12 miles an hour, so we can make the long miles easily and have lots of time for side hikes and exploring the canyon’s many sites, vistas, waterfalls and hotsprings. The rapids are big and splashy this time of year. The river is cold (45-50F) so we provide wetsuits, waterproof socks and gloves and splash gear tops and bottoms for the daytime. You need to come prepared for cold weather but it is often really nice with air temps in the 70’s and even low 80’s if it’s sunny.

The Middle Fork of the Salmon and the Main Stem of the Salmon is an unspoiled, remote and pristine wilderness much as it was 100 years ago or more. Our mission is to allow river travellers the opportunity to unplug from modern society and reconnect to oneself, family, and friends through nature’s lens. This adventure allows you to have a digital detox from technology and reconnect to a more simple and fulfilling pace of life. There is no Wi- Fi in the wilderness, but we promise you will find a much deeper connection.

Join Middle Fork River Expeditions for a magical wilderness river vacation this summer!

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Itinerary Snapshot

Middle Fork and Main Salmon River Raft Expedition
Wilderness Medicine CME

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Trip Cost: $2,950*
Optional CME Cost: $695 (Approved for 15 AMA PRA Category 1 Credits)

*per person, based on double occupancy.

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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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


  • 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
15 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