10/06/2025
One of the most meaningful parts of attending the AAFP FMX meeting each year for me is participating in the member interest groups. These smaller gatherings bring together family physicians from many different backgrounds. Despite our differences in geography, philosophy, and personal experience, our shared identity as family physicians unites us.
This year, I joined the Wilderness Medicine Member Interest Group, and the discussion immediately felt grounding. Everyone in the room recognized that wilderness medicine is not simply about resource scarcity—it exists because of the development of awareness. In wilderness settings, there are no laboratories, imaging centers, or computer algorithms to guide the next step. What remains are the clinician’s core skills: observation, judgment, and composure.
These abilities—careful listening, noticing subtle changes in color, movement, and breathing—are as old as medicine itself. Yet they remain the foundation of authentic clinical decision-making.
Today’s medical students train in a system increasingly shaped by digital tools, electronic records, and AI-based support systems. These are powerful instruments, but they risk eroding the artistry that defines our profession. When students can order tests faster than they can form hypotheses, we risk producing skilled technicians rather than thoughtful clinicians.
Wilderness medicine reminds us that clinical reasoning begins with observation, interpretation, and action. It teaches humility, reminding us that we cannot control nature or the human body—but we can engage with both mindfully.
My goal is not to resist technology but to restore balance between it and the human connection at the heart of medicine. The wilderness teaches humility, and with humility comes humanity—something our increasingly techno-centric world still needs.
American Academy of Family Physicians
Pacific Northwest University of Health Sciences
“Wilderness medicine should not defined as much by the absence of resources, but by the cultivation of awareness.”