Wilderness Medicine

Middle Fork Of The Salmon River Raft Expedition
Wilderness And Travel Medicine Conference

September 9 - 14, 2018
Approved for 16.5 AMA PRA
Category 1 Credits

The Middle Fork of the Salmon River is the premier wilderness rafting trip in the US. It's crystal clear water flows through the largest roadless wilderness area in the US and in a canyon that is deeper than the Grand Canyon. It has half a dozen natural hot springs throughout the canyon, blue ribbon trout fishing, and more than 100+ rapids grade I-III+. The Middle Fork of the Salmon is an unspoiled, remote and pristine wilderness much as it was 100 years ago or more. Named by National Geographic as one of the top 3 river trips in the world, the Middle Fork will provide you with a vacation of a lifetime as well as the perfect back drop for CME medical conference. We allows plenty of time for fishing and hiking and for soaking in hotsrpings. Fishing in the Fall is world class and its common to catch more than 100 fish during your 6 days. The river in the fall is at a more user friendly level , which gives everyone time to experience optional inflatable kayaking.

Trip cost: Starting at $2,400* (plus scenic flight into Indian Creek. $130.00)
Additional CME cost: $695
(Approved for 16.5 AMA PRA Category 1 Credits)
**per person, based on double occupancy

(Overnight in Stanley is not included)

Sept 9-11
We meet this morning at 8am at the Middle Fork River Expeditions warehouse and depart by 5 and 9 seater airplanes 23 minutes to Indian Creek Air Strip. and the lower put-in point makes it a 75-mile river trip. Guests always say the flight into the river is one of the highlights of the trip. This flight also allows more time for hiking and exploring the canyon, as we will be doing 12 miles a day versus 17 miles a day on average. This slower pace also allows for more fishing and time for CME lectures.

Upon launching our rafts at Indian Creek, 4700 feet above sea level, you'll enter Pungo Canyon which has some fun whitewater before soaking in the Sun Flower Hot Springs, which is a natural shower! After hiking up to Loon Creek Hot Springs, we run Grouse Creek and Tappan Falls rapids. Stops at pioneer homesteads provide the perfect balance to the on-river excitement. Evenings find us eating gourmet river meals relaxing by the campfire, playing horseshoes and listening to the river and watching for shooting stars!

The Middle Fork is a catch and release Blue Ribbon Cutthroat Trout fishery with anglers catching as much as 100+ fish/day. Because we are high up in the drainage, fish usually max out at around 16 inches. MFRE provides instruction with 2 company fly rods and numerous flies for those who would like to learn the art of fly-fishing. September is the ideal time for fishing on the Middle Fork.

Sept 12 -13
As we drop in elevation, the river widens and the spruce forest opens to vistas of pine-studded mountains and we enter Impassible Canyon, where no trails can be cut as the sheer walls go up over 3,000 feet. This section of river is deeper than Grand Canyon. We will navigate fun whitewater such as Haystack, Bernard, Earthquake Rock, Jack Creek, Cutthroat Cove, Redside and Weber rapids. Between rapids, you'll drift quietly over deep pools of transparent water, home to native cutthroat and rainbow trout. Short hikes underneath Waterfall Creek and up to Veil Falls are highlights for many of our guests.

There are many longer optional hiking opportunities throughout the river corridor and all have stunning vistas of the canyon. Some hikes are out and back and others are loop hikes. There is also always optional hiking from camp as the Middle Fork Trail runs along 80 miles of the Middle Fork. There are hundreds of hiking options so too many to list. If you are into a more active hiking trip just let the Trip Leader know and we'll make it happen for you.

Sept 14
The last day has some of the best and biggest rapids of the trip, including Rubber and Cramer Creek Rapids, which is a great whitewater crescendo finale for the week. We arrive at the take-out point at Cache Bar around 10am and drive by bus 1 hour for a picnic lunch at the North Fork Country Store. After lunch, we drive 3 hours to Stanley, arriving between 4-6pm. You can leave your car parked at the MFRE warehouse in Stanley during the trip. After a hot shower at your hotel, enjoy Stanley for a nice dinner on your own at the Sawtooth Hotel or the Casino Club or drive 10 minutes to Red Fish Lake Lodge. The next morning drive home or to Boise for flights after 12:30pm.
(Overnight in Stanley is not included)

For detailed itinerary or to register for the Idaho Conference please call
Bio Bio Expeditions at 1(800)246-7238


  • Altitude Illness
  • Hypothermia
  • Frostbite and Other Cold Injuries
  • Environmental Heat Illness
  • Snake Envenomation
  • 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
  • Wild Animal Attacks
  • Patient Assessment in Wilderness Settings
  • Wilderness Dermatology
  • Marine Hazards & Envenomations


"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
16.50 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.