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Physician well-being is a complex and multifactorial issue. A large number of tools have been developed in an attempt to measure the nature, severity, and impact of both burnout and well-being in a range of clinical populations. This two-article series provides a review of relevant tools and offers guidance to clinical mentors and researchers in choosing the appropriate instrument to suit their needs, whether assessing mentees or testing interventions in the research setting. Part One begins with a discussion of burnout and focuses on assessment tools to measure burnout and other negative states. Part Two of the series examines the assessment of well-being, coping skills, and other positive states.

Wilderness medicine is the practice of resource-limited medicine under austere conditions. In 2003, the first wilderness medicine fellowship was established, and as of March 2013, a total of 12 wilderness medicine fellowships exist. In 2009 the American College of Emergency Physicians Wilderness Medicine Section created a Fellowship Subcommittee and Taskforce to bring together fellowship directors, associate directors, and other interested stakeholders to research and develop a standardized curriculum and core content for emergency medicine (EM)-based wilderness medicine fellowships. This paper describes the process and results of what became a 4-year project to articulate a standardized curriculum for wilderness medicine fellowships. The final product specifies the minimum core content that should be covered during a 1-year wilderness medicine fellowship. It also describes the structure, length, site, and program requirements for a wilderness medicine fellowship. ACADEMIC EMERGENCY MEDICINE 2014; 21:204-207 © 2014 by the Society for Academic Emergency MedicineW ilderness medicine is the practice of resource-limited medicine under austere conditions. These conditions are commonly found in remote wilderness areas, in the developing world, and in urban areas following natural disasters. It is a body of knowledge and applied skills used by clinicians that is related to the physiology and pathophysiology of humans who encounter environments with limited resources.1 The field is focused on the prevention of injuries as well as the evaluation, initial treatment, and evacuation of acutely injured or ill patients. Wilderness medicine also encompasses the unique knowledge of circumstances and medical events encountered in wilderness settings.Wilderness medicine shares many of the qualities and characteristics inherent to emergency medicine (EM).

NT can safely be performed by paramedics in an EMS system that includes urban, rural, and wilderness settings. Its efficacy does not differ between patients suffering from blunt versus penetrating trauma; however, it appears most beneficial for patients who are unstable but still have vital signs.