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Diploma in Mountain Medicine
(DiMM)

Welcome to the Northeast DiMM

The Diploma in Mountain Medicine (DiMM) sets a global benchmark for mountain medicine training, catering to physicians, APP’s, nurses, and paramedics. Encompassing over 200 hours of didactic and hands-on instruction in mountain rescue, the course delves deep into wilderness pathologies and sharpens skills through simulated patient care scenarios in extreme terrains. Graduates emerge equipped to adapt medical practices to mountain settings and assume leadership roles within rescue teams worldwide.

Internationally recognized, the DiMM certification denotes rigorous training and testing, adhering to accreditation standards established by the medical commissions of the International Mountaineering and Climbing Federation (UIAA), the International Commission for Alpine Rescue (ICAR), and the International Society for Mountain Medicine (ISMM) since 1997.

This ground-breaking program is the first of its kind in the eastern United States and is a collaboration bringing together instructors and resources from the Dartmouth Hitchcock Medical Center Wilderness and Austere Medicine Fellowship program and the Acadia Mountain Guides Climbing School in Bar Harbor, Maine. For nearly twenty years, the DiMM has set the standard in mountain medicine and rescue for advanced providers. 

About the Diploma in Mountain Medicine

The Northeast DiMM program exceeds the requirements of the  standard Foundational DiMM course and includes additional modules in Expedition / Wilderness and Rescue Specialties and Terrestrial Mountain Rescue. 

The Northeast DiMM program consists of four field courses and 36 hours of online wilderness medical and rescue education:

  • DiMM Summer Mountain Skills and Rescue Course (8 days) taught in beautiful Acadia National Park. Limit 12.
  • Level 1 Avalanche Course (3 days) or greater offered throughout the winter months. Does not require acceptance into the DiMM program. Limit 12.
  • WMAI Wilderness Advanced Life Support Course (4 days) offered at least twice a year in Maine or New Hampshire. Does not require acceptance into the DiMM program. Limit 21.
  •  36 hours of online wilderness medical and rescue education

Progression
Components may be taken in any order (although some components have required pre-course on-line work) and participants have up three years to complete the entire program to achieve their Diploma in Mountain Medicine.

Evaluation
DiMM candidates must complete both practical and written assessments. The evaluation will be a combination of practical and on-line evaluations following several of the sessions. Each participant is allowed a maximum of two attempts for any specific skill session and two attempts for the written exams.

* * * *

Opt-Out from WALS Course. A candidate who, upon completion of other DiMM component courses, has a current WMAI Wilderness Advanced Life Support certification is exempt from taking repeating the course. The candidate will still be required to take the DiMM WALS exam. If the candidate does not pass the exam, they will need to retake the WALS course.

Opt-Out from Avalanche Level 1 course: A candidate who has taken a Level 1 avalanche course or higher (that meets AAA standards) within the last three years and has backcountry travelled in avalanche terrain at least eight days per season since attending the course does not need to take a Northeast DIMM avalanche course. Candidate is still required to take the DiMM avalanche course exam. If the candidate does not pass the exam, they will need to retake the Avalanche course.

Opt-Out from Avalanche Level 1 course and exam: A candidate who has taken a Pro Level 1 avalanche course or higher (that meets AAA standards) in the last three years is exempted from the Northeast DIMM avalanche course / exam requirements. 

Eligibility

Applicants to our program are required to be a board certified/board eligible physician, nurse practitioner, physician assistant, registered nurse or licensed paramedic.


Application Format

2025 DiMM applications open October 1st, 2024 and are due by December 31st, 2024.  

To apply, please email the following information to Emergency Medicine Program Specialist Anne Hill – anne.a.hill@hitchcock.org

  1. CV
  2. Personal Statement: describe why you are interested in the Dartmouth Hitchcock DiMM Program and how you will potentially use the knowledge and skills.
  3. Share your experience in emergency, prehospital and/or wilderness medicine.
  4. Describe your experience in rock/ice climbing, snow travel, rope systems, technical rescue, and avalanche.
  5. Describe any additional pertinent backcountry travel and/or technical rescue experience.
  6. List any physical or medical limitations you have that will prevent your full participation in this program.
  7. Include 2 letters of recommendation.

Candidates will be contacted via email regarding follow up interviews, decisions and next steps. 

 

Candidates accepted into the Diploma program will pay a non-refundable $200.00 acceptance fee that may be applied toward the Summer or Winter DiMM courses.   

Importance of heat preservation
Proud work!
Extrication practice
Session  Date Location  Tuition
 Wilderness Advanced Life Support
open to both DiMM and non-DiMM participants
 November 23rd – 26th, 2024 Bangor, MEMD/DO: $1300
PA/NP: $1000
Resident: $800
RN/Medic/AEMT: $700 
  Wilderness Advanced Life Support
open to both DiMM and non-DiMM participants
 Spring 2025
TBD 
TBDMD/DO: $1300
PA/NP: $1200
Resident/RN/Medic/AEMT: $800
 AIARE Level 1 Avalanche Course or higher  Participants may take any AIARE Level 1 Avalanche course See Course detailsNortheast DiMM participants receive 10% off any AIARE avalanche course offered through
Acadia Mountain Guides  
 DiMM Winter Mountaineering and Rescue Skills March 23rd – 30th, 2025 Mount Washington Valley, New HampshireMD/DO: $3400
PA/NP: $3100
Resident/RN/Medic/AEMT: $3000
 DiMM Summer Mountaineering and Rescue Skills  Aug 27th – Sept 3rd
2025
(tentative)
 Acadia National Park, Maine MD/DO: $3400
PA/NP: $3100
Resident/RN/Medic/AEMT: $3000

Diploma in Mountain Medicine (DiMM) 
MEET THE TEAM 

Jon Tierney
Owner/IFMGA Guide
IFMGA/AMGA Mountain Guide | Flight Paramedic | RN | FAWM | WP-C | FP-C | CEN
Nicholas Daniel
Chief of the Division of Wilderness Medicine at DHMC
DO | DiMM | FAAEM | FAWM
Nicholas Weinberg
MD | DIMM
Silas Rossi
IFMGA/AMGA Mountain Guide | WFR | AMGA Instructor/Examiner
Paul Marcolini
Paramedic | WMAI Lead Instructor
William Galvin
MD | DiMM | FAWM
Johndavid Storn
MD | DiMM | FAWM | NRP
Dick Chasse III
AMGA Tenured/Asst Rock, Alpine and Ski Guide | PCIA SPI Instructor/Examiner | WFR | MDI Search and Rescue

DiMM Course Lecturers

Jonathan Glass, MD
Jonathan Glass, MD FAAD is a US Navy veteran and board-certified Dermatologist with a focus on developing access to high-quality Dermatology care and training to underserved communities and rural health / primary care providers. Dr Glass served in the US Navy for nine years in Virginia, Southeast Asia and Peru, collaborating with foreign militaries and Ministries of Health in Southeast Asia to provide expert epidemiology, geomapping and laboratory support for outbreaks such as Anthrax, H5N1 and Dengue Hemorrhagic Fever; designed and developed Outbreak Investigation Workshops in Vanuatu, Sri Lanka and Indonesia to develop indigenous expertise to investigate local outbreaks; and designed a syndromic surveillance system and refined detection algorithms to assist local health officials to identify suspected infectious outbreaks in communities and assisted the adoption of a similar system in Peru with US NAMRU-6. Other projects included a scabies prevalence study and mitigation education program in Fiji’s indigenous communities. At Dartmouth Health, he has been principal investigator of clinical trials bringing advanced dermatologic therapies to patients in the Upper Valley, working with medical students at Good Neighbor Health Clinic, sun safety outreach education to Native American communities in Minnesota and Upper Valley, and designing studies to better understand the impact of socioeconomic variables with sun safety behavior and skin cancer rates.

 

Brian Irwin, MD, FAAFP, FAWM
Dr. Irwin is a primary care provider at Tamworth Family Medicine. He is a Clinical Assistant Professor of Community and Family Medicine at the Geisel School of Medicine at Dartmouth. Dr. Irwin specializes in Travel Medicine and holds a Certificate of Travel Health from the International Society of Travel Medicine and operates a travel medicine clinic. He was the expedition physician for National Geographic’s exploration of Guyana in 2022. Dr. Irwin is also the Medical Director for multiple ski patrols and search and rescue groups. In addition to being a physician, Dr. Irwin is also a published freelance writer and photographer. He has spent the last 20 years exploring the world from Mt. Washington to Patagonia and publishing his adventures in newspapers, magazines and medical journals.

 

Evie Marcolini, MD
Evie Marcolini is Vice Chair of Faculty Affairs for the Department of Emergency Medicine and practices Emergency Medicine and Neurocritical Care at Dartmouth Hitchcock Medical Center in Lebanon, New Hampshire.  She has led expeditions for the Outward Bound School in Maine for many years, and has led multiple climbing trips in the White Mountains, both Summer and Winter. Evie has taught wilderness medicine for Wilderness Medical Associates for over 30 years. She is an experienced ski patroller, rock and ice climber, and has expedition experience in the White Mountains, Denali National Park, Rainier National Park, Scotland and the Italian Dolomites.

 

Richard Trierweiler, MD, MPH, FAWM
Dr. Trierweiler is an ultrasound fellowship-trained emergency medicine physician with significant experience in wilderness and austere medicine. He has spent tens of thousands of miles on human powered expeditions, including at extreme altitudes. Dr. Trierweiler has directed multiple wilderness medicine electives for both medical students and residents, including a downhill skiing elective. In addition to wilderness teaching, Dr. Trierweiler has practiced medicine remotely on four separate continents, including six months at the McMurdo Station in Antarctica.

 

The Northeast DiMM is a collaboration between Dartmouth Hitchcock Medical Center’s Division of Wilderness and Austere Medicine and Acadia Mountain Guides Climbing School. As one of the only tertiary medical centers in a rural, mountainous region, Dartmouth Hitchcock Medical Center provides an ideal setting for wilderness and austere medical training including a fellowship program that is ideally situated to make a lasting impact on the public health and safety of patients in austere settings for our local community, the greater New England region, and the world.

Acadia Mountain Guides Climbing School has consistently been a frontrunner in climbing instruction and guiding in Maine and across the country. Since 1994 we have been designing customized experiences or training for you, your family, your group or company. 

  • AMG led the way in the creation and development of the AMGA Single Pitch Instructor course.
  • AMG was the first program to bring AIARE avalanche education to the Northeast.
  • AMG stepped into new territory for a climbing school by starting a summer-long youth rock climbing and adventure summer camp.
  • And now AMG, in partnership with Dartmouth Hitchcock Medical Center’s Wilderness Medicine program, brings you the first Diploma in Mountain Medicine in the eastern U.S. 

The Northeast DiMM is a collaboration between Dartmouth Hitchcock Medical Center’s Division of Wilderness and Austere Medicine and Acadia Mountain Guides Climbing School. As one of the only tertiary medical centers in a rural, mountainous region, Dartmouth Hitchcock Medical Center provides an ideal setting for wilderness and austere medical training including a fellowship program that is ideally situated to make a lasting impact on the public health and safety of patients in austere settings for our local community, the greater New England region, and the world.

25% Discount on Mountain Gear and Clothing

DiMM candidates and graduates receive a 25% discount off MSRP on purchases in our stores or at AlpenglowGear.com

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