Learn to Act, Not Just React.
At AlpTerra, we teach you how to stay calm, think clearly, and respond with skill when things go wrong in the wild. Our immersive, small-group courses put you in real-world scenarios—so you don’t just learn the theory, you live it.
Based in the heart of New Hampshire’s White Mountains, we combine wilderness medicine training with mountain adventure and small-town warmth. Whether you’re a medical professional expanding your expertise or an outdoor enthusiast who wants to be prepared, you’ll leave our course with more than new skills—you’ll leave with confidence, clarity, and experience.

Courses That Go Beyond the Classroom
At AlpTerra, we teach more than skills—we teach mindset. We train the people others count on when it matters most.
From ER physicians who’ve never treated a patient miles from a hospital, to parents leading their kids into the backcountry, to search-and-rescue volunteers who know book knowledge isn’t enough—our course is built for anyone who wants to make better decisions when things go wrong in the wild.
You’ll spend three days immersed in hands-on scenarios, fireside debriefs, and real-world practice. You’ll leave with sharper judgment, field-tested skills, and the confidence to take charge when the unexpected happens.
Why Choose AlpTerra?
A Different Kind of Wilderness Medicine Training
We’re not a conference hall. We’re not a big corporation. We’re two passionate instructors (a trauma surgeon and a pararescueman) offering an immersive educational experience in the mountains we call home. Here’s what sets us apart:

Small Groups, Big Impact
With a max 4:1 participant-to-instructor ratio, our courses are highly personalized and discussion-driven.

Hands-On, Outdoor Learning
Learn wilderness medicine where it matters—in the woods, on the trail, and in real-life scenarios. You’ll treat mock injuries, problem-solve in the elements, and gain practical skills you’ll remember.

Earn CME Credits

Premium Lodging + Thoughtful Meals

Optional Mountain Adventures
Meet the AlpTerra Family
Real People. Real Experience. Real Connection.

AlpTerra is led by Lila Cohen, a trauma surgeon and lifelong hiker, and Bill Cenna, an Air Force Pararescue Specialist with decades of mountain rescue and guiding experience.
Together, we’ve created a course that balances clinical rigor with real-world chaos–and wilderness-tested teamwork.
We host courses from our home in Franconia, New Hampshire—because we believe in keeping it personal. When you join us, you’re not just a participant. You’re part of the AlpTerra Family.

Ready to Join the Next Course?
Each course is limited to 8 participants. Once you register, you’re not just taking a class—you’re joining a community of people who show up when it matters.