Wilderness Medicine Training
Small Groups, Scenario-Driven, CME Accredited, On-Site Lodging & Meals
ALPTERRA courses are hosted from our home in the White Mountains, near Franconia Notch, New Hampshire.
Your Instructors
Lila Cohen, MD
Trauma Surgeon • Clinical Instructor
Lila is a trauma and emergency general surgeon at Concord Hospital and a clinical instructor at Dartmouth’s Geisel School of Medicine. She is an Advanced Trauma Life Support Instructor. She grew up hiking New Hampshire’s 48 four-thousand-foot peaks and later thru-hiked the Appalachian Trail. For the past 20 years she has organized and led hiking and backpacking trips for friends, colleagues, and small groups, and has served as an outdoor leader for youth programs in rock climbing, canoeing, mountain biking, and caving. Her work has taken her from Level I trauma centers to humanitarian surgical missions in Haiti.
Bill Cenna
Pararescueman • AMGA Apprentice Guide
Bill has served for over 20 years in the Army and Air Force as a Pararescueman, earning a Silver Star and two Bronze Stars for combat rescue missions. He is a nationally registered paramedic and holds AMGA apprentice certifications in alpine, rock, and ski guiding, as well as Avalanche Professional Level 2. He has guided and taught wilderness medicine and mountain skills throughout his career across the United States, Europe, Africa, and South America. His approach to instruction is grounded in the same principles that guide his rescue work: preparation, clear thinking, and genuine care for the people in his charge.
How We Teach
Courses combine focused instruction with repeated scenario-based practice outdoors. The ratio of participants to instructors never exceeds 4:1. Every scenario is followed by immediate and delayed debriefs, and the curriculum is structured to build an organized, repeatable approach — one participants can rely on under pressure.
We work with participants before the course to understand their background and goals.
Who Attends
Physicians, advanced care providers, nurses, paramedics, and EMTs. Law enforcement and search and rescue teams. Outdoor guides and educators. Parents and backcountry travelers. Corporate groups looking for substantive team training.
Courses are open to anyone who spends time in the backcountry and wants to be prepared – we will work with you to find the right course.
