Trip Highlights
Pristine alpine scenery, deep gorges, waterfalls, and solitude in the largest wilderness area in the US
Rich history featuring indigenous pictographs and relics from early explorers
Incredibly clear water and world-class trout fishing & instruction (equipment provided)
Beaches and natural hot springs... The Middle Fork is famous for both!
Over 100 exciting rapids (up to class III+). Enjoy from a raft or inflatable kayak - you choose
Spectacular flight from Stanely to the put-in (as required)
Imagine crystal clear water flowing through a canyon that is deeper than the Grand Canyon. Picture natural hot springs, blue ribbon trout fishing, and more than 100 class I to III+ rapids in the largest wilderness area in the US.
The Middle Fork of the Salmon is a spectacular, remote, and pristine wilderness much as it was 100 years ago. Named by National Geographic as one of the top 3 river trips in the world, the Middle Fork provides a vacation of a lifetime and the perfect backdrop for a CME medical conference.
We allow plenty of time for relaxing, hiking, and soaking in hot springs. Fishing is world-class - it's common to catch over 100 fish during your 6 days.
The river is also at a user-friendly level in the Fall which gives participants a chance to experience optional inflatable kayaking.

Itinerary Snapshot
Middle Fork Of The Salmon River Raft Expedition
Wilderness Medicine CME

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.

Trip Cost: $2,500* (plus scenic flight into Indian Creek. $130.00)
Additional CME Cost: $695 (Approved for 15 AMA PRA Category 1 Credits)
*per person, based on double occupancy.
Questions? Ready to reserve your spot?
Speak to an expert at Bio Bio Expeditions - the award winning outfitter of this trip
1-800-246-7238
A few of the publications Bio Bio Expeditions has been featured in:

Testimonials From Your Colleagues
"Awesome faculty, very knowledgable, and they communicate well. Friendly and very competent guides. Food was too good! Beautiful location! Activities were a good balance of challenge for our group."
Bill Schroa, MD - Family Practice, Durango, Colo.
"Everyone on the faculty was fabulous. I love them all. Excellent guide staff. Location is beautiful, remote, relaxing, and conducive to joyful learning. This course has enhanced who I am."
Susan Ralston, ARNP, Phoenix, AZ
"Phenomenal guide staff! Top notch! Everyone was eager to make your experience a positive one. Faculty is knowledgable and easy to approach. You Cant beat the itinerary!"
Randi Wagner, MD Family Practice
COURSE CONTENT INCLUDES
- Altitude Illness
- Hypothermia
- Frostbite and Other Cold Injuries
- Environmental Heat Illness
- 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
- Patient Assessment in Wilderness Settings
- Wilderness Dermatology
- Marine Hazards & Envenomations
- Snake Envenomation
CME ACCREDITATION INFORMATION
"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
15 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.
For more information or to register for this trip please call
Bio Bio Expeditions at 1-800-246-7238
UPCOMING CME DESTINATIONS BY DATE
Jan 19 – 28, 2019
Jan 19 - 30, 2019
Patagonia Rafting & Multi-Sport
Jan 25 - Feb 2, 2019
Jan 31 - Feb 9, 2019
Feb 23 - Feb 27, 2019
March 2 - 9, 2019
March 13 - 17, 2019
April 5 - 15, 2019
April 24 - May 11, 2019
April 8 - 19, 2019
May 29 - June 2, 2019
Intensive Skills Course & Mt. Shasta
June 8 - 14, 2019
July 9 - 12, 2019
Big Sky Resort, MT
July 27 - 31, 2019
Sept 4 - 14, 2019
Middle Fork Salmon Rafting/Flyfishing
Sept 9 - 14, 2019
Sept 14 - 24, 2019
Sept 19 - 27, 2019
Oct 2 - 13, 2019
Oct 6 - 11, 2019
Africa Wildlife Safari & Kilimanjaro
Oct 6 - 20, 2019
Africa Wildlife Safari & Kilimanjaro
Oct 21 - Nov 4, 2019
Oct 26 - Nov 5, 2019
November 7 - 17, 2019
Jan 18 - 27, 2020
Jan 18 - 29, 2020
Patagonia Rafting & Multi-Sport
Jan 27 - Feb 4, 2020
Jan 30 - Feb 8, 2020
Big Sky Ski Resort, MT
Feb 22 - 26, 2020
April 3 - 13, 2020
April 5 - 22, 2020
April 23 - May 10, 2020
Big Sky Resort, MT
May 25 - 29, 2020
Santa Fe
May 27 - 31, 2020
Africa Wildlife Safari & Kilimanjaro
Oct 4 - 18 2020
Oct 11 - 21, 2020
Sept 2 - 12, 2020