Updated at 25.Mar.2021

JSMM / UIAA / ICAR / ISMMDIPLOMA IN MOUNTAIN MEDICINE
2021-2022

Application Handbook- NOTICE Some courses and field program has been suspended or postponed due to current situation of COVID-19. Please check
further information about our DiMM program in Japan on our website or e-mail. If you have any questions, do nothesitate to contact us.

― Main Organizer ―Japanese Society of Mountain Medicine (JSMM)― Sponsorships ―Japan Mountaineering and Sport Climbing Association
Japan Sports Council

1

I. Overview
The 2021-22 Diploma in Mountain Medicine of the Japan Mountaineering Medical Association (DiMM-JP) is
held every two years by UIAA Medcom (Medical Commission of International Climbing and Mountaineering
Federation), ISMM (International Society of Mountain Medicine), and ICAR (International Commission for
Alpine Rescue) has been certified. This program aims to train medical doctors, nurses, and paramedics who canlearn the theory and practices for diseases and trauma that could occur in mountainous areas and practice clinicaland research in mountain medicine. Students who completed these programs and passed each exam will beawarded the Diploma in Mountain Medicine. Normally, these programs are required to be completed within 5
years from the entry to our DiMM program, and if it exceeds 5 years, even if it has been taken, it will be required
to take it again for items that have passed 5 years, but the above 5 years will be extended 6 years each due tocurrent situation of COVID-19. The program will be revised by the DiMM Committee or the UIAA / ISMM /ICAR regulation revisions. In that case, remedies will be applied to students who entered in the old program
according to the old program.

II. Target person① Medical Doctor Course

Medical Doctors who are members of the Japanese Society of Mountain Medicine (JSMM) and havecompleted the initial clinical training (graduates before the introduction of the clinical training system should
be read as "doctors who have obtained a doctor's license") can register. From 2020, initial clinical residents
and medical students will not be able to register.
② Nurse Course

Those who are members of the Japanese Society of Mountain Medicine (JSMM) and have a nursing
qualification can register. The content of the course is the same as that of a medical doctor. Nursing students
will not be able to register from 2020.
③ Paramedic Course

Those who are members of the Japanese Society of Mountain Medicine (JSMM) and have a qualification as
an emergency medical technician can register The content of the course is the same as that of a medical doctor.
Paramedic students will not be able to register from 2020.

All students are should be well prepared academically before taking the course. It is highly recommended thatthose who have little experience in mountaineering should take a mountaineering technique class or rescue
technique class by various mountaineering groups or mountain guides in advance.

2III. Program（Schedule is subject to change due to COVID-19）
Course Title

Date

Place
Hokkaido University Conference HallA1

GA of Japanese Society of Mountain Medicine

28-30. May. 2021
(Sapporo, Hokkaido)

Summer mountain medical theory session
B1

15-16. May. 2021

Online(Summer Mountain Theory)
Basic summer mountaineering skill practiceNational Center for Mountaineering

C1

19-20. Jun. 2021
(Summer Mountain Practice)

Education (Tateyama, Toyama)
Tsukuba

B2

Mountain trauma practice24-25. July. 2021
(Tsukuba, Ibaraki)

Summer mountaineering skill examination

National Center for Mountaineering

C2

4-6. Sep. 2021
(Summer Mountain Examination)

Education (Tateyama, Toyama)

Winter mountain medical theory session

Kobe

B3

30-31. Oct. 2021
(Winter Mountain Theory)(Kobe, Hyogo)

Basic winter mountaineering skill practiceNational Center for Mountaineering

C322-23. Jan. 2022
(Winter Mountain Practice)

Education (Tateyama, Toyama)
Undermined

B4

General mountain medical theory session

Tokyo (expected)
2022

Winter mountaineering skill examination

Undermined

Akadake Kosen(Winter Mountain Examination)

2022(Yatsugatake, Nagano)C4All of the above A, B, and C courses must be completed. A total of 121(temporally 119) hours.



Post-paper test may be imposed after each B course. Only attending a class with assignments does not meanthat you have passed. Only if you submit by the deadline for submitting the assignment will be graded, andthe pass or fail will be judged based on the graded result.



In C, practical skills during the examination days will be scored. After the pass or fail notification, an
objection can be filed with the Examination Committee Chair through each test implementation manager.



The program equivalent at the time of registration will be applied to all courses and certifications.

IV. Eligibility, registration procedure, registration fee

It is necessary that you are a member of the Japanese Society of Mountain Medicine and have notdelinquently paid the academic society membership fee. Please see the website of the Japanese Society of
Mountain Medicine for the enrollment procedure.



Please access http://www.jsmmed.org/dimmjpn_entry.html, select a course that suits your qualifications, and3

perform temporary registration. A registration fee of 10,000 JPY is required for formal registration. Please
pay to the bank account mentioned in the e-mail sent from the DiMM administrative team after confirming
your eligibility.
For each course, the application guidelines will be posted on the website and the registered students will be
notified on the e-mailing list. If you apply according to the application guidelines for each course and thecourse is approved, please pay the course fee. After confirming the payment of the course fee, you will be
confirmed as a student. The course fee does not include transportation to the venue, accommodation during
the course, and food, drinks and stuff for personal using. After approving the course participate, the person
in charge will contact you regarding the payment method for accommodation and food expenses in theexercises and certifications, so please follow the instructions.



To take C, you must have mountain insurance (which can also be applied to winter mountain climbing, rockclimbing, ice climbing, distress and mountain accidents during mountain skiing). In addition, C1 completionis required for C2 attendance, and C2 pass and C3 completion are required for C4 attendance.

V. Cancellation Policy and Course Restrictions


The registration fee is non-refundable after payment.



In principle, the tuition fee for each course and examination will not be refunded for any reason unless thecourse is canceled or the course is restricted due to the organizer's circumstances.



For safety reasons, attendance may be restricted depending on the circumstances of the venue and the numberof people and mountain climbing experience in mountain practice, exercises, and certifications. After theapplication deadline for each course, the person in charge of the course and the certification will contact you
regarding the availability of the course.

VI. Transitional Measures, Domestic Certified Mountain Physician / Mountain
Nurse Program

New entries to the Japanese Society of Mountain Medicine certified domestic mountaineering doctor /mountain nurse program (hereinafter referred to as the domestic certified mountaineering doctor / Mountain
nurse program) had already been completed. From now on, we will continue the domestic certified mountaindoctor / mountain nurse program until 2023, but the qualification will be completed by the end of 2023 (ifthe certification requirements are not met by the end of 2023, we will not be certified). If you have been
thinking about acquiring a new qualification as a domestic certified mountain doctor / mountain nurse, pleaseconsider the DiMM program or the Japanese Mountaineering Medical Association specialist (nurse) system.

For students who have already entered the domestic certified mountain doctor / mountain nurse program and4have started some courses, will they continue to take the domestic certified mountain doctor / mountain nurse
program (however, it will end in 2023)? , There are options for transition to the DiMM program or theJapanese Society of Mountain Climbing Medical Specialist (Nurse) system (special transition measures by
the end of 2025).


Those who have obtained domestic certified mountain doctor / mountain nurse qualifications can takeadvantage of the special measures scheduled to be set for 5 years from 2021 to either the DiMM program or
the Japanese Society of Mountain Climbing Medical Specialist (Nurse) system. We recommend that you
migrate to Crab (special migration measures by the end of 2025). For the transition to DiMM, it is necessary
to retake the Natsuyama test, Fuyuyama test and Beacon test and pass each of the DiMM standards.

VII. About DiMM credential

After taking all the courses and certifications of A1, B1 to B4, and C1 to C4, and passing the examinationand certification, the contents will be confirmed and the DiMM administrative team will finally qualify. The
certification period is currently being adjusted.



Diploma in Mountain Medicine will be granted after qualification.

VIII. DiMM renewal


Due to changes in international regulations, the DiMM qualification renewal system will be introduced. It isnecessary to renew within 5 years after obtaining Diploma in Mountain Medicine. Certification of renewal
units is scheduled for April 2021. For details, please refer to the PDF of the DiMM qualification renewal
system guide.

IX. Appendix


If you are a member of the Japanese Society of Mountain Medicine other than the registered students andwish to attend B, after posting the application guidelines on the homepage, please contact the administrative
team (dimm01@jsmmed.org). As a general rule, only members of the Japanese Society of Mountain
Medicine can attend.

52021 DiMM Program in Japan (2021 DiMM-JP)
After the content and schedule of each course and test are confirmed, we will inform you that on the e-mailing list
and will inform you on our website of the Japase Society of Mountain Medicine (http://www.jsmmed.org). Pleaserefer to the following as a planned program. (Schedule is subject to change due to COVID-19)
Course title,
Place, Date2019 DiMM Regulation(Minimum Time Requirement)

Altitude and its illnesses(8) *1[B1]
SummerMountain
Theory15-16. May
Online12hr

Exercise physiology(1) *1
Nutrition, fluid balance and exhaustion(1) *1Submersion and immersion in water(1) *1Heat and solar radiation(1) *1Stress management(1) *1
Ethics including sports and drug use(1) *4
Legal aspects(0.5) *1

Cumulative
study time /standard

2021 DiMM Program in Japan（DiMM-JP）Time

High Altitude Sickness Physiology,
Altitude Sickness Overview

1

Anthropology at high altitude

1

Hypoxic environment experience2

Exercise physiology

11

Nutrition and water balance / fatigue

1

1

Water accident

1

1Heat stroke / dehydration / sunburn1

1

Current situation, background andproblems of domestic mountainaccidents in Japan
Current situation, risks and problemsof overseas mountaineering

4
Temporally 2121Sports and drug use / doping

1

1

Mountain insurance and legal issues
in mountaineering

11

Medical research

6

6

Rescue technique overview

1

Self-rescue / impact: theory

1

Acclimatization strategy

2[A1]
GA of JSMM
29-30. May
Hokkaido
University
Conference Hall
Sapporo2 days[C1]
SummerMountain
Practice
19-20. Jun
National Centerfor
Mountaineering
Education（Tateyama）
15hr

[C2]
SummerMountain
examination
4-6. Sep

Performing medical research(1) *1Introduction to improvised rescue
techniques(2) *1
Altitude and its illnesses(8) *1
Practical demonstration of improvised
rescue techniques(4) *3
Organized rescue(4) *1*2
Navigation and survival techniques inhostile weather in the mountains (8)*2*3Information technology in themountains(1) *2

Self-rescue / impact: practice, ropework
Improvisational Rescue Technique
Practice: Practice

2
6

8
9
1

Organized rescue: Practice22

Navigation technique in the field

8

8

Information technology and skill

1.5

1.5

6

National Centerfor
Mountaineering
Education（Tateyama）
23.5hr[B2]
Mountaintraumapractice
24-25. July
(Tsukuba)

15h

[B3]
WinterMountain
Theory30-31. Oct
Kobe
10.5hr[C3]
WinterMountain
Practice
1/22-23. Jan. 2022
National Centerfor
Mountaineering
Education(Tateyama)
8hr

[C4]
WinterMountainExamination
Date
Undetermined
Akadake Kosen（Yatsugatake）
16hr

[B4]
Generalmountain

Personal first aid kit andmountaineering equipment (1) *1

Survival technology and fatigue

2

2

Mountaineering techniques in summer
and winter (24) *3

Summer mountaineering technique
examination, Shower climbing

12

12

Pain management and practicalanesthesiology

2

2

Head and neck disease in the field

1

1

JPETC

5

Trauma overview

2

Orthopedic disease theory

1

Workshop4

Hypothermia 1: Physiology

1

Hypothermia 2: Pathology andtreatment

1

Hypothermia 3: Case study

1

Frostbite: Theory

1

1

Practical mountain accident case
study

4

12

Expedition mountaineering

1.5

1.5

Helicopter rescue

1

3

Hypothermia: Workshop

1

4

Frostbite: Workshop

1

2

Avalanche: Theory and Workshop

2

Avalanche: Beacon examination

2

Organized rescue: Practice2

Winter mountaineering technique
examination

10

Ice climbing

6

Pediatrics and mountains

1

1

Travel Medicine / International
Infectious Diseases / Vaccines22

Analgesia in the field(2) *1
Effects of pre-existing clinicalconditions(4) *1

Practical traumatology(8) *2

Hypothermia(4) *1*3
Frostbite(2) *1
Altitude and its illnesses(8) *1
International mountaineeringorganizations (0.5) *1
Organized rescue(4) *1*2
Hypothermia(4) *1*3
Frostbite(2) *1
Avalanche risk assessment, companion
search, and medical management ofvictims (4) *1*3
Organized rescue(4) *1*2

Mountaineering techniques in summer
and winter(24) *2

Children and mountains(1) *1
Travel Medicine(2) *1

12

3

4

5

28

7

medical theory
session
Date
Undetermined
Tokyo（Expected）
15hr

Infection control and water safety(1) *1*3
Weather(1) *1
Death in the Mountains(1) *1
Alpine Sports Accidents(1) *1
Effects of pre-existing clinicalconditions(4) *1§Additional topics§
Mountain animals (N/A) *1§Additional topics§
Mountain plants (N/A) *1§Additional topics§
Chemical gas, Lightning (N/A) *1§Additional topics§
Mountaineering for female
mountaineers (N/A) *1§Additional topics§
Current Issue of Mountain Clinic (N/A)
*1

Total

Infection control and water safety,
parasites

11

Weather11Death in field and mountains

1

1

Bouldering trauma

1

1

Medical check-up for climbers

1

Respiratory and cardiovasculardiseases in the field
Diabetes, metabolic disease andelderly in the field
Mountain pests: vertebrates andinvertebrates

1

4

1
1

1

Mountain pests: plants

1

1

Hazardous gas, electric shock,volcano1

1

Female and handicap

11Current issue of mountain medicalcare in Japan.

11*Due to current situation of COVID-19, total cumulative study time is 119

121
119

*1;theory *2;workshop *3;practical *4;discussion
§Additional topics§ are our unique program in DiMM-JP



Lectures will introduce e-Learning in order from the possible ones. Details will be announced at the time of eachcourse and application for certification.



Please take or renew the following (1)+(2) or (3) during the course period.
(1)Basic Life Support; BLS (2)Advanced Cardiovascular Life Support; ACLS
(3)Immediate Cardiac Life Support; ICLSMinimum mountaineering skill before registration§

Summer
Knots and their uses: Fishermen’s knot, figure of eight, Prusik, clove hitch, Munter (Italian) hitch; tying intoa harness; Creating an anchor system; belaying; abseiling with descender and prusik; ascent of fixed ropewith prusiks; ability to follow on a UIAA grade 3 climb: preparing a landing site for helicopter evacuation;
ground to air hand signals.

§

WinterGlacier travel and walking on ice with crampons; belaying by using a variety of techniques suited
to snow and ice; climbing grade WI (Winter Ice) 2; improvised crevasse rescue including simple
pulley systems; locating a buried avalanche victim using a transceiver and probes, extracting the8

victim and preparing for rescue, emergency shelters.

9Diploma in Mountain Medicine in Japan
Responsible party of DiMM Program (DiMM-JP) creation
Yoshihiko Sakakibara, Hidenori Kanazawa

Administrative team of Diploma in Mountain Medicine
Japanese Society of Mountain Medicine
101-0034, No.507, San-Haitsu Kanda-Kitamura-Building,
Konya-Cho, Kandahigashi, Chiyoda-Ku, Tokyo, JAPANe-mail: dimm01@jsmmed.org
10