Diploma in Mountain Medicine(DiMM) in Japan
Dr. Norihiro Kamikomaki, Dr. Masako Horii,
Japanese Society of Mountain Medicine,
Medical committee of Japan Mountaineering
Association.
At UIAA Medcom meeting.
November 17, 2009 Kathmandu, Nepal

This Diploma is based on
UIAA/IKAR/ISMM
DIPLOMA OF MOUNTAIN MEDCINEThe DiMM program is operated by
the Japanese Society of Mountain Medicine (JSMM)
in cooperation with
the Japan Mountaineering Association (JMA) andthe Japan Mountain Guides Association (JMGA) .

Whole image of the courses
Common course: 108 hours.
*International Diploma: The candidates for International
Diploma in Mountain Medicine are requested to finish all of
the common courses based on European standard.

*Domestic Diploma: The candidates for Domestic Diploma
in Mountain Medicine need to finish all of the courses except‘Mountaineering techniques in winter’ and ‘Experience ofmountain sports activities in Japan’.
 Special course:*Expedition and Wilderness Medicine. 40 hours.
The candidates for International Diploma in Mountain
Medicine can apply this course.

Completion of the courses

Pre-exam paper before each cluster Participation in each cluster
 Terminal examination after each cluster
 Completion all clusters within 4 yearsCommon Course (108 hours)
divided into six clusters
1. Spring cluster (2 days) consecutively held after the (30th)
Annual Scientific Meeting of Japanese Society of Mountain
Medicine, Tanigawa is the case in 2010.
 2. Tokyo cluster (2days): Basic theory
 3. Tanzawa cluster (3days): Mountaineering techniques insummer, etc.
 4. Utsunomiya cluster (1day): Various medical problems inJapanese mountains
 5. Yatsugatake cluster (3days): Mountain techniques in winter,etc.
 6. Experiences of mountain and sports activity in JapanUtsunomiya

TanigawaYatsugadakeTanzawa

Expedition and Wilderness Medicinecourse (40 hours)
divided into 3 clusters
7. Altitude, cold, travel medicine, traumatology,improvised rescue techniques 8. Survival techniques in high altitude and personalequipment for high altitude mountaineering
 9. Expedition medical kit, team building, common
expedition problems
Prepared and alternative courses
by brother professional associations for DiMM
The candidates are requested to complete the courses of Basiclife support (BLS) and Advanced Cardiovascular Life Support(ACLS) in advance.
 The candidates are requested to complete the course ofJapanese Prehospital Trauma Evaluation and Care (JPTEC) inadvance or during the course of DiMM.
Participants in the mountaineering leader workshop (winter)organized by National Center of Mountaineering Training areexempted from practical parts of Mountaineering techniques inwinter.
 Participants in the mountain rescue workshop (summer)organized by Japan Mountaineering Association are exemptedfrom theory and practical parts of rescue techniques.
1.

Tanigawa cluster following the 30th Annual ScientificMeeting of JSMM on May 9, 10, 2010
Responsible Officials: S, Saito, N. Kamikomaki,Domestic(○)

Time(hrs)

Place

Training

Date

Common course○

10/5/9Rescue(introduction)

1

Tanigawa-daketheory○10/5/9Rescue technique (practical) 2

Tanigawa-dakepractical

Travel Medicine

1

In the Scientific
MeetinginMinakamitheory1

In the Scientific
MeetinginMinakamitheory○○10/5/8

10/5/8

Hypothermia

technique

All lectures are given by experienced professionals/doctors and all practices aretaught by the committee of JMA .

2-1. Tokyo cluster: Basics on June 19, 2010
Responsible Officials: S. Masuyama, N. Kamikomaki
Domestic(○)

Date

Common courseTime(hrs)

Place

Training○

2010/6/19 Altitude

3

Tokyotheory○

2010/6/19 Frostbite

2Tokyotheory○

submmersion and immersion in
2010/6/19 water
1

Tokyotheory○

2010/6/19 Heat and solar radiation

1

Tokyotheory○

2010/6/19 Children and mountains

1

Tokyotheory○

2010/6/19 Weather

1

Tokyotheory○

2010/6/19 Nutrition

1

Tokyo

theoryAll lectures are given by experienced professionals/doctors.

2-2. Tokyo cluster: Basics

on June 20, 2010

Responsible Officials: S. Masuyama, N. Kamikomaki
Domestic(○)

Date

Common courseTime(hrs)

Place

Training○

2010/6/20 Risk management in mountains

1

Tokyo

theory○2010/6/20 Exercise physiology

1Tokyotheory○

2010/6/20 Personal first aid kit

1

Tokyotheory○

Legal aspects・mountaineering
2010/6/20
insurance

1/2

Tokyotheory○

2010/6/20 Stress management

1

Tokyo

theory○2010/6/20 Pre-existing clinical conditions

3

Tokyo

theory○2010/6/20＊ Circulatory disease andmountaineering○

2010/6/20＊ Respiratory disease andmountaineering○

2010/6/20 Analgesia in the field

1

Tokyotheory○

International mountaineering
2010/6/20
organizations

1/2

Tokyo

theoryAll lectures are given by experienced professionals/doctors.

3. Tanzawa cluster: Mountaineering techniques in summer
on July 17- 19, 2010 Responsible Officials: H. Isao, Y. Chishima
Domestic(○)○

DateCommon courseTime(hrs)

Personalmountaineering
2010/7/17
equipment
1

Place

Training

Tanzawapractical

Tanzawa

theorypractical○

2010/7/17 Navigation in the mountains○

Survival
inthe2010/7/17
mountains/exhaustion
4

Tanzawa

theorypractical○

Mountaineering techniques in2010/7/18
summer8

Tanzawapractical

4

All practices and techniques are taught by IFMGA qualified international mountainguides.

4. Utsunomiya cluster: Medical problems in Japanese mountains
on Oct. 03, 2010 Responsible Officials: H. Kajitani, N. Kamikomaki
Domestic(○)

DateCommon courseTime(hrs)

PlaceTraining○

2010/10/3

Ladies and mountain

1/3

Utsunomiya

theory○2010/10/3

Elderly people and mountain

1/3

Utsunomiya

theory○2010/10/3

Alternative person and mountain

1/3

Utsunomiya

theory2010/10/3

Harmful organisms in mountains(vertebrate)

1/4

Utsunomiya

theory○2010/10/3

Harmful organism in mountain(invertebrata, parasite, microorganism)

1/4

Utsunomiya

theory○2010/10/3

Harmful plants in mountains1/4

Utsunomiya

theory○2010/10/3

Poisonous gas, lightning stroke

1/4

Utsunomiya

theory○2010/10/3

Dental problems

1/4

Utsunomiya

theory○2010/10/3

Ophthalmic problems

1/4

Utsunomiya

theory○2010/10/3

aurinasal problems

1/4

Utsunomiya

theory○2010/10/3

Cutaneous problems

1/4

Utsunomiya

theory2010/10/3

Network of medical check formountaineers

1/2

Utsunomiya

theory○○All lectures are given by experienced professionals/doctors.

5. Yatsugatake cluster: Mountaineering techniques in winter, etc.
On Jan. 8- 10, 2011 Responsible Officials: M. Nukita, Y. Chishima
Domestic(○)

○○

Date

Common course

2011/1/8 Hypothermia

2011/1/8 Avalanche

Mountaineering
2011/1/9 in winterTime(hrs)

Place

4

Yatsugatake theory4

theoryYatsugatake practical9

Yatsugatake practical

Training

techniques

All practices and techniques are taught by IFMGA qualified international
mountain guides.

Practical traumatology
The basic knowledge and techniques of practical traumatology
are given by attending Japan Prehospital Trauma Evaluation
and Care (JPTEC, 8 hrs).
 JPTEC is officially endorsed by Japanese Association for
Acute Medicine optimizing the Basic Trauma Life Support(BTLS ) in USA in Japanese emergency medical environment.
Top priority is given to rapid transportation to the advanced
medical institution.
 Special knowledge and techniques of practical traumatology inmountain environment are given by the course ‘Theory andworkshop about altitude and cold’.
6. Experience of mountain sports
activities in Japan
Date

Common courseTime(hrs)

Place

Training

2010/10/3 Free climbing, trail running

Kogashi4.5 yamapractical

2010/7/19 Valley climbing

12 Tanzawa

practical

2011/1/10 Ice climbing

12 Yatsugatake

practical

Back country skiing, snow
2011/2/20 boarding, snowshoeing

11 NasupracticalAll practices and techniques are taught by IFMGA qualified international
mountain guides.

Expedition and Wilderness Medicine(40 hrs) Responsible Officials: N. Shiga, M. Nukita
Theory and workshop
 At least twice each lecture below in 4 years.


7. Theory and workshop about altitude and cold
 8. Survival techniques in high altitude, etc.
 9. About expedition7. Theory and workshop
altitude, cold, travel medicine, traumatology andrescue techniques
DateExpedition and Wilderness
Medicine courseTime(hrs)

Place

Training

4 Tokyotheoryworkshop

2010/9/11 Cold

3 Tokyotheoryworkshop

2010/9/11 Travel medicine

4 Tokyotheory

2010/9/12 Traumatology

4 Tokyoworkshop

2010/9/12 Improvised rescue techniques

4 Tokyoworkshop

2010/9/11 Altitude

All are taught by experienced doctors/professionals and IFMGA qualified
international mountain guides.

8. Survival techniques at high altitude, etc.

Date

Expedition andWilderness Medicine
courseSurvival techniques inhigh altitude andpersonal equipment forhigh altitude
2011/2/19 mountaineering

Time(hrs)

Place

Training

10 Nasutheoryworkshop

All are taught by experienced doctors/professionals and IFMGA qualified
international mountain guides.

9. About expedition
DateExpedition and Wilderness
Medicine courseTime(hrs)

PlaceTraining

2011/3/7 Expedition medical kit

1 Tokyoworkshop

2011/3/7 Team building

2 TokyoworkshopCommon expedition
2011/3/7 problems

8 Tokyoworkshop

All workshop are chaired by experienced doctors/professionals and IFMGA
qualified international mountain guides.

Summary

Diploma in Mountain Medicine (DiMM) in
Japan is now launching.