These trips involve groups of up to 100 participants undertaking a trek or cycle ride in a remote area, most often in a desert or mountainous terrain. About 30 of these trips will leave the United Kingdom this year. Although they usually last for a short period of one to two weeks and generally are well organised and supported, these trips may bring about specific medical problems and risks. 2 Conditions on expeditions are usually basic, with tented accommodation and simple cooking and sanitation facilities being the norm. Trips may be supported by road vehicle, boat, or air or may be completely self sufficient for the duration of their time in the field.
Doctors become involved in expeditions for many reasons.
They may have an interest in the activity being undertaken, such as mountaineering, rafting, or diving, and see the trip as a challenging way of gaining more skills and experience. Some may wish to travel to remote areas which, without the back up of a full expedition, would be logistically and financially impossible. For others the main attraction may be the challenge of practising medicine in a remote environment with limited equipment and assistance. Participation in expeditions is seen by many employers as a useful indicator of personal development. Skills essential for medical practice, such as decision making, communication skills, and self reliance, will be developed by participation.