When 9-1-1 is not an option, the rules change … plain and simple! For almost two decades the Wilderness Medicine Institute has defined the standards in wilderness medicine training. We offer a wide range of course and certification opportunities tailored to meet your needs.

Because of our commitment to excellent risk management and the highest standards of care for our students, we run our course with instructors who are WFR or WFA certified by WMI/NOLS.  The rules certainly change in the backcountry, and even more so in the backcountry of a developing country like Thailand.

As educators it is always great to be taught by the great teachers from WMI/NOLS, and over the years we’ve been impressed with their depth of knowledge, ease of communicating difficult material, and fun and engaging ways of teaching sometimes difficult material.  So thanks to Shaun Quinn for his marathon solo teaching effort over three long days!

Here are a few photos from the course.  Jump to our WFR course page for description of and a video of our last full (10 day) WFR course.

This last month as been PACKED at ISDSI.

The students finished up their course on sustainable food systems and agroecology, and are now mid-course on the political ecology of forests course.  Currently both groups are up in the mountains of Mae Hong Son Province, living with and learning from the Karen villagers.

For the instructors, they’ve been all over the world.

Last month Ajaan Laura and Ajaan Abram went to India to present and participate in a conference / workshop on sustainable agriculture and sustainable development with ECHO Asia, including local and international grassroots NGO partners.

Then, Mark and Ben went to the US to present workshops at two conferences, one at the AASHE (Association for the Advancement of Sustainability in Higher Education) in Denver, and the Wilderness Risk Management Conference in Colorado Springs.  At the AASHE Conference they taught a workshop on Experiential Learning and Sustainability (read more about it here) and at the WRMC they taught a workshop on International Risk Management (learn more here).  Great conferences, good visits with alumni, faculty, and prospective students.  Even with meetings every single day (including the days we flew in and out!) we managed to sneak in a couple of brief hikes up into the mountains, so it was a great trip.

Snow on the mountains in October? We must not be in Chiang Mai...

Ben barely arrived back in Chiang Mai before going down south with Pi Am and Pi Pui to check the logistics for our Oceans course that starts in a month.  We’re combining the best of the former Islands and Coastal courses (hence “Oceans”), and we need to check in with the village homestays, and confirm the logistics for the islands section of the course. Moving 30+ students, instructors, sea kayaks, and all the associated gear (snorkels, fins, tents, etc.) around Southern Thailand by train, truck and boat can be complex!

Ben, Pui and Am flew back the Chiang Mai, paused for about a day, and picked up Aaron and Ajaan Abram and left for Laos!  They are there now, and are setting up an incredible addition to the Spring Semester course on Rivers.  Rivers and trans-boundary issues are critical to resource management and sustainability in Southeast Asia, and we are now, after several years of planning, able to make the Mekong River a bigger component of the course.

They get back, and next week Ben and Mark fly to Sydney Australia for 4 days of training (see cfcnx.com to learn what we’re up to)… and get back in time to greet the students for the set up and start of Oceans!

Fun!

Students hiking in Mae Hong Son province.

Risk management is an important part of any good program, especially those that are running in an international/developing country setting, and those who are working in wilderness/experiential education.  At ISDSI we have been students of risk management since the beginning, and feel that it is an important component to both our overall program, and part of what we teach our students.

One of the best places to learn about risk management is at the annual Wilderness Risk Management Conference, but on by NOLS, Outward Bound and SCA.  Their focus is “Practical Solutions for Challenging Issues.”  We’ve  attended the WRMC a couple of times, and have published a paper in the WRMC 2004 proceedings, “The Objective Hazards of Culture: Risk Management in an International Setting.”

ISDSI (Ajaan Mark and Pi Ben) will presenting a workshop at the 2010 WRMC at Colorado Springs: “Crossing the Border Matters: Practical Risk Management in Developing Countries.”  Here is the description:

International wilderness trips are growing in popularity, especially to “non-traditional” settings in developing countries. However, even experienced wilderness leaders and risk managers may be caught unprepared by differences in legal systems, cultural expectations, and a sometimes radically changed risk management terrain. This practical hands-on session will examine in detail key issues and concerns for working in developing countries, appropriate for trip leaders, risk managers and expedition members.

We’ve put together a web page for folks attending the workshop, and will use the page to collect ISDSI specific information on risk management.  This won’t be a comprehensive list of papers on risk management (that’s even hard if you’re doing a google search), but rather supporting documentation and specific information related to the WRMC workshop and how we approach risk management at ISDSI.

Jump over to the new Risk Management page to see what we’re starting…

Whoops. Thinking too much in the surf zone, Trang, Thailand.

When you are in a quickly changing situation like the political unrest in Thailand over the last few days and weeks, it pays to be flexible and responsive. We know from sea kayaking, paddle surfing and whitewater canoeing during our Expedition Field Courses at ISDSI that you need to be flexible, relaxed and aware to respond the best. When you get stiff, or freeze as you try and remember your checklist and details, is when you fail — flipping your boat, falling off, or failing to run the rapids.

Study abroad is no different.

When beginners learn a skill, they are focused on the lists — trying to remember the sequences, items, and events. With practice comes unconscious skill — you’re thinking about the movement and responding to the environment. In risk management and assessment, you need both — a list of principles that guide what you do, and the skill to apply them to fluid environments.

We’ve seen that a lot in the last few days and weeks in Thailand.

At ISDSI’s study abroad semesters in Thailand, we focus on training our American students to be culturally competent — not memorizing lists of do’s and don’ts, but rather learning Thai culture and language well enough to understand the “why” behind actions. Lists are only good for the situations you know about, but don’t necessarily guide you in what to do in new and unique situations.

At ISDSI our instructors work through lists, plans and contingencies — keeping daily course logs, training as Wilderness First Responders, working through scenarios and discussing what to do “if” — “if” being a very big, and ultimately unbounded category. However, rather than inflexible checklists or formulas, our focus is on learning how to appropriately combine three things: principles + resources + judgment.

Working on the flow chart and decision tree -- it doesn't work without good judgment.

Joe Brockington, associate provost for international programs at Kalamazoo College, one of our key partners, says in “Effective Crisis Management” that a crisis is an emergency without a plan. We would add that without good judgment, skill, and experience, a plan alone is worthless — and will quickly turn into a crisis.

Faced with a situation like the protests and later riots in Bangkok, the principles of how to ensure student well-being is paramount.  What resources do we have?  How can we combine them in the most appropriate way?  For example, the final capstone course (Coastal Ecology and Culture) had planned on having the students transit through Bangkok by train, and spend a day at the huge Chatujak Market doing a survey of coastal resources available at the market (from tropical fish to seashells). With the escalating tensions in Bangkok, we felt it would be better to avoid the city, and travel direct to the field site by bus — a decision that was easy to make, since we had the resources and experience to contact a reliable bus company, charter our own bus, and ensure that the students would arrive safely.  Likewise, during the tsunami that hit Thailand, we were able to contact our students since we have lists of their mobile phone numbers, and knew where they were.

We’re hoping that things continue to calm down in Bangkok, and it looks like that is what is happening. But we don’t expect that it will be the last emergency we’ll face at ISDSI.  In the meantime, we’ll continue to practice so we can be flexible and respond to the normal turbulence of living and working in Southeast Asia.

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For more information, see:

Effective Crisis Management by Joe Brockington.

Health, Safety, & Crisis Response by NAFSA.

The Objective Hazards of Culture outlining more of the ISDSI approach to risk management, including a list of questions for people involved in leading and managing study abroad programs.

This is especially the case with the protests and government crackdown in Bangkok.  Bangkok is a HUGE city of 12 million people.  While the protests cover several square kilometers, for most people in the city there is little direct impact.  In other places, like Chiang Mai, there is even less apparent impact.  People everywhere are aware of what is going on, and share the concerns people elsewhere in the world have for the violence and rioting that is going on in Bangkok.

But watching CNN and the BBC gives a distorted picture of what life is like (not even to get into the bias that has crept into their reporting).

However, CNNGo has had some great articles about what is going on in Thailand, behind the scenes, and for the “normal life” that most of us living in Thailand are going through daily.  It is worth a read.

Here are some excerpts from their latest article, Thailand struggles as Bangkok burns

Images of flaming tires, blood-covered bodies, armed soldiers and grenade riddled buildings may dominate local and international media these days, but in the rest of the Thailand — and even most parts of Bangkok — life is carrying on without any signs of the clashes.

That’s not to say residents aren’t suffering, particularly in the country’s major resort areas where international tourists are scarce…“It’s such a shame that travel alerts don’t always distinguish between the safe parts and the spots where snipers and tire-burners do their thing,” he says, referring to the many government advisories that warn their citizens to avoid travel not just to Bangkok, but Thailand on the whole. “Rates at four- and five-star resorts on Phuket and along the Andaman coast are likely to be fantastic for travelers in the next few months. If you’ve ever wanted a luxury holiday with all the extras, now’s the time to plan it.”

Chiang Mai: No national crisis here

Up north in Chiang Mai, where support for self-exiled former prime minister Thaksin Shinawatra is prevalent, there is none of the civil unrest found in Bangkok, says long-time Chiang Mai resident and business owner Andrew Bond.

“Even the usual ongoing protest forum behind Phra Singh Temple by the UDD has been abandoned as most [red shirts] have gone to join the Bangkok group,” Bond explains. “The city is going about its business and uninformed tourists wouldn’t suspect there’s a national crisis.” … Thai Chiang Mai resident Therapat Poomstitpong agrees with Bond, saying that the only evidence he’s seen of the protests is what appears on TV screens and the front pages of the daily newspapers, but unfortunately the tourists are staying away.

“It’s sad, as there aren’t many foreign tourists. Everyone is so tired of the violence, most of us want it to stop,” the ice cream vendor says.

Jump over to their site, and check out what they’re saying.  It is a good look behind the headlines.

Each semesters starts off with a retreat on the second weekend at the Mok Fa Waterfall, part of the Doi Suthep – Doi Pui National Park.  The weekend is a great time for students and instructors to get to know each other, enjoy some time out in nature, and relax.

Mok Fa Waterfall.

We also use the weekend to begin the process of training students in risk management and judgment.  Like any activity, studying on one’s home campus carries with it a set of risks and hazards. Learning and studying abroad has inherent risks associated with it as well, but the risks are different and students don’t have the “street smarts” they would in their home cultures. Because of that we do a number of things during the program, from training sessions to leader-of-the-day, to help students build their ability to make good decisions and lead in a challenging and different environment than their home cultures.

As a part of the weekend, we have modified a leadership tool used by Outward Bound (USA) that they use to train their instructors.  We first learned about how to do this at a workshop “When Judgment Is Crucial: Outward Bound USA’s Instructor Judgment Training” at the Wilderness Risk Management Conference. The basic idea is simple — take a realistic scenario, and then work a group through the options and consequences of decisions.

We start the training session with a discussion of some basic principles of understanding risk, accidents, and how to pull apart a decision to understand its consequences.

Risk, accidents and decision making.

Using these tools allow students to work through the scenario and begin applying a more sophisticated understanding of risk other than a “safe/unsafe” dichotomy.

Notes -- students often end up referring back to these throughout the semester when they are in the position of being leaders-of-the-day.

The students break into groups, and we introduce the scenario — a group of students backpacking through the mountains in Northern Thailand from village to village. This involves understanding objectives hazards of weather and jungle travel, as well as cultural concerns and group dynamics.

Talking over options.

The scenario is very close to the actual Expedition Field Courses they will experience, and is modeled to reflect some of the actual places and people they will meet during the Forests course.

At each point in the scenario where a decision needs to be made, the groups work through what they would do, and then share their decision with the larger group.

Matt sharing his group's thinking on their course of action.

Each group comes up with different solutions to the same set of problems.  Do you stop your group on the trail?  Turn back to the village?

Karen explaining their decision and possible consequences.

The real-life decision modeling is a very powerful way to get students to understand that their decisions have consequences. It is impossible to eliminate all risk and hazards — but it is possible to manage those in a responsible way.

A key thing we learned ourselves on our Wilderness First Responder course.

After the scenario we debrief and reflect on what students have learned — what was surprising, what take away points they want to remember, and how to apply it.

The next day during the retreat we spend the morning putting this into action — first with a “Threats To Life” class on what to do in case of an emergency where someone has gotten hurt, and then with an accident scenario where they work in teams to carry a “patient” out of the jungle with an improvised litter. Aside from being a lot of fun, it brings home how decisions have consequences, and how to be thoughtful and aware in a new culture, environment, and learning context.

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For more on our approach, see “The Objective Hazards of Culture” online (as a PDF), as well as other papers on our Publications page.

Also see our Wilderness First Responder page, with explains a bit about our approach and the training required for ISDSI instructors.

]]> http://www.isdsi.org/2010/01/leadership-and-judgment/feed/ 0 http://www.isdsi.org/2009/04/deep-knowing/ http://www.isdsi.org/2009/04/deep-knowing/#comments Mon, 13 Apr 2009 16:33:49 +0000 mark http://www.isdsi.org/?p=948 As I write this Monday night (Thailand time), the government is working to clear the streets, the opposition “red shirts” have issued a call to fall back to the main protest site around government house, and there are sporadic protests in the provinces.  No one really knows what is going to happen next.

It can be difficult at times like these to know what is going on, since there are so many rumors, mis-reported new stories, and unconfirmed reports. Through it all, however, day-to-day life goes on.  Today is part of the Thai New Year celebration of songkran, a water festival, and throughout most of the country people are having fun, throwing water on each other, going to local fairs, and enjoying time off from work and a relief from the heat of April.

Two excellent articles out today, not on the details of the crisis so much as the issues surrounding them. Both are well worth a read, and give a lot of good background on what is happening and why.

Philip Bowring writing an op-ed in The New York Times (What Shirt for Thailand?):

The situation is not beyond retrieval. Thailand has always flourished on pragmatic compromises, domestic and international. Ethnic homogeneity and the economic interests of a society with few big corporations but many small businessmen and independent farmers all make it unlikely that there will be widespread bloodshed.

But there remains a fundamental divide over the rules of the political game. Social divisions must be bridged if Thailand is to return to the promise of 1997, when elections and a new constitution seemed to put the nation on a path of liberal democracy.

Another good article from The Economist, “Thailand’s ugly crisis“:

Many Thais are heartily sick of the crisis and its enormous damage to the economy in terms of lost investment and tourists. Another military coup is rumoured, although it is unclear where the army’s political inclinations lie. Presumably Mr Abhisit’s days are numbered as prime minister, though who might succeed him is anyone’s guess. Mr Thaksin hopes to ride the protests and return to power. Yet with plenty of scores to settle, his would presumably be a brittle and autocratic rule at a time when reconciliation is badly needed. Fresh elections are probably the best bet, with the promise of a search for a broad political consensus for constitutional change to allow a more representative politics. For now, with violence in the streets again, Thailand teeters on the brink.

As someone who has lived in Thailand most of the last 20 years, and who has been through more than one coup d’état, it is still difficult to know what is going to happen, and how it will impact the country as a whole (the big picture) and our specific program and students (the details).

How do we figure out what is going on, and how best to respond?

There are a number of things we do in this sort of situation, and it may be helpful to share some of it, both for students, parents, partner schools, and for other faculty and/or programs who might face a similar situation.

We of course have an emergency response plan, a team of well-trained staff, and have worked out in advance what to do in a variety of scenarios. I  (Mark) am a warden with the US Consulate in Chiang Mai, so get updates directly from the Consulate when they are issued, and also know many of the consular folks as personal friends. All of our staff carry cell-phones, and when students are in-country, the phone are on 24/7 in case of an emergency. We have a list of student cell phones, parental and school emergency contacts, etc. News feeds (online and off) are monitored daily for important information, especially as concerns security and threats.  All of that is (or at least should be) routine for any study-abroad program. (You can read more about our approach to risk management at “The Objective Hazards of Culture: Risk Management in an International Setting” here as a PDF.)

The key is knowing the place with the sort of “deep knowing” David Orr talks about when referring the ecological education and knowing a river or mountain.

“…[A] course on a nearby river might require students to live on the river for a time, swim in it, canoe it, watch it in its various seasons, study its wildlife and aquatic animals, listen to it, and talk to people who live along it.  A river become…”a microcosm of the world” and a doorway to wider knowledge…there are some things that cannot be known or said about a mountain, or a forest, or a river—things too subtle or too powerful to be caught in the net of science, language, and intellect.” (p. 96, Earth In Mind: On Education, Environment And The Human Prospect, 1994)

You have to “swim” in a culture to know it deeply.

For a culture and a country, knowing the community, the normal rhythms of day-to-day life, being comfortable speaking Thai everyday with friends and acquaintances (getting inside the skin of the culture), spending a lot of time reading and talking about politics with Thai and ex-pat experts. It is in part having a network of trusted friends, both Thai and ex-pat residents (foreigners) who are themselves well connected. People you can trust, who have good judgement, and who you can ask for help, advice and trusted opinion. Moving between the academic world of the urban elite to the world of marginalized villagers (in the North, Northeast and South especially) means that we have friends who are poor farmers, fishermen and tribal people–all of whom have a different view on what is happening, and how it fits into the bigger picture. It isn’t just the opinions of a Thai political scientist that matter, but also our uncles, aunts, older brothers and sisters out in the villages who matter.

Deep knowing doesn’t tell you what is going to happen, but helps you know what to do when something does happen.

So while there is not a simple formula to calculate what is going to happen and what we should do about it, deep knowing, a cautious awareness and multiple sources of information go a long way towards helping us know what to do and what is happening. We are fortunate to have excellent students who love Thai culture and dive into the language and home-stays with gusto (even when it is hard). As they develop cultural sensitivity and awareness, strong relationships with host families, and a good understanding of how to live in Thailand, it makes our job not just much easier, but deepens our own understanding of this place as we see them struggle to create a new home.

As the articles above point out, there are some significant changes happening in Thailand, and the rural-urban gap needs to be bridged. Having close friends among the urban elite as well as the marginalized rural folk leads me to be cautiously optimistic about the eventual outcome, but concerned as well for a country and a people that we love as the problems get sorted out.

For those who don’t know what a WFR is, it is the sort of training that is required for NOLS and Outward Bound Instructors, rangers doing search and rescue in the wilderness, and others. We require our own instructors to be WFR trained as we work in a lot of remote locations, and medical care can be hours or days away at times. The WFR training is very comprehensive, dealing with broken bones, wounds, medical issues, illnesses, how to care for someone with a possible spine or head injury, etc. The key part that is added (and why it is “Wilderness” First Responder) is how to imporvise with limited resources, and how to care for someone over an extended period of time.  Urban EMTs and paramedics usually have their patients to a hospital in minutes, while WFRs need to be able to care for someone over the hours or days until they can reach a hospital.

Tyson and John were able to put together a curriculum that was not only packed with information, but also fun.  Skits and real-life scenarios helped bring the material to life, and helped all of us remember more.  As a teacher I really appreciated that they were able to take some rather grim topics (massive trauma, etc.), and inject it with appropriate humor and fun to make the students remember the lessons and key points.

More information is on our WFR page (including a video!).  We’re already planning a course in two more years.