A sequenced, competency-based education program that prepares candidate patrollers and other outdoor rescuers without previous first aid or EMT training to handle the emergency care problems encountered in the nonurban setting. The knowledge and skills learned are oriented toward the wilderness environment, with special emphasis on ski and snowboard injuries, high-altitude and cold-weather illness, wilderness extrications, and the special equipment needed for emergency care and transportation in the outdoor environment. Students are required to participate in comprehensive lessons with skill and scenario application, complete various workbook exercises, take a final written exam, and demonstrate their skills and knowledge in final scenarios. Challenge students and course students are required to demonstrate all the skill performances and complete the same final written exam and practical.