{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T14:44:57Z","timestamp":1792075497438,"version":"4.4.0"},"reference-count":11,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2026,10,12]],"date-time":"2026-10-12T00:00:00Z","timestamp":1791763200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Wilderness & Environmental Medicine"],"abstract":"\n Introduction<\/jats:title>\n Decision making in emergency medicine is influenced by cognitive bias, time pressure, uncertainty, and incomplete or unreliable feedback. Outdoor experiential learning may provide an environment in which these decision-making processes can be experienced and discussed in a practical context.<\/jats:p>\n <\/jats:sec>\n \n Objective<\/jats:title>\n This study evaluated a novel outdoor experiential learning workshop designed to assess changes in emergency medicine residents\u2019 self-reported awareness and understanding of decision-making science.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n We conducted a prospective single-cohort study of emergency medicine residents participating in an outdoor experiential learning workshop. Residents completed a 15-min asynchronous video lecture during the 2 wk preceding the field day, followed by guided backcountry activities incorporating structured discussions of decision-making science and clinical parallels. Participants completed surveys before and after the workshop and a 3-mo follow-up survey. Descriptive statistics and independent-samples t tests were used to evaluate changes in self-reported decision-making awareness and understanding.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n Thirty residents completed the pre-intervention survey, 21 (70%) completed the post-intervention survey, and 22 (73%) completed the 3-mo follow-up. All measures demonstrated overall improvements from before to after the survey. The largest improvement was in understanding the importance of feedback in decision making (3.53\u00b11.17 vs 4.38\u00b10.74;\n P<\/jats:italic>\n =0.001). This improvement maintained statistical significance at the longitudinal follow-up (3.53\u00b11.17 vs 4.09\u00b11.11;\n P<\/jats:italic>\n =0.043), reflecting continued appreciation for the value of feedback in decision making.\n <\/jats:p>\n <\/jats:sec>\n \n Conclusions<\/jats:title>\n Participants reported increased awareness and understanding of decision-making science following the workshop, with several measures remaining elevated at the 3-mo follow-up. Participants also reported high levels of enjoyment and perceived educational value.<\/jats:p>\n <\/jats:sec>","DOI":"10.1177\/10806032261495963","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T05:47:53Z","timestamp":1791870473000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":0,"title":["Trailhead to Triage: A Backcountry Ski Workshop for Sharpening Clinical Decision Making in Emergency Medicine Residents"],"prefix":"10.1177","author":[{"ORCID":"https:\/\/orcid.org\/0009-0005-9733-7674","authenticated-orcid":false,"given":"Sarah","family":"Petelinsek","sequence":"first","affiliation":[{"name":"University of Utah Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Theodore","family":"Hartridge","sequence":"additional","affiliation":[{"name":"University of Utah Health"},{"name":"University of Utah Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ethan","family":"Grant","sequence":"additional","affiliation":[{"name":"University of Utah Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rowan","family":"Kelner","sequence":"additional","affiliation":[{"name":"University of Utah Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Matthew","family":"McKinnon","sequence":"additional","affiliation":[{"name":"University of Utah Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7948-1262","authenticated-orcid":false,"given":"Rose","family":"Domonoske","sequence":"additional","affiliation":[{"name":"University of Utah Health"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0073-6961","authenticated-orcid":false,"given":"Patrick G.","family":"Hughes","sequence":"additional","affiliation":[{"name":"University of Utah Health"},{"name":"University of Utah Health"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2026,10,12]]},"reference":[{"key":"e_1_3_3_2_2","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0273250"},{"key":"e_1_3_3_3_2","doi-asserted-by":"publisher","DOI":"10.1177\/0963721415591878"},{"key":"e_1_3_3_4_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00162919"},{"key":"e_1_3_3_5_2","first-page":"1","article-title":"Heuristic traps in recreational avalanche accidents: evidence and implications","volume":"68","author":"McCammon I.","year":"2004","unstructured":"McCammon I. Heuristic traps in recreational avalanche accidents: evidence and implications. Avalanche News. 2004;68:1\u201310.","journal-title":"Avalanche News"},{"key":"e_1_3_3_6_2","doi-asserted-by":"publisher","DOI":"10.1353\/pbm.2011.0010"},{"key":"e_1_3_3_7_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-023-04371-5"},{"key":"e_1_3_3_8_2","first-page":"70398","article-title":"Effectiveness of structured case-based learning versus traditional didactics in enhancing clinical decision-making among orthopedic residents","volume":"228","author":"Sun X","year":"2026","unstructured":"Sun X, Chen X, Huang J, Liu Y, Wang J, Lu S. Effectiveness of structured case-based learning versus traditional didactics in enhancing clinical decision-making among orthopedic residents. J Vis Exp. 2026;228:70398.","journal-title":"J Vis Exp"},{"key":"e_1_3_3_9_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-07041-w"},{"key":"e_1_3_3_10_2","volume-title":"Experiential Learning: Experience as the Source of Learning and Development","author":"Kolb DA.","year":"2014","unstructured":"Kolb DA. Experiential Learning: Experience as the Source of Learning and Development. FT Press; 2014."},{"key":"e_1_3_3_11_2","doi-asserted-by":"publisher","DOI":"10.1177\/10806032251334298"},{"key":"e_1_3_3_12_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12909-025-07533-9"}],"container-title":["Wilderness & Environmental Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261495963","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/10806032261495963","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/10806032261495963","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,15]],"date-time":"2026-10-15T13:53:56Z","timestamp":1792072436000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/10806032261495963"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10,12]]},"references-count":11,"alternative-id":["10.1177\/10806032261495963"],"URL":"https:\/\/doi.org\/10.1177\/10806032261495963","relation":{},"ISSN":["1080-6032","1545-1534"],"issn-type":[{"value":"1080-6032","type":"print"},{"value":"1545-1534","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10,12]]},"article-number":"10806032261495963"}}