Many wilderness medicine curricula have been developed for prehospital care providers and lay people interested in outdoor activities. However, wilderness-oriented education at the physician level continues to be either experiential or obtained through continuing medical education courses. In response to the lack of a formal training program, the Montana Family Practice Residency has created a pathway for residents to become practitioners and educators in wilderness and environmental medicine. This residency program in wilderness medicine was developed in response to an interest on the part of the faculty and residents and a perceived need in the local and national community. The residency program has a Core Curriculum, guaranteeing a uniform level of education for all residents; a Wilderness Medicine Interest Group, providing further exposure to educational topics for interested residents; and a comprehensive Intensive Study Track for the resident desiring in-depth exposure and experience in this area. The program also sponsors an annual Wilderness Medicine Conference. Wilderness medicine education includes activities and responsibilities keyed to the resident’s level of interest and commitment. At a minimum, the resident is exposed to a rotating lecture series of wilderness medicine topics over the 3-year family medicine residency program. Residents choosing the Intensive Study Track may be responsible for organizing the monthly Wilderness Medicine Interest Group meetings and educating other providers and the general community. They also have opportunities for research and publication in wilderness medicine. We believe that this curriculum can serve as