I've been hearing more and more people (on SDN and in life) talk about how their career plans are "wilderness medicine" or less commonly "aerospace medicine" or even "tactical medicine." Now I know that there are fellowships available out there for these things. My question is does anyone really do this for a living? To me they seem largely like an extracirricular interest magically transformed into a fellowship. It all seems sort of silly to me. Does anyone know a doc who is working in the wilderness? For the attendings, does having a fellowship in wilderness make a candidate more attractive to hire?