Introduction-Wilderness medicine (WM) is a growing field offering advanced training and recognition through graduate medical education (GME) WM fellowships and the Fellow of the Academy of Wilderness Medicine (FAWM) professional designation. GME fellowships, introduced in 2004, provide immersive, structured training and experiential learning opportunities. The FAWM designation, established in 2005, is earned through approved educational activities. This study compared alumni outcomes between these pathways.Methods-A cross-sectional survey was conducted among GME fellowship graduates and FAWM recipients. Inclusion criteria were GME fellowship alumni or individuals with FAWM recognition. Exclusion criteria included incomplete surveys. Respondents were surveyed on demographics, academic output, and satisfaction with their training. Data analysis included χ² tests for categorical data, analysis of variance for publication comparisons, and ordinal Likert scales for satisfaction.Results-Of 321 responses, 281 were included. GME alumni expressed greater satisfaction with mentorship and research opportunities; 95% of FAWM-only respondents reported exposure to career opportunities unknown prior to fellowship. There was no detectable difference (P=0.523) between FAWM-only respondents' number of WM-related publications. Overall, 93% of FAWM-only respondents and 76% of GME alumni would repeat their fellowship. Both groups demonstrated high proficiency in WM, with 89% feeling proficient.Conclusion-Both GME and FAWM pathways support WM education and career development. However, GME fellowships provide enhanced academic involvement, mentorship, and performance of relevant clinical skills. FAWM introduced new wilderness careers and had higher alumni satisfaction. These findings highlight the complementary roles of GME fellowships and FAWM recognition in advancing proficiency and professional growth.

Keywords: FAWM; career satisfaction; honorary fellowships; publications.

简介-野外医学（WM）是一个正在发展的领域，通过研究生医学教育（GME）的WM专业培训和野外医学学会院士（FAWM）的专业认证提供高级培训和认可。自2004年引入以来，GME专业培训为学员提供了沉浸式、结构化的训练和实践经验机会。FAWM认证于2005年设立，通过经过批准的教育活动获得。本研究比较了这两种途径的校友成果。
方法-对GME专业培训毕业生和获得FAWM资格的人进行了一项横断面调查。纳入标准为GME专业培训校友或获得FAWM资格者。排除标准包括未完成的问卷。受访者被询问人口统计学、学术产出以及对其培训的满意度。数据分析包括卡方检验（χ²）用于分类数据，单因素方差分析用于出版物比较，并使用李克特量表评估满意度。
结果-在321份回复中，有281份被纳入研究。GME校友对导师指导和科研机会的满意度更高；95%仅获得FAWM资格的受访者表示，在接受专业培训之前未曾接触过未知的职业机会。FAWM资格持有人的野外医学相关出版物数量没有明显差异（P=0.523）。总的来说，93%只持有FAWM资格和76%GME校友表示他们愿意重来一次他们的专业培训经历。两组均表现出高水平的专业技能，在89%的人感到自己在野外医学方面熟练。
结论-GME和FAWM途径都支持了野外医学教育和职业发展，但GME专业培训提供了更深入的学术参与、导师指导以及相关临床技能的表现机会。FAWM则引入了新的野外职业生涯，并且校友满意度更高。这些发现突显了GME专业培训与FAWM认证在推动专业知识和职业成长方面的互补作用。

关键词：FAWM；职业满意度；荣誉院士资格；出版物。