Middle Fork of the Salmon River Raft Expedition CME
Idaho’s Middle Fork of the Salmon has it all: spectacular scenery in one of the deepest river gorges in North America, crystal clear water, blue ribbon trout fishing for native Westslope cutthroat trout, riverside natural hot springs, abundant wildlife viewing and historic sites to explore.
Come experience for yourself why the Middle Fork it is at the top of the list for both beginning river enthusiasts and seasoned river travelers alike.
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Trip Highlights
- Experience the Middle Fork of the Salmon River, a premier wilderness rafting adventure
- Travel 100 miles through the largest roadless wilderness in the U.S.
- Raft through a canyon deeper than the Grand Canyon
- Enjoy clear water, natural hot springs, and excellent trout fishing
- Navigate over 100 Class I–III+ rapids
- Spend days rafting, hiking, soaking, fishing, and optional inflatable kayaking
- Guided by expert outfitters for a safe and enriching experience
- Unplug with a true digital detox and immersive wilderness experience
About this trip
Middle Fork of the Salmon River Raft Expedition CME
The Middle Fork of the Salmon River is the ultimate wilderness rafting adventure. This 100-mile Wild and Scenic river flows through the largest roadless wilderness in the U.S., carving a canyon deeper than the Grand Canyon and offering crystal-clear water, natural hot springs, blue-ribbon trout fishing, and over 100 Class I–III+ rapids. Ranked by National Geographic as one of the top river trips in the world, it’s an unforgettable setting for both adventure and CME learning.
We begin with a spectacular scenic flight to the remote Indian Creek put-in, then spend our days rafting, soaking in hot springs, hiking, fishing, and optional inflatable kayaking, which is especially rewarding in the quieter fall season. Guided by the legendary Middle Fork River Expeditions, this trip is a true digital detox and a rare chance to unplug, reconnect, and experience the wilderness at its finest.
Trip is run with Middle Fork River Expeditions as the outfitter.
CME ACCREDITATION INFORMATION
This activity has been planned and implemented in accordance with the Essential Areas and policies of the Accreditation Council for Continuing Medical Education through the joint providership of the Center for Emergency Medical Education and Wilderness and Travel Medicine. The Center for Emergency Medical Education is accredited by the ACCME to provide continuing medical education for physicians.
The Center for Emergency Medical Education designates this live activity for a maximum of 16 AMA PRA Category 1 CreditsTM.
Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Itinerary
What to expect
Days 1–3: Scenic Flight, Upper Middle Fork & Hot Springs
Begin with a stunning scenic flight to the Indian Creek put-in, then raft through the upper Middle Fork enjoying fun whitewater, historic homesteads, natural hot springs, blue-ribbon fly fishing, and optional hiking. Evenings feature gourmet camp meals, campfires, and star-filled skies.
Days 4–5: Impassable Canyon & Big Water
Enter the heart of the canyon, deeper than the Grand Canyon, running classic rapids, drifting through crystal-clear pools, and hiking to waterfalls and panoramic viewpoints.
Day 6: Whitewater Finale & Return
Finish with the trip’s biggest rapids before taking out at Cache Bar and returning to Stanley for a well-earned shower, dinner, and overnight stay.
Lodging
Where you'll stay
Camping
One of the best parts of the trip is to be lullabied to sleep by the sound of the river. We provide all camping gear for you, including a large rectangular sleeping bag, 2” Paco Sleeping pad, small camp pillow and 4-man tents (for 1 or 2 people only). Guests are expected to set up their own tent but guides are always available to help single travellers’ or guests that need help. In the evening, we’ll have chairs to relax in for meals and around the campfire. We bring along a wilderness porta-potty and place it in a private place with stunning views. This system has a regular toilet seat for comfort and ease. We practice Leave No Trace camping ethics, so you are sure to learn a lot about this on the trip and be able to take some of these new skills home with you.
Lodging The Night Before the Trip
You are responsible for booking a hotel room for the night before the trip in Stanley. For rooms we have priority pre-season bookings at the Mountain Village Lodge (800) 843-5475 from Oct 15 until Dec 31, after which they open to the public. Please mention you are with MFRE when you book prior to Dec 31 otherwise they will not allow you to book. The Triangle C Cabins (208-774-2266) have clean cabins and are great for families. Another good choice is the Sawtooth Hotel (208-721-2459). You can go to the Stanley Chamber of Commerce website for more options but please note lodging is limited so book right away. www.stanleycc.org
Dates & Pricing
Plan your trip
Dates
2026
September 1-6
2027
September 1-6
Pricing
2026
$4,050 per person, based on double occupancy; plus $155 for scenic flight to Indian Creek
2027
$4,250 per person, based on double occupancy; plus $185 for scenic flight to Indian Creek
Optional CME Credits: 16 Hours AMA PRA Category 1 Credits: $789
What’s Included
♦ ground transportation by bus from Stanley to the river and back to Stanley after the trip.
♦ meals from lunch Day 1 to lunch Day 6.
♦ expert leadership with seasoned professional river guides who are Wilderness First Aid and Swiftwa-ter Rescue certified.
♦ all camping equipment including 4-man tents for 1 or 2 people, large rectangular 20F sleeping bag, 2” sleeping pad, splash gear tops and bottoms, farmer john wetsuits, and waterproof socks and neo-prene gloves (if needed in June/early July).
♦ 3 dry bags: one for camp clothing, one for sleeping kit (pillow & sleeping bag) and one small dry bag for items to have access to during the day like sunscreen, rain gear, camera etc.
♦ all commissary equipment for meals and camp.
♦ all rafting equipment (life jackets, helmets, paddles etc.).
♦ all water craft including oar boats, paddle raft, inflatable kayaks and inflatable stand up paddle board.
♦ MFRE mug to use and take home after trip.
What’s Not Included
Flights to/from Stanley, Idaho; Motel in Stanley for night before the trip and night the trip ends; flight into Indian Creek ($155/person); travel insurance (we strongly recommend); optional tipping to guides (10-15%+ of trip cost) depending on level of satisfaction; additional alcoholic beverage beyond those outlined below.
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Middle Fork_Salmon River CME
The guides were off the charts- fantastic! Amazing trip!
Middle Fork_Salmon River CME
Comments…
Great trip – very enjoyable…trip of a lifetime for us!
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Fantastic experience – a trip we will remember all of our lives…new friends / great experiences in the great outdoors……Get your CME and have a great time while you do so – in the great outdoors!