Alan Oram is a residency-trained and board-certified emergency medicine physician with growing pains. After a lifetime of climbing and skiing in the mountains around the world, he spent 5 years becoming an internationally certified mountain guide through the American Mountain Guides Association (AMGA) and the International Federation of Mountain Guides Association (IFMGA). With this combination, he is working towards a long-term goal of balance, spending as much time as he can in the mountains while linking emergency and mountain medicine with the hard skills of technical climbing and ski mountaineering. He currently guides in many regions of the United States as well as a smattering of areas in Europe. In addition to guiding, he is the medical advisor for a number of professional mountain guide companies and organizations including the AMGA, the Certified Guides Cooperative, Exum mountain guides, and multiple others. This relationship provides a mechanism to interact with active mountain guides and the technical as well as medical issues that they deal with on a day-to-day basis. he currently works as an Emergency physician in Jackson, Wyoming. He also provides technical rescue and safety services for the film and ski industry and has worked in a number of different environments including Denali National Park, Yosemite National Park, and for The Freeride World Tour, a professional ski event held in the mountains outside of Haines, Alaska.