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Grand Master Medic
Obtain 450 skill points in first aid.
Grand Master Medic requires you to reach 450 skill points in First Aid, which is unlocked through the Grand Master First Aid training available in Northrend and is part of the Wrath of the Lich King expansion.
Meet the Skill Requirement
You must have at least 350 skill in First Aid before you can learn Grand Master First Aid, which raises your cap to 450.
Train Grand Master First Aid
Alliance players can train with Brynna Wilson in Valiance Keep, Borean Tundra — she is found next to the Blacksmith Trainer, near the Sparring Footmen. Horde players can train with Nurse Applewood in Warsong Hold, Borean Tundra — found behind the stairs on the same level as the Quartermaster, at 41, 54. Alternatively, Alliance can visit Anchorite Yazmina at Valgarde Keep in Howling Fjord, found near the Bonfire by the dock, and Horde can visit Sally Tompkins at Vengeance Landing in Howling Fjord, found on the top floor of the building next to the Flight Master.
Skill Up to 390
Use Frostweave Bandage, which your trainer will teach you, to skill up toward 390.
Acquire Heavy Frostweave Bandage
At 390 skill, you can learn from Manual: Heavy Frostweave Bandage, which is a world drop obtainable from any instance in Northrend — simply run any dungeon and it will likely drop for you.
Reach 450 Skill
Craft Heavy Frostweave Bandages repeatedly until you reach 450 skill points, completing the Grand Master Medic achievement.