Each year this competition has these survival instructors placed in insane survival environments by themselves.  Blizzards, hurricanes, the hottest desert at the hottest time of the year, the Antarctic at the coldest time of the year, the middle of the Pacific Ocean, an iceberg (one for each instructor), the darkest part of the Congo, a snow-topped mountain range, etc.  Naturally, this isn’t “to the death” but more to see who survives each environment the healthiest and hopefully learn how best to do so from the participants.  Just before the instructors are dumped into each hostile environment, they’re given a full physical, including a blood test.  At the end of each experiment, all of the instructors’ stats are taken again and the one who comes out of that week's experiment the healthiest wins.
 

Some experiments would be to “just survive” while others would require the instructors to do something as well, such as to travel 100 miles across a blazingly hot desert.  Some challenges might handicap them, such as putting one of their legs into a cast to represent it having been broken ... or both legs in a cast ... or one of their arms put into a cast ... or being blindfolded ... or being dropped into an environment literally naked, without anything ... or being given a group of disadvantaged (as far as survival goes) individuals, such as the morbidly-obese, blind, or elderly, and be required to also make sure they survive and come out as healthy as possible.  Each experiment lasts one week, with a one week break between contests for the instructors to recuperate.  Thirteen experiments done a year.
 

To win this challenge, the medical school must get a reality TV production company to do a weekly hour-long reality TV show on the experiment (thirteen episodes a year; one episode per week-long experiment) and the show must premiere on either a US broadcast or cable TV network during their prime-time.  The TV show must air for at least three years.  The medical school must not have any creative control over the TV show, its production, or the production company BUT the production company must turn over copies of ALL video footage and audio recordings they take to the experiment runners unedited.  The production company must also allow and make room for (or supply a second live-feed observation room to) the experimental scientists to use the production company's video cameras and audio microphones to observe the test subjects live.  This is a very good mutually-beneficial symbiotic relationship between the medical school and the production company.  The medical school cannot receive any payment from the production company or broadcast/cable TV network.  Production companies and/or broadcast/cable TV networks bid to get the rights to the experiment by how much money they'll spend on production and promotion of the show as well as what timeslot they'll guarantee for the show in their programming schedule.  The reason for this is to get the lessons learned from this experiment out to as many people as possible.  The medical school is, after all, an educational institution and this experiment is meant to educate the general public as well as the medical community.
 

The research foundation(s) and/or corporation(s) that the medical school gets the grant(s) from to do this experiment must commit itself(themselves) to funding this competition every year.