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open access

Vol 74, No 1 (2023)
Review article
Submitted: 2022-12-15
Accepted: 2023-01-02
Published online: 2023-03-24
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Medical training of seafarers: International Maritime Health Foundation (IMHF) Expert Panel Consensus Statement

Nebojša Nikolić1, Jon Magnus Haga2, Jens Tülsner3, Per Otto Årland4, Alf Magne Horneland2, Bill Kavanagh5, Klaus Seidenstucker6, Spike Briggs7, Inger Lund-Kordahl2, Cecilia Simolin Pernilla2
DOI: 10.5603/IMH.2023.0002
·
Pubmed: 36974489
·
IMH 2023;74(1):15-23.
Affiliations
  1. International Maritime Health Foundation Management Board, Croatia
  2. Norwegian Centre for Maritime and Diving Medicine, Haukeland University Hospital, Norway
  3. Marine Medical Solutions, Germany
  4. Norwegian Maritime Authority, Norway
  5. National Maritime College of Ireland, Munster Technological University, Ireland
  6. International Maritime Health Foundation Expert Panel, Germany
  7. Medical Support Offshore, United Kingdom

open access

Vol 74, No 1 (2023)
MARITIME/OCCUPATIONAL MEDICINE Review article
Submitted: 2022-12-15
Accepted: 2023-01-02
Published online: 2023-03-24

Abstract

Background: Medical emergencies and on-going medical conditions on board may seriously impair seafarers’ health and safety, and also negatively impact on future work prospects for seafarers. When a seafarer gets ill or injured on a ship, medical treatment often relies on the competences on his colleagues on board. The aim of this project was to establish a consensus-based minimum standard for medical education for seafarers, in order to ensure competency for adequate management of ill-health on board. Materials and methods: International Maritime Health Foundation (IMHF) conducted a workshop on medical training of seafarers. A research-based approach to gain consensus on core learning outcomes/competences developed by the Tuning Project, has been used. This method was used by Tuning (Medicine) to gain consensus on core learning outcomes for primary medical degrees (Master of Medicine) across Europe. Results: The result of the project is a set of learning outcomes/competences in medical training for merchant seafarers. Conclusions: The project resulted in a set of learning outcomes/competences on medical training of the seafarers that will be submitted to the relevant bodies of International Maritime Organization (IMO) in the process of the development of model courses 1.13, 1.14 and 1.15.

Abstract

Background: Medical emergencies and on-going medical conditions on board may seriously impair seafarers’ health and safety, and also negatively impact on future work prospects for seafarers. When a seafarer gets ill or injured on a ship, medical treatment often relies on the competences on his colleagues on board. The aim of this project was to establish a consensus-based minimum standard for medical education for seafarers, in order to ensure competency for adequate management of ill-health on board. Materials and methods: International Maritime Health Foundation (IMHF) conducted a workshop on medical training of seafarers. A research-based approach to gain consensus on core learning outcomes/competences developed by the Tuning Project, has been used. This method was used by Tuning (Medicine) to gain consensus on core learning outcomes for primary medical degrees (Master of Medicine) across Europe. Results: The result of the project is a set of learning outcomes/competences in medical training for merchant seafarers. Conclusions: The project resulted in a set of learning outcomes/competences on medical training of the seafarers that will be submitted to the relevant bodies of International Maritime Organization (IMO) in the process of the development of model courses 1.13, 1.14 and 1.15.

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Keywords

medical training, seafarers, learning outcomes

About this article
Title

Medical training of seafarers: International Maritime Health Foundation (IMHF) Expert Panel Consensus Statement

Journal

International Maritime Health

Issue

Vol 74, No 1 (2023)

Article type

Review article

Pages

15-23

Published online

2023-03-24

Page views

2431

Article views/downloads

510

DOI

10.5603/IMH.2023.0002

Pubmed

36974489

Bibliographic record

IMH 2023;74(1):15-23.

Keywords

medical training
seafarers
learning outcomes

Authors

Nebojša Nikolić
Jon Magnus Haga
Jens Tülsner
Per Otto Årland
Alf Magne Horneland
Bill Kavanagh
Klaus Seidenstucker
Spike Briggs
Inger Lund-Kordahl
Cecilia Simolin Pernilla

References (49)
  1. Horneland AM, Jeżewska M, Jaremin B, et al. Establishment of the International Maritime Health Foundation: the next step in scientific publishing in maritime health. Int Marit Health. 2018; 69(3): 153–156.
    CrossRefPubMed
  2. International Maritime Health, Via Medical Journals. https://journals.viamedica.pl/international_maritime_health (Accessed on 06.11.2022).
  3. International Maritime Health Foundation. https://www.imhf.pl/ (Accessed on 06.11.2022).
  4. ILO Guidelines for implementing the occupational safety and health provisions of the Maritime Labour Convention 2006, Geneva, Switzerland: International Labour Office; 2015. Sectoral Policies Department and International Labour Standards Department: 3-5.
  5. Carter T. Mapping the knowledge base for maritime health: illness and injury in seafarers. Int Marit Health. 2011; 62(4): 224–240.
    PubMed
  6. Sagaro GG, Dicanio M, Battineni G, et al. Incidence of occupational injuries and diseases among seafarers: a descriptive epidemiological study based on contacts from onboard ships to the Italian Telemedical Maritime Assistance Service in Rome, Italy. BMJ Open. 2021; 11(3): e044633.
    CrossRefPubMed
  7. Grappasonni I, Petrelli F, Amenta F. Deaths on board ships assisted by the Centro Internazionale Radio Medico in the last 25 years. Travel Med Infect Dis. 2012; 10(4): 186–191.
    CrossRefPubMed
  8. Roberts SE, Marlow PB. Traumatic work related mortality among seafarers employed in British merchant shipping, 1976-2002. Occup Environ Med. 2005; 62(3): 172–180.
    CrossRefPubMed
  9. McKay MP. Maritime health emergencies. Occup Med (Lond). 2007; 57(6): 453–455.
    CrossRefPubMed
  10. Montocchio-Buadès C, Daurat M, Ducombs M, et al. Management of a polytrauma in the maritime environment. Int Marit Health. 2018; 69(2): 126–128.
    CrossRefPubMed
  11. Herttua K, Gerdøe-Kristensen S, Vork JC, et al. Age and nationality in relation to injuries at sea among officers and non-officers: a study based on contacts from ships to Telemedical Assistance Service in Denmark. BMJ Open. 2019; 9(12): e034502.
    CrossRefPubMed
  12. Oldenburg M, Baur X, Schlaich C. Occupational risks and challenges of seafaring. J Occup Health. 2010; 52(5): 249–256.
    CrossRefPubMed
  13. IMO model courses 1.13, 1.14, 1.15. London: IMO; 2001.
  14. Revised Guidelines for the development, review, and validation of model courses (MSC-MEPC.2/Circ.15). https://homeport.uscg.mil/Lists/Content/Attachments/55317/Enclosure%205d%20-%20Sample%20Model%20Course%20Terms%20of%20Reference%20Template,%20IMO%20Format.pdf (Accessed on 06.11.2022).
  15. Brebner EM, Brebner JA, Ruddick-Bracken H, et al. The importance of setting and evaluating standards of telemedicine training. J Telemed Telecare. 2003; 9 Suppl 1: S7–S9.
    CrossRefPubMed
  16. Blignault I, Kennedy C. Training for telemedicine. J Telemed Telecare. 1999; 5 Suppl 1: S112–S114.
    CrossRefPubMed
  17. Sood S, Mbarika V, Jugoo S, et al. What is telemedicine? A collection of 104 peer-reviewed perspectives and theoretical underpinnings. Telemed J E Health. 2007; 13(5): 573–590.
    CrossRefPubMed
  18. Guitton MJ. Telemedicine at sea and onshore: divergences and convergences. Int Marit Health. 2015; 66(1): 18–21.
    CrossRefPubMed
  19. Oldenburg M, Rieger J, Sevenich C, et al. Nautical officers at sea: emergency experience and need for medical training. J Occup Med Toxicol. 2014; 9: 19.
    CrossRefPubMed
  20. Nikolić N, Horneland A, Denisenko I, et al. A Medical Support in Offshore Racing Workshop on Learning Competences/Outcomes, 4–5 November 2016, Barcelona, Spain. Int Marit Health. 2017; 68(3): 178–182.
    CrossRef
  21. Norum J, Gunnar Moksness S, Larsen E. A Norwegian study of seafarers' and rescuers' recommendations for maritime telemedicine services. J Telemed Telecare. 2002; 8(5): 264–269.
    CrossRefPubMed
  22. Schlaich C, Reinke A, Savenich C, et al. Guidance to the International Medical Guide for Ships 3(rd) edition: interim advice regarding the best use of the medical chest for ocean-going merchant vessels without a doctor onboard: joint statement of WHO Collaborating Centres for the health of seafarers and the International Maritime Health Association - 2009 version. Int Marit Health. 2009; 60(1-2): 51–66.
  23. Quantification addendum: international medical guide for ships, third edition. Geneva, Switzerland: World Health Organization; 2010. WHO Press. https://apps.who.int/iris/handle/10665/44341 (Accessed on 13.11.2022).
  24. International Medical Guide for Ships, Third Edition. http://apps.who.int/iris/bitstream/handle/10665/43814/9789240682313_eng.pdf?sequence=1 (Accessed on 06.11.2022).
  25. Doarn CR, Doarn CR. Challenges and barriers to development of telemedicine programs. Stud Health Technol Inform. 2004; 104: 41–48.
    PubMed
  26. Zeidler F, Načinović A, Rubinić M, et al. Frequency and quality of radio-medical advice service calls in Rijeka/Croatia. Medicina. 1999; 35: 55–59.
  27. Luger TJ, Giner R, Lorenz IH. Cardiological monitoring of sailors via offshore Internet connection. J Sports Med Phys Fitness. 2001; 41(4): 486–490.
    PubMed
  28. Wyckoff MH, Singletary EM, Soar J, et al. COVID-19 Working Group. 2021 International Consensus on Cardiopulmonary Resuscitation and Emergency Cardiovascular Care Science With Treatment Recommendations: Summary From the Basic Life Support; Advanced Life Support; Neonatal Life Support; Education, Implementation, and Teams; First Aid Task Forces; and the COVID-19 Working Group. Resuscitation. 2021; 169: 229–311.
    CrossRefPubMed
  29. Dahl E. Briefing notes on maritime teledermatology. Int Marit Health. 2014; 65(2): 61–64.
    CrossRefPubMed
  30. Dehours E, Roux P, Tabarly J, et al. French maritime procedures concerning the Ebola infection, experience of the French Tele-Medical Assistance Service (TMAS). Int Marit Health. 2015; 66(3): 184–185.
    CrossRefPubMed
  31. Amenta F. The Centro Internazionale Radio Medico Symposium "The Way Forward of Maritime Telemedicine". Int Marit Health. 2016; 67(1): 56.
    CrossRefPubMed
  32. Sagaro GG, Amenta F. Past, present, and future perspectives of telemedical assistance at sea: a systematic review. Int Marit Health. 2020; 71(2): 97–104.
    CrossRefPubMed
  33. Battineni G, Amenta F. Designing of an Expert system for the management of Seafarer's health. Digit Health. 2020; 6: 2055207620976244.
    CrossRefPubMed
  34. Kulasegaram K, Mylopoulos M, Tonin P, et al. The alignment imperative in curriculum renewal. Med Teach. 2018; 40(5): 443–448.
    CrossRefPubMed
  35. Trainor A, Richards JB. Training medical educators to teach: bridging the gap between perception and reality. Isr J Health Policy Res. 2021; 10(1): 75.
    CrossRefPubMed
  36. DeBoer G. The globalization of science education. JRST. 2011; 48(6): 567–591.
    CrossRef
  37. Dale R. Globalisation, knowledge economy and comparative education. Comparative Education. 2005; 41(2): 117–149.
    CrossRef
  38. Carr SJ. Assessing clinical competency in medical senior house officers: how and why should we do it? Postgrad Med J. 2004; 80(940): 63–66.
    CrossRefPubMed
  39. Gruppen LD. Outcome-based medical education: implications, opportunities, and challenges. Korean J Med Educ. 2012; 24(4): 281–285.
    CrossRefPubMed
  40. Ross MT, Nikolić N, Peeraer G, et al. Report of the MEDINE2 Bachelor of Medicine (Bologna First Cycle) tuning project. Med Teach. 2014; 36(4): 314–321.
    CrossRefPubMed
  41. Tuning Educational Structures in Europe – Final Report Pilot Project. http://tuningacademy.org/wp-content/uploads/2014/02/TuningEUI_Final-Report_EN.pdf (Accessed on 09.11.2022).
  42. Tuning Educational Structures in Europe – A Guide to Formulating Degree Program Profiles. http://tuningacademy.org/wp-content/uploads/2014/02/A-Guide-to-Formulating-DPP_EN.pdf (Accessed on 09.11.2022).
  43. Gonzales J, Wagenaar R, Donà dalle Rose L. The Pilot Project “Tuning Educational Structures in Europe” and the Object-specific Competences for University Physics Students. In: Marisa Michelini ed. Quality Development in Teacher Education and Training. Second International GIREP Seminar 2003, Selected contributions. 2004: 333–343.
  44. Cumming AD, Ross M. The tuning project for medicine: learning outcomes for undergraduate medical education in Europe. Med Teach. 2007; 29(7): 636–641.
    CrossRefPubMed
  45. Lifelong Learning Program 2007-13. https://eur-lex.europa.eu/EN/legal-content/summary/lifelong-learning-programme-2007-13.html (Accessed on 09.11.2022).
  46. Tomorrow’s doctors. Outcomes and standards for undergraduate medical education. General Medical Council 2099. http://www.ub.edu/medicina_unitateducaciomedica/documentos/TomorrowsDoctors_2009.pdf (Accessed on 13.11.2022).
  47. Cumming AD, Ross M. The Tuning Project (Medicine) - Learning outcomes / competences for undergraduate medical education in Europe. https://www.researchgate.net/publication/297419241_The_Tuning_Project_Medicine_-_Learning_outcomes_competences_for_undergraduate_medical_education_in_Europe. DOI:10.13140/RG.2.1.4620.7765 (Accessed on 13.11.2022).
  48. Miller GE. The assessment of clinical skills/competence/performance. Acad Med. 1990; 65(9 Suppl): S63–S67.
    CrossRefPubMed
  49. Sullivan GM, Artino AR. Analyzing and interpreting data from likert-type scales. J Grad Med Educ. 2013; 5(4): 541–542.
    CrossRefPubMed

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