NMA/NCMM
Approved Doctors' Meeting 2014
26th August 2014 – Bergen
(Radisson Blu Royal Bryggen Hotel)
This meeting focuses on topics important to the approved doctors. Norways new regulations will
come this summer, and the meeting will focus on this, as well as on other important matters
regarding the daily work as an approved doctor.
The meeting is not mandatory yet, but is considered to be in the future. The meeting is open also to
others who may be interested in the topics.
Registration at: http://eshop.innovest.no/display.aspx?menuid=11
Detailed programme at: www.ncmm.no
NSHC 2014
The Norwegian Sea Health Conference 2014
Bergen, 27-28th August 2014
(Radisson Blu Royal Bryggen Hotel)
In cooperation with
Medical examination of seafarers – towards international consensus?
The new ILO/IMO Guidelines on medical examinations of seafarers most probably will lead to more
comparable standards for the seafarers’ medical certificates. Many seafaring nations are now
working on their revised standards, regulations and guidance. One example is the ongoing
cooperation between UK, Germany, Netherlands, Denmark and Norway.
In August this year we gather in Bergen to discuss the approach towards seafarers’ medical
examinations and certificates. Distinguished representatives from the IMO and ILO, as well as from
shipowners and seafarers’ side will gather to discuss the topic.
We invite all who find the topic of interest to participate in the interesting programme of the
conference, and are sure that there will be topics of interest for people working with personnel
management, safety and quality, as well as for authorities, decision-takers, and maritime health
professionals.
Registration at: http://eshop.innovest.no/display.aspx?menuid=11
Detailed programme at: www.ncmm.no
Dr. James Lind’s Honorary Lecture
Dr James Lind’s Dinner
27th August 2014 at 1800 – Legenes Hus – Kalfarveien 37, Bergen
On Day 1 of the NSHC we honour the founder of maritime medicine, Dr. James Lind, with a honorary
lecture and a dinner. We gather for the honorary lecture at 1800 enjoying a glass of champagne, and
move on with a Gala Dinner in memorable surroundings at Legenes Hus, an old Swiss Cottage from
the 1868, nowadays a meeting facility and banqueting/reception room for the Medical Association of
Hordaland.
Registration at: http://eshop.innovest.no/display.aspx?menuid=11
The Norwegian Centre for Maritime Medicine
and
the Norwegian Maritime Authority
welcome you all to the NSHC, the Approved Doctors’ Meeting and James Lind’s Honorary Lecture and
Dinner.
We look forward to seeing you there!
Alf Magne Horneland
Director
Norwegian Centre for Maritime
Medicine
Torbjørn Husby
Head of Section
Working and Living Condition, NMA
NMA/NCMM Approved Doctors' Meeting 2014
Tuesday 26th August 2014 - Radisson Blu Royal Bryggen Hotel, Bergen
Time
08:00-09:00
Event
Registration, Coffee
Chair
Presenter
Topic
09:00-09:05
Practical information
09:05-09:15
Opening
SESSION 1:
Norwegian Legislation and procedures important for NMA Approved doctors
Anne Gurd Lindrup
and hotel
Practical information, safety information
representative
Torbjørn Husby, NMA
and Alf Magne
Opening remarks from NMA and NCMM
Horneland, NCMM
Decicion-taking on behalf of the Norwegian
Maritime Authority - Act of 10 February 1967
relating to procedure in cases concerning the
Alexander Grieg NMA
public administration as subsequntly amended,
most recently by Act of 1st August 2003 No 86
[The Public Administration Act]
The approved doctor's responsibilities and the
Torbørn Husby Alf Magne
procedures of medical examination - The new
Horneland, NCMM
regulations concerning the medical examination
of employees on ships
Alf Magne Horneland
Guidance to the New Regulations
/ Aleksander Grieg
The NMA Approved doctor abroad - as seen from
Ilona Denisenko
Moscow by one of them.
09:15-09:35
1st presentation
09:35-09:55
2nd presentation
09:55-10:15
3rd presentation
10:15-10:35
4th Presentation
10:35-10:50
Discussion
10:50-11:20
COFFEE BREAK
SESSION 2:
Medical decision taking - some difficult areas
Karin Rønning, MD,
MHA, Norwegian
Institute of Public
Health
Alf Magne
Horneland, NCMM
The responsibilities of the NMA approved doctor
in tuberculosis control - The Regulations of 21st
June 2002 No. 567 concerning the control of
tuberculosis
Evidence based risk assessment - the noble art
of extrapolation
11:20-11:40
5th presentation
11:40-12:00
6th presentation
12:00-12:20
7th presentation
12:20-12:35
12:35-13:30
Discussion
LUNCH
SESSION 3:
Approved doctors competence and quality assurance
Kjell Grøndahl,
Hearing loss: Testing seafarers hearing capacity
Haukeland University
while using hearing aids.
Hospital
Preparing cases for appeal and complaint - the
Appelate Body - The Regulation of 19th October
Hege Imsen, NCMM
2001 No. 1309 concerning the medical
examination of employees on ships
Rehabilitation versus safety - Restrictions and
Tim Carter, NCMM
Limitations
13:30-13:50
8th presentation
13:50-14:10
9th presentation
14:10-14:30
10th presentation
Torbjørn Husby, NMA
Cooperation between UK, Norway, Germany,
Denmark and the Netherlands
14:30-14:50
11th presentation
Joseph Abesamis,
Philippines
Comparison between the NMA , DOH standards
and P&I Club's requirements
14:50-15:05
15:05-15:35
Discussion
Coffee break
15:35-17:00
12th presentation
Øyvind Olsen, NMA
How to meet the requirements of STCW regarding
QA for medical examiners.
17:0017:15
Closing remarks
Torbjørn Husby, NMA
NSHC 2014
The Norwegian Sea Health Conference 2014
Medical examination of seafarers - towards international consensus?
27th-28th August , 2014
Radisson Blu Royal Bryggen Hotel, Bergen
Day 1 - Wednesday 27th August 2014
0900-1000
Session 1
1000-1010
1010-1015
Registration
Opening day 1 and keynote speech
Opening day 1 and keynote speech
Official opening
Chair: Alf Magne
1015-1020 Horneland,
Norway
1020-1100
1100-1130
Session 2
1130-1150
Hotel representative
Helga Ariansson
Welcome from the NCMM
Alf Magne Horneland, Norway
KEY NOTE: Why is maritime health an international issue? Should
medical exminations remain a national responsibility?
COFEE BREAK
Medical selection - general aspects
Medical selection - history, general principles and need for further
development.
1150-1210 Chair: Sue
The consequences of low quality medical examinations
Stannard, Norway
1210-1230
Why has aviation medicine been so successful in establishing an
international system compared to maritime medicine?
Tim Carter, UK
Alf Magne Horneland, Norway
NCMM / NMA / IMHA
Natalie Shaw
ISF
Anthony S. Wagstaff, Norway
Norwegian Institute of Aviation
Medicine
Corinne Idnani
IMHA
Cynthia Rosuman, Philippines
Philippine Department of Health
Brandt Wagner, Prandt Wagner
International Labour Organization
1230-1330
Session 3
1330-1350
LUNCH
From national to international systems for medical examination?
Past, present and future: Dealing with different flag state medical
certification. Way forward.
1350-1410 Chair: Suresh
Idnani, India
1410-1430
The Philippine system of medical examination of seafarers
1430-1500
Session 4
1500-1520
COFFEE BREAK
Competence level of approved medical examiners
Defining the level of competence for approved doctors - can we reach
international consensus? Mutual recognition of approved doctors.
Caroline Livingstone, UK
Denmark, Germany, Netherlands, Norway, UK.
Development of a common training module for medical examiners
Alf Magne Horneland, Norway
Chair: Sally Bell,
1520-1540 UK
1540-1600
1600-1630
Session 5
1630-1700
1700-1710
1900-2300
1900-2300
Chair: David
Dungan, South
Africa
In the wake of the revised ILO/IMO Guidelines on medical examination of seafarers:
Will more nations approve their own doctors, or will we get international recognition
of medical examiners?
Training in maritime medicine in Canada
COFFEE BREAK
Panel discussion
Panel discussion: Is international consensus regarding medical
examination of seafarers possible?
Closing remarks
County Medical Officer at the
County Governor of Hordaland
Norwegian Centre for Maritime
Medicine
Norwegian Centre for Maritime
Medicine
Peter Janna, Canada
UK Maritime and Coastguard Agency
Norwegian Centre for Maritime
Medicine / IMHA
transport Canada
Today's presenters.
Tim Carter, UK
Norwegian Centre for Maritime
Medicine
James Lind Dinner
James
Lind Dinner
Dr.
James
Linds Honorary Lecture
Dr. Suresh N. Idnani
Day 2 - Thursday 28th August 2014
Session 6
0900-0905
Opening day 2 and key not speech
Welcome. Opening remarks Day 2:
0905-0930
Session 6
0930-0950
Arne Johan Ulven, Norway
KEY NOTE: Ship Safety and medical examinations of seafarers.
Chair: Arne Johan
Quality assurance of medical examiners
Ulven, Norway
The development of quality assurance for clinical decisions by
the UK maritime
authority
National systems of quality assurance in medical services
0950-1010
1010-1030
Quality assurance of medical examiners - an approach tailored to maritime medicine:
IMHA QUALITY
1030-1100
Session 7
1100-1120
1120-1140
Chair: Natalie
Shaw, UK
1140-1200
1200-1300
Session 8
1300-1320
COFFEE BREAK
Medical examinations and their relevance
Do medical examinations fit into the general seafarer health risk
management structure?
Are international standards sufficient for the medical examination of
seafarers, or do we need additional standards of insurers, shipowners or manning agencies?
Natalie Shaw, UK
Tim Carter, UK
Norwegian Centre for Maritime Medicine
Tom Mutsaerts, Netherlands
Netherlands Shipping Inspectorate
Sally Bell, UK
IMHA QUALITY
Henrik Hansen, Denmark
Danish Health and Medicines
Authority
David Dungan
South Africa
Medical fitness as a qualification for work as a seafarer - are the
STCW requirements sufficient to avoid health-related risks on board Milhar Fuazudeen, UK
ships?
LUNCH
Ethical dilemmas of medical examination
The risk of discrimination of seafarers human rights. The perspective
Asif Altaf, UK
of the seafarers.
1320-1340 Chair: Henrik
Ship safety and seafarers individual rights - how do shipowners deal
Hansen, Denmark with the possible conflicts?
International Transport Workers'
Federation
Norwegian Shipowners' Association
Sue Stannard, Norway
Norwegian Centre for Maritime
Medicine
How to avoid unnecessary repatriation without discriminating
seafarers? The medical perspective.
1400-1430
Session 9
1430-1515
COFFEE BREAK
Panel Discussion
Panel discussion: The role of medical examinations of seafarers in the
Today's presenters.
safe operations of ships.
Closing remarks
The way forward
International Maritime Organization
Hege Ajer Petterson, Norway
1340-1400
Chair: Corinne
Session 10
Idnani, India
1515-1545
Norwegian Centre for Maritime
Medicine
International Shipping Federation /
International Chamber of Shipping
Alf Magne Horneland
Norwegian Centre for Maritime
Medicine

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