Sue Stannard1, Jan C. Vork2
Maritime & Coastguard Agency, UK and International Maritime Health Association (1)
Radio Medical Denmark, Esbjerg Hospital, Denmark (2)
Abstract
Background: Telemedical Assistance Services (TMAS) play a critical role in delivering remote medical advice to seafarers. Despite the increasing demand for such services, no standardized training guidelines exist for TMAS doctors. Recognizing this gap, the International Maritime Health Association (IMHA), with support from the ITF Seafarers’ Trust, convened an international workshop to develop a standardized training framework.
Objective: To establish a curriculum for TMAS doctor training, recommend effective learning modalities, and outline strategies for ongoing professional development and quality assurance.
Methods: The workshop brought together 16 participants from eight countries, representing public and private TMAS providers. Through presentations, small group discussions, and plenary sessions, participants identified key competencies, proposed curriculum content, and explored training delivery methods.
Results: A three-module curriculum was developed:
- International Maritime Context: Covering maritime regulations, TMAS roles in Search and Rescue, and cultural considerations.
- Medical Knowledge: Addressing emergency care, occupational health, evacuation protocols, and mass casualty management.
- Local Systems and Processes: Focusing on national laws, local TMAS operations, and communication systems.
Recommended learning methods include e-learning for theoretical knowledge, hands-on workshops for communication and medical skills, onboard familiarization to understand shipboard environments and ongoing training and clinical governance measures.
Conclusion: The workshop highlighted the need for consistent, high-quality training for TMAS doctors to address the unique challenges of maritime medicine. The agreed curriculum provides a robust foundation for training programs and promotes international collaboration to ensure best practices. Future initiatives include the development of e-learning platforms and accredited in-person courses.
Keywords: TMAS, telemedicine, maritime medicine, medical training, seafarers, curriculum development.