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DAME newsletter - January 2019
Date of publication:
29 January 2019
From Peter Clem, Acting Principal Medical Officer
I hope you all had a restful festive break. AvMed staff have returned refreshed and ready to take on the new year.
As some of you may be aware, I will be finishing my tenure with CASA on Thursday, 7 February 2019 and will be taking up a position in General Practice.
It has been a pleasure working as part of the Aviation Medicine team for the past few years.
We are in the process of recruiting replacement Senior Medical Officers and a Principal Medical Officer (see below for more information). We would appreciate your patience while we finalise this process, however, please rest assured we will have sufficient cover in the medical team.
Current vacancies: Principal Medical Officer and Senior Medical Officer
As our Principal Medical Officer, you will be CASA’s principal aviation medicine adviser who leads a team of medical officers and policy staff. This role liaises closely with the aviation medicine community in relation to CASA’s medical functions and makes medical certification decisions in the aviation context and, when required, represents CASA on aviation medicine matters.
As a Senior Medical Officer, you will be responsible for undertaking aviation medical assessments and working up complex cases for panel discussion. Responsibilities also include setting, maintaining and monitoring aviation medical standards, practices and procedures and related duties including training examiners and addressing public health and occupational medicine issues within the aviation industry.
For further information please contact Mark Sullivan on 02 6217 1630 or to apply please see our website:
Reminder of designation period expiry and how to renew
As all examiners should be aware, your designation period expiry date is displayed on your certificate of designation. All examiners are issued with a reminder and renewal form the month prior to their designation expiry. It’s important that you lodge this documentation in a timely manner as access to the online Medical Records System (MRS) is immediately lost the day after your expiry date. This can cause headaches when you have medicals booked.
If you have any queries regarding your designation or renewal, or if you need to update your contact details, please email firstname.lastname@example.org
Online eLearning to help DAMEs assess applications
A gentle reminder that the online eLearning module is still available for you to access. We encourage all DAMEs to complete the module by the end of March 2019.
Completion of this module not only allows you to utilise your delegation to issue Class 2 medical certificates on the spot should you choose to do so, but also serves as an educational tool to be included in your CPD. The decision on whether to exercise the delegation will always be yours.
You can access the comprehensive eLearning online training module through your MRS logon, in CASA’s AviationWorx web portal. This means you can complete the training from anywhere, at any time.
Current DAME Assessor numbers
Current DAME Assessor numbers are as follows.
- 187 DAME Assessors (includes previous DAME 2s and DAME Assessors)
- 186 DAMEs have completed the eLearning module
- 963 DAME certificates have been issued since 3 April 2018.
When does the CRI need to be calculated?
Even though a previously calculated CRI will show on a current application, a stress test is only obtained if CRI is over 14 and only needs to be calculated at the first renewal after a pilot turns 25, 30, 35, 40, 45, 50, 55 or 60. After the age of 60 it needs to be calculated annually.
For Air Transport Pilot Licence/ATPL pilots over the age of 60 the CRI only needs to be calculated on their major medical. The first medical following their birthday is not required for their minor medical.
An easy way to remember when it is required is if the MRS system requests fasting lipids and glucose. In this case, the CRI will also be calculated. If there are no bloods requested, then the CRI showing on the screen will have been calculated previously.
Please note that the CRI is not calculated for a Class 2 medical unless requested as part of a CASA surveillance requirement. However, there may still be a CRI score showing – in this instance, this would be from a previous medical.
If you are ever unsure whether a stress ECG needs to be obtained, please give us a call before referring.
Recent survey results
Thank you to everyone who took the time to respond to our recent survey about adopting a general and medical history question set and changing MRS to make assigning SNOMED codes optional. An overwhelming majority of respondents were in favour of both proposed changes, as outlined below.
Avmed is presently considering adopting a General and Medical History question set similar to that used by the United Kingdom Civil Aviation Authority. This change is being considered in the interests of consistency and to reduce the total number of targeted questions as part of the examination process. It is important to understand that any changes made to the General and Medical History question set will not alter existing obligations upon applicants to make full disclosure of relevant medical history. Do you support this proposal?
- 90.34 per cent of respondents voted yes
- 9.66 per cent of respondents voted no.
To change MRS so that assigning SNOMED codes to findings is optional for the medical examiner. Do you support this proposal?
- 90.29 per cent of respondents voted yes
- 9.71 per cent of respondents voted no.
Your feedback on the proposed changes will form part of a review into AvMed throughout 2019, however no changes will take place until a review is completed.
December processing times
In December 2018, 72.5 per cent of all applications were completed within 20 business days, with an average processing time of 14.6 days for all classes. Details of each class is below.
- Class 1 – 76.8 per cent completed within 20 business days, with the average being 12.1 days
- Class 2 – 60.2 per cent completed within 20 business days, with the average being 22.2 days
- Class 3 – 68.3 per cent completed within 20 business days, with the average being 15.2 days.
A total of 1837 full medical certificates were issued during December with the following breakdown.
- DAME-issued – 105
- CASA auto-issued – 462
- CASA Assessor-issued – 1270.
A total of 1666 new medical applications were received during December with the following breakdown.
- Class 1 – 1253
- Class 2 – 371
- Class 3 – 42.