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Education and Training in Aerospace Medicine 1970

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Education and Training in Aerospace Medicine 1970 /3 110230 I2 170230 12 AGAR D-CP-75-70 AGARD CONFERENCE PROCEEDINGS No. 75 on Education and Training in Aerospace Medicine 1970 DISTRIBUTION AND AVAILABILITY ON BACK COVER I I AGARD Conference Proceedings No. 75 NORTH ATLANTIC TREATY ORGANIZATION ADVISORY GROUP FOR AEROSPACE RESEARCH AND DEVELOPMENT (ORGANISATION DU TRAITE DE L’ATLANTIQUE NORD) EDUCATION AND TRAINING IN AEROSPACE MEDICINE 1970 Papers presented at the AGARD Aerospace Medical Panel Specialist Meeting held in Oslo, Norway on 12 and 13 May 1970. The material in this publication has been reproduced directly from copy supplied and set by each author. Published November 1970 371.3: 613.69 Printed by Technical Editing and Reproduction Ltd Harford House, 7-9 Charlotte St, London. W1P IHD ii SUMMARY This volume contains the papers and summaries of ensuing discussion at the AGARD/NATO Aerospace Medical Panel Specialist Meeting, held in Oslo on 12th-13th May 1970. The topic was "Education and Training in Aerospace Medicine" and the contributions covered a wide range within that framework, including training of civil and military aeromedical practitioners, short-service medical officers, medical auxiliaries, flight nurses and aircrew. There was very valuable exchange of views on the approaches adopted by the various nations to these educational programmes and some detailed consideration of training techniques for aircrew. A highlight of the meeting was the revelation of remarkable differences between nations in the attention given to survival training. The resultant exchange of information should be the stimulus for further study of this very important aspect of military crew training. It was commented that there was, in addition, a relevance to civil flying now that an increasing number of routes crossed sparsely populated areas of extreme climatic conditions. RESUME Ce volume comporte les rapports presentds ainsi qu'un resd de discussions au cours de la reunion de Specialistes du Groupe de Mddecine Adrospatiale d'AGARD/OTAN a Oslo les 12 et 13 mai 1970. Les communications sur "L'Enseignement et l'entrainement en ddecine adrospatiale" toucherent sur un grand nombre d'aspects comprenant l'entrainement de ddecins militaires specialistes en ddecine aeronautique, medecins militaires de carrizre, aides, infirmiares de vol et personnel navigant. Au cours de la reunion il y a eu un Bchange utile de points de vue sur les mgthodes employdes par les differentes nations, ainsi ' qu'un discussion poussee des dthodes d'entrainement du personnel navigant. Le point culminant de la reunion fut la ddmnstration de diffdrences remarquables entre les nations en ce que concerne l'importance de l'entrainement 18 3 la survie. Cet echange d'id6es devrair provoquer d'autres dtudes sur cet 1' aspect important de l'entrainement d'bquipages militaires. On a comment6 qu'il y avait en plus, un rapport a l'aviation civile maintenant qu'un nombre plus important de routes travsrsent des lieux peu peuplds et de conditions climatiques excep tionnelles . iii Panel Chairman : Group Captain T.C.D. Whiteside, MBE, RAF Deputy Chairman : M6decin en Chef de lbre Classe F. Violette, FAF Programme Chairman : Professor Dr. E.A. Lauschner Brig/General, GAF, MC Editor : Wing Commander D.I. Fryer, OBE, RAF Host Coordinator : Colonel 0. Nyby, RNoAF, MC Panel Executive : MBdecin de l&re Classe A.M. Pfister, FAF iv FOREWORD One of the original functions of AGARD is the dissemination of information, and yet the present Symposium is the first to bring together the individuals in the various NATO countries whose main task is that of educating and training civil or military personnel in aviaton medicine. In making any comparison of courses, two factors must be considered: the level of teaching and the coverage of the subject required by the particular students. In the present context, both of these cover a wide spectrum. The level of teaching ranges from the elementary lectures for aircrew on a Station to the highly specialised courses in aviation medicine for specialist medical officers. The subject itself ranges from the nuts and bolts of personal equipment to the design of questionnaires. It encompasses, for example, training in survival, the use of personal equipment, physiological responses to a stressful environment, behavioural responses under particular conditions of physical and mental stress and of fatigue, medical fitness standards and specialist clinical examination. The difficulty in teaching this subject is to combine these two factors in the right proportion within the time allocated, sometimes reluctantly, from an already full training programme. The meeting has, to judge from its lively discussion periods, been highly successful in achieving a comparison of different ways in which the task of training in aviation medicine can be accomplished. This volum will, I hope, be useful, not only as a reminder for participants, of the material presented, but also as a review of the way in which this subject is treated in some of the foremost aeromedical training establishments in the NATO countries. (T. C. D. WHITESIDE) Group Captain, Royal Air Force Chairman of the Aerospace Medical Panel AGARD V PREFACE It is hoped that this volume will serve as a useful guide to those interested in the dissemination of aeromedical knowledge and expertise. In the papers one may find summaries of teaching programmes, explanation of underlying philosophy and comments on the effective- ness of teaching. As is so often the case, the discussion after the papers, both formal and informal, proved of great value. There was valuable exchange on each of the topics, particularly aeromedical training of aircrew. In preparing the proceedings for publication I have taken three steps which I hope will be accepted as they are intended, namely as aids to readability. Firstly, I have made some modifications to papers written in English by those for whom this is not their first language, in an effort to conform with comn English usage without altering the basic style of the writers. Secondly, I have included' the three papers from France in their English translations as prepared by AGARD. Doubtless their authors will be willing to provide original-language copies for those who desire them. Thirdly, I have paraphrased and condensed the discussion on the basis of notes and tape-recordings to retain the gist of the exchanges of views in a readable version. I must take full responsibility for any misrepresentation or misinter- pretation which may have occurred during this process. Being personally deeply involved in the training of Medical Officers in Aviation Medicine I was particularly interested in the relevant part of sessions I and 11. With the agreement of the Chairman I followed up the meeting by sending questionnaires on training courses to the AGARD member countries and I am grateful to those who were kind enough to provide the relevant data. From their replies and the information contained in the papers I have been able to tabulate certain details which I hope will be of interest. They will be found as item 21 in this volume. D I FRYER Wing Commander, RAF Editor vi CONTENTS Page SUMMARY iii RESUME iii FOREWORD V PREFACE vi OPENING ADDRESSES ix Reference SESSION I - MILITARY AEROMEDICAL EDUCATION AND TRAINING, INCLUDING PARAMEDICAL PERSONNEL AEROMEDICAL TRAINING IN THE CANADIAN FORCES by C. A. Burden EDUCATION OF THE UNITED STATES AIR FORCE FLIGHT SURGEON by S. J. Brewer AVIATION MEDICINE TRAINING PROGRAM IN THE UNITED STATES ARMY by W. G. Caput AVIATION MEDICINE TRAINING IN THE ROYAL AIR FORCE by H. L. Roxburgh AEROMEDICAL EDUCATION IN THE ROYAL AIR FORCE - THE ROLE OF THE TRAINING SECTION AT THE ROYAL AIR FORCE INSTITUTE OF AVIATION MEDICINE by A. T. Johnson and E. D. J. Diaper CURRENT AEROMEDICAL EDUCATION IN FRANCE by A. R. Missenard AEROMEDICAL TRAINING PROGRAM FOR MEDICAL AND PARAMEDICAL PERSONNEL IN THE GERMAN ARMED FORCES 7 by J. Garbe EDUCATION AND TRAINING IN AEROSPACE MEDICINE IN THE ROYAL NORWEGIAN AIR FORCE a by Fr. Vogt Lorentzen TEACHING OF AEROSPACE MEDICINE IN THE MILITARY AND CIVILIAN FIELD IN ITALY 9 by A. Scan0 11 I I SESSION I1 - CIVIL AEROMEDICAL EDUCATION AND TRAINING IN UNIVERSITIES, SOCIETIES, AIRLINES AND AIRCRAFT INDUSTRY I' I1 CIVIL AEROSPACE MEDICAL ACTIVITIES IN GERMANY 10 I: by E. A. Lauschner THE BRITISH DIPLOMA IN AVIATION MEDICINE 11 by D. I. Fryer TRAINING OF FLIGHT SURGEONS FOR CIVIL AIRLINES 12 by F. S. Preston SESSION I11 - PHYSIOLOGICAL TRAINING OF AIRCREW, SURVIVAL AND JET PASSENGER TRAINING OBJECTIVITY IN AIRCREW OPERATIONAL AEROMEDICAL TRAINING 13 by I. H. Anderson (read by C. A. Burden) PHYSIOLOGICAL TRAINING OF PILOTS AND AIRCREW IN THE GERMAN ARMED FORCES 14 by E. Burchard EDUCATION AND TRAINING IN AEROSPACE MEDICINE OF AIRCREW IN THE ROYAL NETHEWS AIR FORCE 15 by F. A. F. Cartens vii I Reference SURVIVAL TRAINING IN THE ROYAL NETHERLANDS AIR FORCE 16 by Th. Verheij PHYSIOLOGICAL TRAINING OF AIRCREWS AND COOPERATION WITH ENGINEERS IN AEROSPACE MEDICAL PROBLEMS IN FRANCE 17 by P. Colin (presented by R. B. Maclapen) SESSION IV - SPECIAL TRAINING SUBJECTS RESULTS OF POSITIVE PRESSURE BREATHING TRAINING AS SHOWN BY PERFORMANCE FOLLOWING SIMULATED RAPID DECOMPRESSION 18 by R. B. Maclaren and B. H. Rance DEVELOPMENT OF PNEUMATIC EJECTION SEAT TRAINERS 19 by J. M. Dunn SPECIAL ASPECTS OF THE TEACHING OF RADIOLOGY AND RADIOBIOLOGY IN AVIATION MEDICINE 20 by R. P. Delahaye (presented by A. M. Pfister) TABULATION OF RESULTS OF FLIGHT SURGEON TRAINING QUESTIONNAIRE 21 by the Editor TECHNICAL EVALUATION 22 by E. A. Lauschner LIST OF PARTICIPANTS 23 viii WELCOME ADDRESS BY COLONEL OLAF NYBY, SURGEON GENERAL, ROYAL NORWEGIAN AIR FORCE AT THE OPENING CEREMONY OF THE AGARD SPECIALIST MEETINGS IN OSLO 12-14 MAY, 1970 Dear Members - Dear Guests! On behalf of the Royal Norwegian Air Force, hosts for this conference, it is my great pleasure and honour to wish you all a hearty welcome to these two Specialist Meetings, to Oslo, and to Norway.
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