What is involved in a Domestic Seafarers Medical?

The Domestic Seafarers Medical in Australia typically includes the following components:

• Physical examination: This involves a general physical assessment, including measurements of height, weight, blood pressure, and assessment of overall physical fitness. The doctor will evaluate the seafarer’s cardiovascular health, respiratory system, musculoskeletal function, and overall physical well-being.
• Vision and hearing tests: Seafarers’ visual acuity and colour vision are tested to ensure they meet the required standards. Hearing tests may also be conducted to assess auditory function.
• Medical history and review of systems: The seafarer is required to provide information about their medical history, including any past illnesses, surgeries, or chronic conditions. The doctor may ask questions related to various body systems to identify existing or potential health issues.
• Laboratory tests: Blood and urine samples are collected for analysis to screen for conditions such as diabetes, kidney function, liver function, and blood disorders. Additional tests may be required based on individual circumstances or specific regulations.
• Mental health assessment: The seafarer’s mental health may be evaluated through questioning or standardized psychological assessments. This helps identify any psychological or psychiatric conditions that may impact their ability to work safely at sea.

The specific requirements and standards for the Domestic Seafarers Medical in Australia are outlined in the AMSA’s Marine Order 76 (Health — medical fitness standards and training) and associated guidelines.

Upon completion of the medical examination, the doctor will issue a Certificate of Medical Fitness if the seafarer meets the required health standards. This certificate is typically valid for a specific period, after which the seafarer must undergo periodic medical assessments to maintain their medical fitness certification.

It’s crucial for seafarers to stay updated with the latest requirements and regulations from AMSA, as they may undergo revisions or changes over time.