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August 2014 edition

DAME Newsletter - August 2014


We have recently had a few cases where a Medical Certificate has been revalidated incorrectly.

As a reminder;

You are able to revalidate a certificate for no more than 2 months and only where the certificate has not expired by more than 3 months. You are not able to revalidate a previously revalidated certificate.

This is covered in the DAME Handbook (5.4 Medical Certificate Revalidation [Extension]).


Still waiting on our first DAME2 application.  A further 4 delegations have been offered to DAMEs who perform a large number of Class 2 applications. Once we have had a few applications go through the system insuring that the process and system work as expected, the delegation application will be made available to all of those who have attended a session.

We are able to run a further DAME2 session alongside the ASAM annual conference in Brisbane. There are limited seats available. If you wish to attend please email

Saturday 13th September 1.30pm -5.30pm.

MRS2 update

Significant progress has been made with MRS2, a show and tell session will be held at the ASAM conference in September.

Assessing applicants: MRS2

Many DAME’s will have seen our presentation about the stages of the assessment process:

Clinical “Flag” identified →Clinical event →Aviation event → Risk acceptable? → Mitigations e.g. Multicrew / Day VFR etc → Issue Medical Certificate.

And more recently we have been demonstrating the MRS Online approach to assessment for Class 2 pilots.

A critical feature of an assessment is identifying the safety-relevant medical hazards, and then determining the risk and suitable mitigations. The layout of the Medical Assessment Report (MAR) is designed to make this clear both at the time of assessment and also for future assessments. It has specific elements:

  1. Problem List
    1. Problems are listed
    2. Assessment made about aviation safety-relevant (Yes OR No)
    3. Risk assessment of specified hazard
  2. Risk management
    1. Likelihood (e.g. must continue treatment)
    2. Consequence (e.g. Safety pilot / multi-crew)
  3. Medical Certification
    1. Duration of certificate
    2. Surveillance requirements

Operational conditions or restrictions

The upgraded MRS Online, and the replacement MRS system (MRS2) due in 2015 permit the recording of an applicant’s Problem List. MRS2 will maintain this as a rolling record, which can be updated year-on-year, without having to re-enter everything from scratch each year. DAME’s will be able to view this information to help target the history and examination. It will also provide the format for following the assessment process summarised above. This should make the decisions more transparent for all involved.

Disease Coding

Some practitioners will be well-versed in disease coding, but we are aware that for many this is not a routine part of their practice. MRS2 caters for both approaches. To improve the consistency and documentation of stored information, MRS2 will provide the facility for disease coding of the Problem List. When data is identified in this manner, it provides the platform for a lot more supporting information such as prompts, decision support and data-mining. We are in the process of asking who does disease code and how, to establish the level of familiarity in the DAME community. Design and support can be tailored accordingly.

AvMed Contact numbers

The contact number for pilots and controllers is 1300 4 AVMED (1300 4 28633).

The contact number for DAMEs has not changed: +61 2 6217 1170.

DAME Education and CPD

Seminar and conference information

Seminar and conference information
Event Date Location
ASAM Annual Conference 10-13 Sept 2014 Brisbane
ICASM 2014 12-16 Oct 2014   Mexico City, Mexico