This is the first major textbook on the emerging speciality of remote medicine. The modern concept emerged in the 1970s when the medical directors of the main oil companies operating in the North Sea - BP, Shell and Mobil - sought advice from the University sector since the morbidity and mortality levels of offshore workers had become unacceptable. A system of healthcare was jointly developed and applied by the industrial doctors and the academic doctors of Aberdeen University which worked well and greatly improved the healthcare of the offshore personnel. It was subsequently validated by duplication for the very different scientific population of the British Antarctic Survey where it worked even better. It was next introduced to the oilfields of the Middle East - Qatar (QGPC, Offshore and Onshore), Abu Dhabi (ADMA and ADCO) and Oman (PDO) where it worked equally well. The Aberdeen Universities next collaborated with the UAE University in Abu Dhabi to evaluate and develop telemedicine mainly in the area of education and research and they established early transcontinental courses and conferences together with joint supervision and production of higher degrees between collaborating universities in different parts of the world.The recently established International Remote Healthcare Association (IRHCA), backed by the University of Glasgow, the UAE University in Abu Dhabi and the Siberian State Medical University has established an ongoing study to determine the education and skills required to produce a competent Remote Healthcare Practitioner. The chapters in this book contain the knowledge base currently thought by the IRHCA to be necessary to produce a competent remote healthcare practitioners and thus to allow curricular development of the new courses necessary for the establishment of University qualifications and for the regulating authorities to design examinations and establish appropriate registration. Since this is a new speciality the continuing research of the IRHCA is necessary to act as an audit to ensure that the information in the book, and the courses derived from it remain relevant and also to detect omissions as they are recognised.

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A year living with ten scientists in a hut buried deeply within an ice shelf eight hundred miles from the South Pole is an unusual experience. Aside from the climatic problems and the care with interpersonal relationships essential in such circumstances the authors project was even more unusual and challenging. A few miles from this scientific station there was a rookery of about ten thousand Emperor Penguins. Captain Scotts friend and biologist Dr Edward Wilson was determined to discover whether these creatures were fish which could fly or birds which could swim like fish - or even reptiles for they were primitive creatures in evolutionary development. Wilson died with Scott on the way back from the South Pole and the scientific puzzle drifted into obscurity. The author, who was on National service fifty years later, and certainly not a professional explorer was asked to provide a timed series of Emperor Penguin embryos at twelve hourly intervals for ten days. Ignorant of what the project entailed he agreed and so started an adventure which coloured the rest of his life. No one told him that the penguins laid their eggs in pitch darkness in the depth of the polar winter, nor that the average temperature would be in the minus forties. Penguins, like sheep, are not easy to tell apart so how was he to time an embryo unless he saw the egg laid? How also was he to pick out the same penguin several days later to harvest the embryo? It was a mission which seemed close to impossible but then the challenge had been handed out to a daft Scotsman with the genes of a Scotch terrier.