My talks/teaching concentrate on two domains:


My talks in medicine reflect my special interests in general internal medicine with a special interest in Aviation Medicine and Nephrology.

I have been involved in aviation since 1974 and I supplemented my specialty in internal medicine with training in aviation medicine. View aviation medicine topics. I have worked in nephrology since 1985. My first publication on hypoxia during hemodialysis dates back to 1993. View nephrology topics


My scientific background for talking on health care systems is based on what I call the healthcare triangle. The triangle represents the three perspectives of my three university degrees. First my M.D.- degree represents the patient perspective. Secondly my Master of Public Administration degree represents the administration of a society's health care system. Finally my Master in Public Health degree fills the perspective of the health of the population.

Drawing from my management experience with reorganizing health care I talk about the road and the different tools that can be used in our commitment in the drive for more efficient healthcare organizations. View efficiency topics

Below is lists of selected presentations and lectures and links to PDF files. They are provided for your private use only. Please observe the copyrights.


Aviation medicine

Aviation Medicine for everyone: Is the patient fit to fly?

In ‘classical medicine’ we deal with abnormal physiology in a normal environment as opposed to ‘aviation medicine’ where we deal with normal physiology in an abnormal environment. A special challenge for the doctors is when our patients wants to travel by air .We then have to combine the two worlds having abnormal physiology in an abnormal environment. I have for many years given presentations on how the medical professions should advice their patients to ensure that their patients arrive in good condition after an air travel. Topics include: Which conditions make the patient unfit to fly? Which is the absolute no-go? What is current recommendation concerning air travel after recent myocardial infarctions or surgery? How should patients take their medications prescribed for chronic diseases when traveling across time zones? What can travelers do to cope with jet lag?

What is the medical requirements for a pilot license

Special medical considerations are required for the flight crew. The challenges are how much can physiology deviate from the normal and still allow the crew to operate optimal in the abnormal environment. Of course the requirements for the astronauts is different from that of a fighter pilot or very different from those needed for a commercial pilot or a private pilot.

Topics include: What is the pilots’ physiological working environment? Which conditions make the pilot unfit to fly? Which is the absolute no-go? What is the medical evidence behind the medical requirement set for the pilot? Which risks are we trying to minimize? Does the regular medical checks improve health? How can we define and minimize fatigue? Medical lessons learned from accident investigations.


Diabetic nephropathy - an update

Facing the steadily growing proportion of the population with diabetes (type 1 and 2) it is important to realize the significance of micro albuminuria. To understand the pathophysiology behind the processes that leads to micro albuminuria and the almost inevitable road that sooner or later lead to diabetic nephropathy.

Recent discoveries gives us a better foundation for understanding why micro albuminuria occur and why early detection of hyperglycemia is paramount if we want to stem the tide of diabetic patient ending up needing a kidney transplant or life long dialysis treatment.

PDF files of some of my presentations is available for download


Health Care System

Building effective health care organizations

The use of simulation to optimize healthcare

Health care systems are struggling with financial limitations worldwide. The increasing demand for health care services leads to what many categorize as a health care crisis. It calls for health care systems to be more efficient. Accordingly to WHO ‘malfunctioning health systems are at the heart of the problem’. The question is how can one improve the service within the given constraints? Simulation technology is a new approach that can be used to evaluate processes and craft new solutions without interfering with the daily operations.

PDF files of some of my presentations is available for download.

Discrete event simulation as a tool in optimization of a professional complex adaptive system Presentation MIE 2008


Lecture Notes

The Endocrine System and Skin - MDSC2201

Assessing the function of the Pituitary gland Lecture notes 2011-09-26
Assessing the function of the Thyroid gland Lecture notes 2011-10-05
Calcium dysregulation Lecture notes 2011-10-18
Assessing the function of the Adrenal glands Lecture notes 2011-11-09

Crash course USMLE part 1

Immunology 1. Course based on Abbas, Lichtman and Pillai, Cellular and molecular immunology, 7th Edition. Lecture notes 1.1 2013-09-24
  Lecture notes 1.2 2013-09-24  
  Lecture notes 1.3 2013-09-24  
  Lecture notes 1-5 2011-11-09
  Lecture notes 1-8 2011-11-09
not uploaded yet Lecture notes 2011-11-09



Health Management I  - PBHE6400

Lesson 1: Introduction Lecture notes 2012-01-30
Lesson 2: Allocating resources, setting priorities, innovation and health technology Lecture notes 2012-02-01
       Part 2
       Part 3
Lesson 3: Lecture notes 2012-xx-xx
Lesson 3: Lecture notes 2012-xx-xx

Create a Database  - Microsoft Access or Open Office

Creating a database using Microsoft Access - facilitating patient centred research Lecture notes 2011-09-23
Creating a database using Open Office        - facilitating patient centred research Lecture notes 2011-09-23