Undersea and Hyperbaric Medicine Longitudinal Assessment Program (LAP)

The following sections of the Undersea and Hyperbaric Medicine exam content outline will be covered in the 2026 Longitudinal Assessment Program (LAP).

1 – Fundamentals

• 1.1 Physics of diving
  • 1.1.3 Vision and acoustics
  • 1.1.4 Phy properties of gases (density, solubility, etc.)
• 1.2 Rec/treatment of phys/pharm effects/tox of gases
  • 1.2.1 Oxygen
    • 1.2.1.2 Pulmonary
    • 1.2.1.3 Ocular
• 1.4 Decompression theory
  • 1.4.1 Decompression tables
  • 1.4.5 Repetitive
• 1.5 Pathophysiology, clinical manifestations, and management of dysbarism
  • 1.5.6 Management of pressure-related diving accidents

2 – Diving Medicine

• 2.1 Physiologic effects of diving
  • 2.1.1 High pressure nervous system
• 2.2 Diving operations
  • 2.2.5 Flying after diving
• 2.3 Medical and technical support of diving
  • 2.3.2 Hazardous marine life
  • 2.3.3 Other medical disorders

3 – Clinical Hyperbaric Medicine

• 3.1 Indications for hyperbaric oxygen therapy
  • 3.1.4 Enhancement of healing in selected problem wounds
  • 3.1.5 Exceptional anemia
  • 3.1.6 Intracranial abscess
  • 3.1.9 Delayed radiation injury (soft tissue and bony necrosis)
  • 3.1.12 Central retinal artery occlusion
  • 3.1.13 Idiopathic sudden sensorineural hearing loss
• 3.2 Patient management
  • 3.2.2 Treatment protocols
  • 3.2.3 Physiological effects of hyperbaric oxygen
  • 3.2.5 Management of O2 toxicity