DCBC, I think that they're drawing the wrong conclusions.
The article states: "Experience from treating diving accidents indicates that a large proportion of divers suffering from pulmonary barotraumas (PBT) or arterial gas embolism (AGE) were engaged in training dives, specifically emergency free ascent (EFA)."
This study relied on, "the average number of dives performed and the proportion of in-water skills training dives (that) were obtained from the major Belgian dive associations." Unless the system in Belgium is radically different from elsewhere in the world, I find it open to serious question.
Additionally, even if one is to grant all the assumptions and simplifications made, the bottom line is that study is only meaningful if you stay inside the box of the course(s) sampled. While I have no doubt that some exercises pose more danger than others, I suggest that this can be dealt with with care and attention to detail. I point to the science community's experience with Scripps Model courses where, during entry level training, each and every student performs between 50 and 100 buoyant free ascents as part of the training exercises. There has never been a single accident during such training. I advance two explanations for this: the first is staff quality as evidenced by the Local Dive Shop operated course in the Auburn University pool that resulted in fatality some years ago using precisely the same exercise without staff supervision; and the second: the many, many repetitions of the skill, starting in a free diving mode and then progressing much later to scuba.
I believe that an Emergency Swimming Ascent (CESA) can be taught properly and the subsequent risk to students is an acceptable one. That said, training programs are becoming shorter and require less of a commitment on the part of the student. You can't compare the Scripps Model (or even my program) to the standards of some agencies today.
The standards for all levels of Instruction, basic through instructor examiner have become lets say, much more "student friendly." When when an Agency looks at the viability of requiring ESA/CESA, consideration must be given to the expected length of time that will be devoted to this skill, the level of diving ability of the student and instructor and what is to be gained by the finished result. It wouldn't surprise me that 10 years from now, that some certification agencies will reduce their program to a one day training schedule. What areas of the current training program will need to be cut to accommodate this?
Thal, you and I have witnessed a reduction in what is required for certification (several times over the years). I'm afraid that this tendency will continue. Once we are long gone, some of the current instructors on SB may find themselves defending what they feel is required to new instructors that brag about how great their six-hour training courses are. CESA isn't required and the "old timers" are reflecting on the day they when it was and the fact that it's still a valuable skill-set. The new instructors will say that the statistics don't warrant it. The student can take another course to learn this (and optional things like clearing a mask without a purge valve). The "old timers" will feel the same frustration that you and I have felt over the past few years... Time marches on and quality becomes a relic. Go figure...