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Ask the Aviation Medical Examiner
Sergio B. Seoane, M.D., Col., CAP
Chief, CAP National Health Service
FAA Senior Aviation Medical Examiner
AME – Aviation Medical Examiner
Aviation Medical Examiner (AME) is a physician designated by the FAA and given the authority to perform flight physical examinations and issue aviation medical certificates.
AMEs are practitioners of Aviation Medicine
Many AMEs are also qualified in other medical specialties
The International Civil Aviation Organization have established basic medical rules for determining whether a pilot is fit to act in that capacity, and they are codified in Annex 1 to the Convention on International Civil Aviation.
Must be a Physician to be an AME, cannot be ARNP or PA
Assisted Special Issuance Process (AASI)
A several years ago, FAA introduced the Aviation Medical Examiner Assisted Special Issuance process (AASI)
AASI permitted AMEs to issue applicants a special issuance certificate at the time of examination, provided the applicant had complied with a previously defined set of conditions.
The AASI process eliminated the wait time for a subset of airmen, but there were still a large number of pilots who had to wait for the FAA to make a decision in their case.
New and Improved FAAAeromedical Certification
In 2011-2012, the Federal Air Surgeon, Fred Tilton MD decided to reduce the number of medical conditions requiring a special issuance.
Dr Tilton has identified 18 medical conditions that will no longer require a special issuance,
Protocols for 11 of them have been issued to AMEs
The rest will be published in 2013-2014
These 18 conditions account for 10 to 15 percent of the special issuances.
April 2013 AME Changes
Conditions the AME Can Issue (CACI)
Conditions that previously required an initial FAA Special Issuance authorization before the AME could issue a medical certificate
Now, the AME is authorized to directly issue the medical certificate. The pilot does not need to wait to receive the Medical Certificate from the FAA
April 2013 AME Changes
Conditions the AME Can Issue (CACI)
Arthritis
Asthma
Glaucoma
Hepatitis C
Hypertension
Hypothyroidism
Migraine
Chronic Headaches
Pre-Diabetes (IFG)
Metabolic Syndrome
Impaired Fasting Glucose
Glucose Elevation
Renal Cancer
April 2013 AME Changes
The criteria and the required medical documentation has NOT changed
The only difference is that the local AME can issue the medical certificate without approval from FAA Aerospace Medical Certification Division in Oklahoma City
This should result in the Airman obtaining the FAA Medical Certificate sooner
April 2013 AME Changes
The recovery time after coronary artery stenting has been decreased from 6 months to 3 months
Legal Authority of Designated Aviation Medical Examiners
Title 49, United States Code (U.S.C.)
(Transportation), sections 109(9), 40113(a), 4701-44703, and 44709 (1994) formerly codified in the Federal Aviation Act of 1958, as amended, authorizes the FAA Administrator to delegate to qualified private persons; i.e. designated Examiners, matters related to the examination, testing, and inspection necessary to issue a certificate under the U.S.C. and to issue the certificate.
Designated Examiners are delegated the Administrator's authority to examine applicants for airman medical certificates and to issue or deny issuance of certificates.
Domestic84%
Internationals9%
Military4%
Federal1%
Official2%
Chart Title
90countries
Aviation Medical Examiner Population(3,465 as of March 31, 2012)
5/7/12
(Includes Guam, Marshall Islands, Saipan, Pacific Island Trust Territories, Puerto Rico and Virgin Islands)
AMEs who are pilots 47%Female AMEs 7.5%
Distribution of AMEs by Region
Alaska2%
Southern20%Eastern
11%
New England3%
Southwest12%
Official2%
Military/Fed6%
International9%
Central5%
Great Lakes14% Western Pacific
8%
NW Mountain10%
Chart Title
5/7/12
Similar to CAP Regions13
Nine FAA Regions
5/7/12
AK CE EA GL NE NM SO SW WP Mil Intl Fed Off0
100
200
300
400
500
600
700AMEs
Senior AMEs
0%
100%
60% Senior AMEs
Distribution of AMEs by RegionAMEs/Senior AMEs
Distribution of AMEs by Medical Specialty
5/7/2012
Family Practice / General Practice 49%Internal Medicine 19%Aerospace Medicine 8%Occupational / Industrial Med 6%General Surgery 3%Ophthalmology 2%Emergency Medicine, Orthopedic Surgery,
Otorhinolaryngology, OB/GYN, Urology 1%
All others <1% (ea)
AME Age Trends
2002 2003 2004 2005 2006 2007 2008 2009 2010 201154
55
56
57
58
59
60
61
Average Age
Distribution of AMEs by Number of Medical Exams Performed Annually
01-
2526
-50
51-2
50
251-
500
501-
750
751-
1000
1001
-350
0
>3500
0.0
500.0
1000.0
1500.0
164
1496
690
1145
18770 31 52 2
Number of Exams
AM
E P
op
ula
tio
n
2/14/11
4.3%
39%
18%
30%
5%2%
0.8% 1.4% 0.05%
Percent of AMEs
Number of AMEs
AME Distribution by Length of Service
2/14/11
AMEs
Senior AMEs
5 or < 6-10 11-15 16-20 21-25 26-30 31-35 36-40 41-45 46-50 51-55 >550
100
200
300
400
500
600
700
Years of Service as AME
Nu
mb
er o
f A
ME
s
352
270
144
308
184
363 294
151
101
181
99
197
79
246
36
14164
23
70
18
18
41
0
AME Exams – CY 2011
1/26/12
Class I Class II Class III0
20000
40000
60000
80000
100000
120000
140000
160000
180000
200000
Exams Performed
AME Issued
AME Deferred
88 89 90 91 92 93 94 95 96 97 98 99 '00
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
'11
100
200
300
400
500
Class I
Class II
Class III
TOTAL
Fiscal Year
# o
f R
eq
ue
sts
(1
00
,00
0)
Aeromedical Certification Requests
1095 applications per day (2011)
33,312 applications per month (2011)
1/26/12
Certificates Not Issued
AME Denied AME Deferred Reversed by AMCD
Special Issues
Issued by Appeal
0
2000
4000
6000
8000
10000
12000
14000
16000
Class I
Class II
Class III
56 18,971 632235,4211616
1/26/12
Most common causes for problems with issued certificates Jan to June 2011 compared to prior period
Block Description OccurrencesJuly–Dec 2010
OccurrencesJan–Jun 2011
17 Unacceptable Medication 7 13
58 ECG 15 21
18h High or low Blood Pressure 6 618V DUI 1
18a Headache 1 1
18M Mental/Depression 1
18X Rheumatoid Arthritis 1
18 g Heart Problem 1
18J Kidney stone 1 1
18u Admission to Hospital
18x Prostate cancer surgery, parathyroidectomy, cataract surgery
1
18D Retinopathy /DM on treatment 1
42 Arthritis 1
Please note that there can more than one error in a single case
Final Denials for 2011
Total Denials: 5,012
Denial for Failure to Provide or Failed to Pursue: 4,646
92% of Airman Fail to Provide info!
Final Denials (When all information requested is provided): 366
400,000 only 366 Denied by FAA .09%
1/26/12
Final Certification Denials
'01
'02
'03
'04
'05
'06
'07
'08
'09
'10
300
320
340
360
380
400
420
440
460
480
0
0.05
0.1
0.15
0.2
0.25
0.3
0.35
0.4
Total Applications Denial Ratio
# o
f A
pp
liat
ion
s (T
ho
usa
nd
s)D
enial R
atio (%
)
2/14/11
Medical CertificateTimeline
FIRST CLASS:• Airline Transport Pilots• Valid for 12 months under 40, 6 months 40 and over
SECOND CLASS:• Commercial Pilots, Flight Navigators and Flight Engineers• Contract Air Traffic Control Tower Operator• Valid for 12 months
THIRD CLASS:• Private and Recreational Pilots• Valid for 60 months under 40, 24 months age 40 and over
FAA Authority to Disqualify1994, Bullwinkel vs. FAA & NTSB, challenged FAA authority to disqualify medications in absence of a disqualifying medical conditionAs a result, the Federal Air Surgeon was given the authority to deny any “medications or other treatment that (a) makes the applicant unable to safely perform the duties or exercise the privileges of the airman certificate that the applicant holds or for which the applicant is applying; or (b) may reasonably be expected, within 2 years after the finding, to make the applicant unable to safely perform those duties or exercise those privileges.”
Not everyone is Healthy
650,000 Pilots in the USA
400,000 Medicals Issued by FAA every year
They are not all healthy
The number of prescriptions for Type II Diabetes Drugs has doubled between 2002 and 2005, in children ages 5-19 years. From 0.3 per thousand to 0.6 per thousand.
There was a 106% increase in prescriptions for diabetic drugs in children ages 10-14 years from 2002-2005.
How Healthy do you need to be?
You do not have to be very healthy
You need to be good enough
Kind of like being a pilot….
You need to be healthy enough so you are not going to suddenly become incapacitated while operating an aircraft
Key Word…”Sudden Incapacitation”
FAA Concerns Aeromedical Significant
Disorders
Occurs suddenly or unpredictably
Is or may be incapacitating
Progresses at an unpredictable rate
May degrade flight safety
The aviation environment is very complex and dynamic
Good Health is critical functioning is this environment.
Two key elements for safe flying
Aircraft PerformanceAirman Performance
Both need to be adequate
Medical Certification of AirmenSpecial Issuances – Cardiovascular (2005)
Problem Class 1 Class 2 Class 3 TotalBioprosthetic Valves
33 38 135 206
MechanicalValves
33 33 169 235
Pacemaker 37 53 276 355
Defibrillator 0 0 2 2
FAA Policy on Medications FAR 61.53, prohibits acting as pilot-in-command or in any other
capacity as a required pilot flight crewmember if that person:
“Knows or has reason to know of any medical condition that would make the person unable to meet the requirement for the medical certificate necessary for the pilot operation, or:
“Is taking medication or receiving other treatment for a medical condition that results in the person being unable to meet the requirement for the medical certificate necessary for the pilot operation.”
FAA Policy on Medications
In addition, FAR 91.17, prohibits the use of:
“any drug that affects the persons faculties in any way contrary to safety.”
“Severe Head Cold” maybe a “medical deficiency” under FAR 61.53
Why the FAA Denies Certain Medications
Not exclusively the Medications, but rather the underlying medical condition associated with the Medications
Potential for Sudden Incapacitation
All Medications are evaluated based on this concept
Generally Disallowed Medications
AnticoagulantsAntiviral AgentsAnxiolytics (anti-anxiety)BarbituratesChemotherapeutic AgentsHypoglycemicMood Altering Antidepressants (exceptions, 4/2/2010: Fluoxetine (Prozac), Sertraline (Zoloft), Citalopram (Celexa), or Escitalopram (Lexapro) NarcoticsSedating AgentsAntihistaminesDecongestantsTranquilizers
Stimulants (Diet Medications)Experimental or Investigational MedicationsMuscle RelaxantsMotion SicknessAnticonvulsantsSteroidsLomotil
There is no “Official FAA Medication List”The condition is often the disqualifying issue, not the medication
Over The Counter Medications
Antihistamines and Decongestants
Any drug that produces drowsiness or other central nervous system effects and experimental or investigational drugs are prohibited
Medications NOT Authorized
Anticoagulants (Maybe Yes, Maybe No --but ASA, Plavix OK…warfarin/coumadin…it depends…often yes)
Mood Altering Medications
Sedatives
No investigational Drug Treatments
No one currently receiving Radiation Treatment
Anti-seizure Medications
Antidepressants (off smoking cessations medications for 30 days before flying is OK)
Except –need “SI”..Fluoxetine (Prozac), Sertraline (Zoloft), Citalopram (Celexa), or Escitalopram (Lexapro)
AOPA DatabaseThis database is compiled by the AOPA Medical Certification Department and is based upon confirmation with the FAA Aerospace Medical Certification Division in Oklahoma City. The list includes both allowed and non-allowed medications and, for the allowed medications, the conditions under which the drug is considered acceptable for flight duties. Although a medication might be listed as allowed, there are variables with each individual's situation that could render a particular medication inappropriate for flying because of case history or adverse side effects. For example, some medications are used "off label," meaning that a drug is prescribed for symptoms that do not fall within the FDA's approval guidelines for that drug. The FAA might not allow an otherwise acceptable drug in this circumstance.
http://www.aopa.org/members/databases/medical/search_faa_meds.cfm
What the FAA doesn't know will not Hurt you
In a fatal crash, the remains of the crew will be tested for Prescription and Over the Counter Medications140,000 substances can be screened for by the FAA Civil Aerospace Medical InstituteIn General Aviation, several hundred substances are routinely screened for after an accidentIn Commercial Aviation, several thousand substances are screened forDNA in the future – Genetic Markers to determine: Fatigue, Lack of Sleep
It’s a Crime to Lie or Mislead
Whoever in any matter within the jurisdiction of any department or agency of the United States knowingly and willfully falsifies, conceals, or covers up by any trick, scheme, or device a material fact, or who makes any false, fictitious or fraudulent statements or representations, or entry, may be fined up to $250,000 or imprisoned not more than 5 years, or both" (Title 18 U.S. Code. Secs. 1001; 3571). TWO TYPES OF FALSIFICATIONIntentional False Statement – A False Representation of a Material Fact Made with the Knowledge of FalsityFraudulent Statement – A False Representation of a Material Fact Made with the Knowledge of
Falsity– Made with the Intent to Deceive and Relied Upon by Another
FAA Form 8500-8
No more paper Form 8500-8Only online as of: 10/1/2012If you make a false statement..60 day suspensionRevocation of your MedicalThe revocation will always show up on your airman record, you will never get another Medical from the FAA
FAA Policy Regarding Falsification
Revocation of BOTH Medical Certificate and Airman Certificate
Revocation of Airman Certificate because you the Lack of Qualification of Hold Airman Certificate
Honesty Best Policy
If you are taking a prohibited Medication and you LIE, and the FAA finds out, they may press charges, but you will NEVER get another Medical under ANY circumstances.If you are taking a prohibited Medication and you state the truth, your Medical will be denied, if you apply at a future date and are not longer taking the Medication, you will almost certainly be approved for an FAA Medical.FAA wants to encourage honesty, punish those who are not honest
Follow the Rules
If you Fly with prohibited substance, you are in violation of your Medical and FAA regulations
Any Life Insurance, Accident Insurance, Aircraft Insurance, Liability Insurance will no longer be valid since you are not in compliance with FAA Regulations
Certification of Airman
Approximately 400,000 applicants annuallyApproximately 25,000 Special Issuances per Year400 Pilots in USA with Diabetes requiring Insulin (3rd Class Medical) Cardiovascular conditions most common in AirmenFinal Denial are approximately 0.1%
Privacy of Medical Information
Within the FAA, access to an individual's medical information is strictly on a "need-to-know" basis. The safeguards of the Privacy Act apply to the application for airman medical certification and to other medical files in the FAA's possession. The FAA does not release medical information without an order from a court of competent jurisdiction, written permission from the individual to whom it applies, or, with the individual's knowledge, during litigation of matters related to certification. The FAA does, however, on request, disclose the fact that an individual holds an airman medical certificate and its class, and it may provide medical information regarding a pilot involved in an accident to the National Transportation Safety Board (NTSB) (or to a physician of the appropriate medical discipline who is retained by the NTSB for use in aircraft accident investigation.
FAA Aviation Medical Examiner Guide, Version IV, July 31, 2005
Disqualifying Medical Conditions
1. Angina pectoris2. Bipolar disorder3. Cardiac valve replacement4. Coronary heart disease that has required treatment or, if untreated,
that has been symptomatic or clinically significant;5. Diabetes mellitus requiring insulin or other hypoglycemic
medication6. Disturbance of consciousness without satisfactory medical
explanation of the cause7. Epilepsy8. Heart replacement 9. Myocardial infarction10. Permanent cardiac pacemaker11. Personality disorder that is severe enough to have repeatedly
manifested itself by overt acts12. Psychosis 13. Substance abuse and dependence; 14. Transient loss of control of nervous system function(s) without
satisfactory medical explanation of cause
Did not pass your Medical?
SODA– Statement Of Demonstrated Ability (SODA) may be granted in
lieu of an Authorization– Medical condition or defect that is static and nonprogressive– One time test, usually not repeated
Assisted Special Issuance– For Disease Protocols
Special Issuance– An airman who is medically disqualified for any reason may be
considered by the FAA for an Authorization for Special Issuance of a Medical Certificate
One Eyed PilotOne Arm Pilot
Can you get a Medical with only one Eye or with one Arm?Can you get a Medical with Skeletal Deformities or after a Stroke?What about a Prosthesis?Deafness?For medical defects, which are static or nonprogressive in nature, a Statement of Demonstrated Ability (SODA) may be granted in lieu of an Authorization.
SODA
Statement Of Demonstrated AbilityAt the discretion of the Federal Air Surgeon, a Statement of Demonstrated Ability (SODA) may be granted, instead of an Authorization, to a person whose disqualifying condition is static or nonprogressive and who has been found capable of performing airman duties without endangering public safety. A SODA does not expire and authorizes a designated Examiner to issue a medical certificate of a specified class if the Examiner finds that the condition described on the SODA has not adversely changed
In granting a SODA, the Federal Air Surgeon may consider the person's operational experience and any medical facts that may affect the ability of the person to perform airman duties including
Essentially a Flight Test performed by FAA Examiner
Cardiovascular Disease in Pilots
Disease 1st 2nd 3rd
Class Class Class
MI 420 3982916
CABG 373 358 3149
PTCA 385 295 1810
PTCA with Stent 477 390 2460
Cardiovascular Disease I
10,000 Pilots Flying in USA with Heart Disease with Special IssuancePacemaker, most pilots certified with Special Issuance (wait 2 mo & stress test)Heart Murmurs usually OK if evaluation negativeMost Valvular Heart Disease OK (Mitral Insufficiency, Mitral Regurgitation, MVP, Aortic Insufficiency, Aortic Stenosis)Atrial Fibrillation OKHypertension OK (30,000 Pilots fly with HTN on Medications)Coronary Artery Disease OK (if < 50% Lesion, LV ok, Stress Test normal)
Cardiovascular Disease II
Heart Attacks (MI), OK but need to wait 6 months, need cath and nuclear imaging – no ischemia
Heart Valve Replacement OK (wait 6 mo)
Medical Certification of Airmen
Special Issuances – Substance Abuse (2005)
Problem Class 1 Class 2 Class 3 Total
Alcoholism 979 354 542 1,875
Drug Dependence
43 13 17 73
Medical Certification of Airmen
Special Issuances – Monocularity (2005)
Medical Condition
Class 1 Class 2 Class 3 Total
Monocularity 209 476 1,912 2,597
Medical Certification of Airmen
Special Issuances – Diabetes (2005)
Medical Condition
Class 1 Class 2 Class 3 Total
Non-Insulin 493 988 3,819 5,300
Insulin 0 0 425 425
Epilepsy - Seizures
Generally Speaking - No Way
Sometimes possible, but this rare
Diabetes
Usually Possible
If no medications and Diet controlled – OK
If on medications, need Special Issuance
Commercial Space Flight
Orbital Crew– Crew: To Be Determined– Passengers: Medical Questionnaire with
physical examination and laboratory studies
Suborbital Flight– Crew: Second Class Medical Certification with
endorsement– Passengers: Medical questionnaire without
routine physical or laboratory studies
Authorization for Special Issuance of a
Medical CertificateGranted by the Federal Air SurgeonValid for a specified periodGranted to a person who does not meet the established medical standardsFederal Air Surgeon may consider the person's operational experienceIndividual must satisfy of the Federal Air Surgeon that the duties authorized by the class of medical certificate applied for can be performed without endangering public safety during the period in which the Authorization would be in force. The Federal Air Surgeon may authorize a special medical flight test, practical test, or medical evaluation for this purpose. A medical certificate of the appropriate class may be issued to a person who fails to meet one or more of the established medical standards if that person possesses a valid agency issued Authorization and is otherwise eligible. An airman medical certificate issued in accordance with the special issuance section of part 67 (14 CFR § 67.401), shall expire no later than the end of the validity period or upon the withdrawal of the Authorization upon which it is based.
Aeromedical Certification 2004
442,498 Applications Processed
12,076 Special Issuances (waivers) for significant medical conditions
66
Airman Certification and Hypertension
American Heart Association
Normal BP < 120/80
Pre-Hypertension 120-139/80-89
Hypertension > 140/90
FAA- should not exceed, seated
155/95
67
Initial Protocol for Hypertension
Guide for Aviation Medical Examiners
AME-- conduct an evaluation OR review report by the attending physician.
Personal and family medical history
Assessment of risk factors CHD
A clinical exam and 3 BP readings separated by 24 hours !
Resting EKG
68
Initial HTN (Continued)Glucose, Lipid Profile, K+ and Creatinine
Medications used, dosage and adverse effects
Airman to wait 2 weeks upon initiation of medication or change in dosage
Summarize results of evaluation in box # 60
Can You Fly Without a Medical?
Glider and Free Balloon Pilots are not required to hold a medical certificate of any class. To be issued Glider or Free Balloon Airman Certificates, applicants must certify that they do not know, or have reason to know, of any medical condition that would make them unable to operate a glider or free balloon in a safe manner.
January 21, 2011
Sport Pilot
Operational Limits
- Max. Gross Weight 1,320 Lbs.
- Max. Stall Speed 45 Knots
- Max. Speed 120 Knots
- Max. Two-Place
- Day VFR Only
- Single, Non-Turbine Engine
- Fixed Landing Gear
Sport Pilot (Continued)
Medical Requirements - FAA medical certificate or a valid U.S. driver’s license - An individual may not use a driver’s license if:
- A certificate was not issued with the individual’s most recent application;
- The individual’s most recent application has been denied, suspended, or revoked;
- The individual’s most recent Authorization for a special issuance medical certificate has
been withdrawn
Sport Pilot - Medical
Hold valid airman medical certificate or a current and valid U.S. driver’s licenseMust comply with each restriction and limitation on their U.S. driver’s license and any judicial or administrative order applying to the operation of a motor vehicle. Cannot have been denied the issuance of at least a third-class airman medical certificate (if they have applied for an airman medical certificate) Must not have airman medical certificate revoked or suspendedMust not have had an Authorization withdrawn (if they have ever been granted an Authorization) May not use a current and valid U.S. driver’s license in lieu of a valid airman medical certificate if they know or have reason to know of any medical condition that would make them unable to operate a light-sport aircraft in a safe manner.
Sport pilot medical provisions are found under 14 CFR §§ 61.3, 61.23 , 61.53, and 61.303). For more information about the sport pilot final rule, see: http://dmses.dot.gov/docimages/pdf89/289219_web.pdf LAST UPDATE: July 31, 2005
Antidepressants
Mild to moderate depression only - no history of psychosis or suicidal thoughts
4 authorized medications: Fluoxetine, Sertraline, Citalopram, Escitalopram
Special Issuance
- Single medication only
- Stable on medication for minimum of 1 year
- Close monitoring
Applications
- 17 in certification review process
- 3 denied
Which type of pilots do not need an
FAA Medical Certificate?
Free Balloon Pilots
Glider Pilots
Ultralight Pilots
Sport Pilots
Tips for your AME Medical Examination
Establish long term relationship with an AME
Take your flight physical 4-6 weeks prior to the expiration of your medical certificate
Bring all your medical documentation
Do not drink coffee or soda prior to exam…only water
Bring eyeglasses, hearing aids, seeing eye dog
Bring a list of all medications and dosage (the prescription bottle)
Tips for your AME Medical Examination
Make sure your vision is good, have your vision checked few weeks prior to flight physical, minimum is 20/40 for 3rd class, 20/20 for 1st /2nd class
If you do not feel well or are ill….do not take the flight physical, reschedule it
Check your blood pressure 4-6 weeks prior to your flight physical, must be < 155/95!
Once you start the flight physical exam never leave
Tips for your AME Medical Examination
Chose an AME that will be your advocate
Bring any doctors notes, MRI, CT and x-ray report, all recent ER Visits
Bring all recent lab reports and Hospital Records
Do not get your FAA Physical if you are ill or do not feel well
Be Patient…if you have a medical problem it will take time to collect and review the information
Tips for your AME Medical Examination
The vast majority of physicians do not understand anything about flying an aircraft and even less about the FAA Aeromedical Certification process
If you acquire a medical condition, call you AME 8-10 weeks prior to your medical. It is ok to make an appointment with an AME to review your medical status prior to obtaining your Flight Physical.
If possible, go to an AME that is a pilot, he/she will be sympathetic to your desire to keep on flying (my personal opinion)
79
Office of Aerospace Medicine (AAM)Aviation Safety (AVS)
Federal Air SurgeonFrederick E. Tilton, M.D.
Deputy Federal Air SurgeonJames R. Fraser, M.D.
Civil Aeronautical Medical Institute (CAMI) Melchor J. Antunano, M.D.
Medical Specialties DivisionMichael Berry, MD
Headquarters New England Region
Regional Flight SurgeonPaul H. Clark, M.D.
Deputy Regional Flight SurgeonJoseph H. Ray, M. D.
Susan E. Northrup, M.D.
Southern Region
Medications Authorized by FAA
New Medications - Will authorize any medication if it has been out for ONE year
All Antihypertensive Medications OK
All Asthma Medications OK, including steroids (prednisone) if dose < 20mg qd
All anti-cholesterol Medications OK
Future Changes to FAA Aeromedical Certification
Special Issuance List (2014?)
Kidney stones
Carotid artery stenosis
Colitis
Irritable bowel syndrome,
Colon cancer
Bladder cancer
Leukemia
Hodgkin’s disease
Lymphoma
AME
AEROMEDICAL CERTIFICATIONDIVISION, CAMI
FEDERAL AIR SURGEON
NATIONAL TRANSPORTATION SAFETY BOARD
ADMINISTRATIVE LAW JUDGE FULL BOARD
U.S COURT OF APPEALS
SUPREME COURT
REGIONALFLIGHT SURGEON
Airman Medical Certification Review and Appeals Process
Ask the Aviation Medical Examiner
Sergio B. Seoane, M.D., Col., CAP
Chief, CAP National Health Service
FAA Senior Aviation Medical Examiner