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ability to safely operate an aircraft from a medical perspective. In
If, however, that is not the case for your applicant, and you remain unsure about certifying the individual to act as a pilot, there are four resources to help you make that decision. These references are recommended in the physician instruction portion of the CMEC:
1. FAA Guide for Aviation Medical Examiners. This is the basic purposes. The current guide can be searched online or downloaded describes in detail the medical requirement for the different types of Issue” which the FAA calls CACIs. These cover 17 common medical conditions, and if the applicant meets the applicable CACI criteria, a nature, this provides guidance to an AME when certifying an applicant outside of his/her primary specialty. The hypothyroidism CACI as it appears in the guide is presented as an example:
CACI – Hypothyroidism Worksheet (Updated 07/29/2015)
The Examiner must review a current status report by the treating physician and any supporting documents to determine the meets ALL listed below, the Examiner information annually; applicants for third-class must provide the information with each required exam.
There is no statutory requirement that the examining physician certifying a BasicMed applicant use the CACI guidelines, however if the physician is unsure regarding certification because of a particular medical finding an applicable CACI can provide the guidance that the FAA requires of its AMEs.
There are also references in the manual for medical conditions, which require a SI from the FAA. These are situations that, addressed by CACI. In these instances under the AME system, the FAA. If the individual receives a SI from the FAA it is often time-limited and describes what medical evaluations must condition does not progress and the individual is otherwise BasicMed, there is no statutory requirement for the certifying physician to use FAA Special Issuance criteria when certifying an individual. However like the CACIs they can serve as a guide to help one make a decision.
Note that if the applicant has a history of one of the mental,
applicant has already received a SI for that condition. If explain to the person that they will need to go to an AME. The AME will defer the application and the FAA may issue a SI after receiving the requested medical information. If the
AME MUST REVIEW
ACCEPTABLE CERTIFICATION CRITERIA
Treating physician finds the condition stable on current regimen and no changes recommended
[ ] Yes
Symptoms and signs
[ ] None of the following: fatigue, mental status impairment, or symptoms related to pulmonary, cardiac, or visual systems
Acceptable medications
[ ] Levothyroxine sodium (Synthroid, Levothyroid), porcine thyroid (Armour), liothyronine sodium (Cytomel), or liotrix (Thyrolar)
Normal TSH within the last one year.
[ ] Yes
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Del Med J | June 2017 | Vol. 89 | No. 6
