Duration of FAA Pilot medical certificates

Many pilots ask if we could recap the duration for their medical certificates. and the frequency for the EKG for the first class airmen.

  1. First Class Medical Certificate: A first class medical certificate is valid for the remainder of the month of issue; plus

o    6 calendar months for operations requiring a first class medical certificate if the airman is age 40 or over on or before the date of the examination, or

o    12-calendar months for operations requiring a first-class medical certificate if the airman has not reached age 40 on or before the date of examination, or

o    12 calendar months for operations requiring a second class medical certificate, or

o    24 calendar months for operations requiring a third class medical certificate if the airman is age 40 or over on or before the date of the examination, or

o    60 calendar months for operations requiring a third class medical certificate if the airman has not reached age 40 on or before the date of examination. *

EKG is first done on the first medical exam after the airman’s 35th birthday.

The next EKG is done on the first medical exam after the airman’s 40th birthday.

After that one EKG is done every 12 months.

Please note that having the EKG in proper sequence with the medical is vital to maintaining the first class certificate.

After 12 months, an airman who does not have a current EKG will lose the first class certificate as it reverts to a Second class automatically.

    2. Second Class Medical Certificate: A second class medical certificate is valid for the remainder of the month of issue; plus

o    12 calendar months for operations requiring a second class medical certificate, or

o    24 calendar months for operations requiring a third class medical certificate, if the airman is age 40 or over on or before the date of the examination, or

o    60 calendar months for operations requiring a third class medical certificate if the airman has not reached age 40 on or before the date of examination. *

     3. Third Class Medical Certificate: A third-class medical certificate is valid for the remainder of the month of issue; plus

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Lasik Correction for Pilot

Lasik

Lasik

From: Raymond Basri <xxxxxxxxxxxxxxxxx >
Date: June 24, 2014 11:03:41 AM EDT
To: <xxxxxxxxxxxxxxxxxxx>
Subject: Re:  LASIK

That is very good news indeed. I’m happy you are satisfied with the results. You should bring the report from the eye specialist as well as completing your Medxpress online application listing it as a surgical procedure.

I look forward to seeing you on your next visit and removing your vision restriction from your certificate.

Best
Ray

On Jun 24, 2014, at 09:14 AM,  < xxxxxxxxxxxxxxxxxxx > wrote:

Hey Dr. Basri – how’s things?  Hope your summer is off to a good start.

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Coronary Artery Disease and Your Medical Certification

 R

 

aymond Basri, MD, FACP

 

 

236 Crystal Run Rd, Ste. 2

Middletown, NY 10941

June 18, 2014

 

Coronary Artery Disease and Your Medical Certification

Pilots can have coronary artery disease and not be retired on disability. Here is a case where the pilot regained his Class 1 Medical Certificate exactly 6 months after having a mycardial infarction and coronary artery stent.

The FAA mandates a 6 month medical furlough after any cardiac incident or procedure including coronary artery bypass surgery (CABG). Although the 6 Months is a minimum, many airmen are never returned to duty sometimes becasue they did not seek out the proper medical advice.

In order to return to full duty with the least time off, pilots should work with their Senior AME to plan the testing and reporting needed to satisfy the FAA.

We are experienced with these issues and have successfully returned scores of airmen to work and recreational flying. Here is an example of how we approach the return to duty.

Ray Basri, MD, FACP

Senior Aviation Medical Examiner

 

Manager,  Aeromedical Certification Division

PO Box 26080

Oklahoma City, OK 73126

 

Dear Dr. XXXX at FAA,

 

I performed the cardiovascular exam as per protocol for the first request for Authorization for Special Issuance of a First Class Medical Certificate.

This airman has a history of MI in March 2013 followed by successful PTCA and stenting of the distal circumflex artery on March 28 using a Resolute drug eluting stent. He made an excellent recovery and underwent nuclear exercise stress testing on August 29 with normal exercise capacity (Bruce stage 4, 10 minutes) and normal scans. This airman also had transthoracic echocardiography done on the same date, which showed normal wall motion and LVEF.

Furthermore, after these tests were done and reported as normal, this pilot underwent another cardiac catheterization which showed normal flow through the stent and excellent perfusion to all areas of the myocardium.

I am pleased to report that his health continues to be good, free of cardiovascular symptoms of chest discomfort, shortness of breath, palpitations, dizziness, or side effects from his medications. He is currently taking Lisinopril 5 mg per day, Dexilant 60 mg per day, Crestor 10 mg per day, Plavix 75 mg per day and ASA 81 mg per day. His metoprolol was discontinued after the normal stress test and catherization. He has no side-effects from these medications. He does not use tobacco, family history is negative for CVD, and his weight has come down from 232 to 225 lbs. He runs a couple of miles daily.

This airman has normal blood pressure 120/80 in each arm on 3 separate visits, and physical exam shows:

HEENT- Anicteric, PERLA, EOMI, Fundi nl

Neck- supple, JVD neg , no bruits

Lungs- clear to A & P, well healed midline CABG scar

COR- RSR no murmurs, gallops or rubs, PMI is not displaced

Abd- soft, no organomegaly, no CVAT

Ext- no clubbing cyanosis or edema

Neuro- A & O X 3, Cr Nerves II-XII intact, Motor intact

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Revolutionary Virtual Medical Care via Skype Now

Our practice offers virtual One-on-One medical consultation via Skype now. If you do have any concerns about your health or medical issues, video conference is available prior scheduling your on-site office appointment.

Please use our Online Scheduling System to arrange the consultation or call to the listed numbers in our website.

Before your Consultation please fill out “Patient Forms” or be ready to have answers for these questions regarding with your medical history.

 

 

Check out our Locations:

http://www.myflightmd.com/directions/

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Successful Return Of a Career Commercial Airline Pilot

I am a senior aviation medical examiner for the FAA.  Part of my duties is to provide pilot with medical consultations so that despite medical issues, they can continue to be certified his meeting the requirements for duty.

I am a specialist in diagnostic cardiology and use the tools of trade to facilitate special issuance for these pilots.  Doing so often means the difference between continuing one’s career and livelihood or beginning a forced disability or retirement.

I routinely help pilots navigate the administrative hurdles necessary to regain medical certification.   Over the years pilots being examined for FAA certification have chosen me as their primary physician 80% of the time.  They do this because they know that my skills allow me to diagnose earlier and began treatment when needed.

I am also keenly aware that regaining ones medical certification after cardiac event wires an intimate knowledge of the process.  I am often able to recertify a pilot after exactly six months which is the minimum required under FAA guidelines.

As an example of this, the following letter illustrates a routine case of pilot who suffered a myocardial infarction and cardiac stents.  I routinely provide the cardiac  evaluations including stress testing so that a comprehensive report can be submitted to the FAA.

The following letter is taken directly from the records of the pilot who successfully resume his career he currently maintains excellent health.

Courtney Scott, DO

Manager, Aeromedical Certification Division
PO Box 26080
Oklahoma City, OK 73126

Re:  Capt Smith
DOB: 05-22-55

Dear Dr. Scott,

I performed the cardiovascular exam as per protocol for the first request for Authorization for Special Issuance of a First Class Medical Certificate.

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