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Originally Posted by fromFT
W0X0F,
Always detailed replies! for my students, I was wondering if you can elaborate more about the medical check up process (annual check ups). Are there any specific constraints/check ups for sleeping disorders? particular problems/checks associated with shift (clock vs. against the clock) work that the FAA or the company requires you to go through?
There are three kinds of flight physicals: First, Second and Third Class. The Third Class is required for a private pilot and is good for five years for pilots younger than 40. After reaching 40 years of age, the Third Class must be renewed every two years.
The Second Class medical is required for any pilot flying for hire in any capacity (flight instructing, towing banners, carrying parachutists, flying as a First Officer for an airline) and must be renewed every year.
The First Class medical is required for any pilot exercising the privileges of an Airline Transport Pilot certificate, i.e. acting as pilot-in-command for a Part 135 or Part 121 airline. It is also required for the First Officer (second-in-command privileges) in international operations requiring three or more pilots.
I get a First Class medical twice a year (in fact, I'm scheduled to get one this coming Monday) and because I'm over 40 years old I get an EKG once a year as part of this exam.
(All of these requirements, and the durations of the various medical certificates, are covered by
FAR 61.23.)
The thoroughness of the check up can vary greatly from one AME (Aero Medical Examiner) to the next. For obvious reasons, some pilots prefer the kind of doc who kind of "pencil whips" the exam. (In case it's
not obvious, the reason is that each exam is a potential career ender.) I've had both extremes and most doctors fall somewhere in the middle.
One guy I used to go to who was very thorough was a Marine fighter pilot in WWII. He flew the F4U Corsair, a great plane you may remember from the old TV show "Baa Baa Black Sheep." Anyway, this guy would actually do the old "turn your head and cough" check and he also checked things like balance and basic coordination. He's the only doc I've had who ever checked those things. Doc Albers passed away many years ago and the guy I go to now is a fine doctor and his exam is more perfunctory.
Here's what I expect this coming Monday. Before going in, I'll fill out
FAA Form 8500-8 on line. (Click on that link if you want to see the types of questions we get asked.) When I complete the form, I get a confirmation number which I will give to the people at the doctor's office so they can print out the form.
I'll pee in a cup for whatever checks they do with that (diabetes?) and then I'll get weighed. The doctor's assistant will administer an eye exam and also the EKG if I'm due for one. The EKG takes longer for her to set up (attaching the leads to my torso) than to actually run. The machine sends the results directly to the FAA in Oklahoma City.
After these checks, I'll be left to wait for the doctor. He will come in and do the standard auscultation, checking for lung and bowel sounds I guess. Maybe some deep breaths. Then just a brief chat where he wants to know if I have any medical complaints or if anything has changed since the last visit.
That's pretty much it. I'm usually in and out in less than 30 minutes. This may be surprising to you (it was to me), but I guess a big part of this process is that we are required to disclose any conditions or symptoms we have. We sign Form 8500-8, attesting to the fact that everything on it is complete and accurate.
The company doesn't get involved at all in this process except to generate reminders to us when we report for a trip if our medical is about to expire. They don't place any additional requirements on us beyond having a current medical certificate in our possession.
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Any 'interesting' problems that would never interfere in your daily life but could create a serious problem renewing a first class classification?
There are things that can end a flying career that would be little more than an irritation or inconvenience in an office job. One I can think of offhand is a chronic inner-ear problem. I'm sure there are others and this might make an interesting question to ask my AME this coming Monday.