Excerpts from AME Guide |
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Guide for Aviation Medical Examiners
Application Process for Medical Certification
Exam Techniques and Criteria for Qualification
Item 29. Ear
- Code of Federal Regulations
- First-Class: 14 CFR 67.105(b)(c)
- Second-Class: 14 CFR 67.205(b)(c)
- Third-Class: 14 CFR 67.305(b)(c)
- FAA Approved Examination Techniques Used by FAA Designated AMEs
III. Aerospace Medical Dispositions
Item 29. Ear
The following info from the FAA lists the most common conditions of aeromedical significance with respect to the 3 portions of the ear and the surrounding mastoid bone. The table reflects the course of action that should be taken by the AME as defined by the protocol and disposition. Medical certificates must not be issued to an applicant with medical conditions that require deferral, or for any condition not listed that may result in sudden or subtle incapacitation without consulting the AMCD or the RFS. Medical documentation must be submitted for any condition in order to support an issuance of an airman medical certificate.Inner Ear
| Disease/Condition | Class | Evaluation Data | Disposition |
|---|---|---|---|
| Acoustic Neuroma | All | Submit all pertinent medical information and current status report | Requires FAA Decision |
| Acute or chronic disease without disturbance of equilibrium and successful miringotomy, if applicable | All | Submit all pertinent medical information | If no physiologic effects - Issue |
| Acute or chronic disease that may disturb equilibrium | All | Submit all pertinent medical information and current status report | Requires FAA Decision |
| Motion Sickness | All | Submit all pertinent medical information and current status report | If occurred during flight training and resolved - Issue If condition requires medication - Requires FAA Decision |
Middle Ear
| Disease/Condition | Class | Evaluation Data | Disposition |
|---|---|---|---|
| Impaired Aeration | All | Submit all pertinent medical information and current status report | Requires FAA Decision |
| Otitis Media | All | Submit all pertinent medical information and current status report | If acute and resolved –Issue If active or chronic - Requires FAA Decision |
Outer Ear
| Disease/Condition | Class | Evaluation Data | Disposition |
|---|---|---|---|
| Impacted Cerumen | All | Submit all pertinent medical information and current status report | If asymptomatic and hearing is unaffected - Issue Otherwise - Requires FAA Decision |
| Otitis Externa that may progress to impaired hearing or become incapacitating | All | Submit all pertinent medical information and current status report | Requires FAA Decision |
Mastoids
| Disease/Condition | Class | Evaluation Data | Disposition |
|---|---|---|---|
| Mastoid fistula | All | Submit all pertinent medical information and current status report | Requires FAA Decision |
| Mastoiditis, acute or chronic | All | Submit all pertinent medical information and current status report | Requires FAA Decision |
The AME must personally conduct the examination. This section provides guidance for completion of the Application for Airman Medical Certificate +/- Student Pilot Certificate, FAA Form 8500-8.
The AME must note in Item 60 of the FAA Form 8500-8 any condition found in the course of the examination. The AME must list facts, such as dates, frequency, and severity.
When questions arises, AMEs must check the Guide for Aviation Medical Examiners and other FAA documents. If the question remains unresolved, the AME should seek advice from a RFS or the Manager of the AMCD.
After all evaluations and tests are completed, the AME reviews Form 8500-8. If complete and accurate, the AME adds final comments, makes qualification and decision statements, and signs the declaration. The medical history page must be completed in the handwriting of and signed and dated by the applicant. Upon completion of the examination, the entire FAA Form 8500-8 must be electronically transmitted to the FAA.
Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8
Note: Numbers correspond to the required entry in the AME portion of the FAA Form 8500-8
