I wonder what qualifications the AVMED doctors are required to have. Do they have qualifications in aviation medicine
Can't answer your question directly, but going back a couple of decades my understanding of the process was Avmed had a meeting once a month with a panel of medicos, drawn from where I know not. It was from this panel that a yes/no would be forthcoming. In one particular case the Avmed director went into bat for the applicant and pressured a recalcitrant medico specialist to make a decision that he could take to the monthly board. So even specialists at times are reluctant to give a yes/no, a sign of our litigious society I guess. In the case mentioned the applicant was given a thumbs up.