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-   -   Liberalizing medical requirements (https://www.pprune.org/medical-health/198207-liberalizing-medical-requirements.html)

Otterman 8th Jan 2006 08:54

Re: Liberalizing medical requirements
 
Hello folks,

Good to see that people are trying to add to the discussion. One thing that has become clear to me is that things are still fluid, and that the people (AME's) who are going to be working under the new rules are not certain on what is all going to change and how.

I tried to pry some more information about the changes from the eye specialist. He was being his vague self. And I did not get a coherent answer from the fellow. Obviously the institutes are a bit worried about the changes in the sense that less tests will need to be done (meaning less money to make), and the reduction in the number of medicals required (especially the over 40 crowd) is going to have a significant effect on the revenue side. Meaning less staffing for the institute. This seems to be utmost in peoples mind at the medical institute. I guess first things first. We are a revenue engine to them, not people who are there to get their ticket punched for another year of six months so we can provide for our families.

Hope things will become clear shortly. Greetings O.

fhchiang 9th Jan 2006 07:33

Re: Liberalizing medical requirements
 
JAA is Strict...

But Malaysian's DCA Class-1 is Even Stricter..

I can only obtain a Class-1 With Night Flying Restrction With the following:

R:-4.50D 1.75D(Astig)
L:-4.25D 1.75D(Astig)

voloamilleallora 10th Jan 2006 22:49

Re: Liberalizing medical requirements
 
any news about the astigmatism limits?
I have -3 and -2
i hold class 1 medical but every year i'm very scared to lose it beacause i'm borderline!

provo 18th Jan 2006 20:35

Apologies if someone else has posted this but I think that the medical matters discussed in Hoofddorp can be found at

http://www.caa.co.uk/default.aspx?ca...49&pagetype=87

The move towards 12 monthly medicals for those of us over 40 would appear to apply to MPA operations.

Otterman 19th Jan 2006 08:01

That is indeed what I have heard as well. Also heard that instructors above age 40 will remain at the twice a year level.

Saabdriver 30th Jan 2006 20:13

Come on guys .....
Nobody been to a CAA renewal lately ????

Saabdriver

Scube3 31st Jan 2006 01:26

This is my situation

Before I had miopia -6.25/-6.75... I have done lasik surgery about 1 1/2 years ago. Mi vision now is 20/20. I posses a FAA First Class medical (no limitations). I have an FAA ATP and I have been flying for over 5 years. I am from Spain, and I am trying to get back at some point, but I have a huge medical barrier.
Is there a way for me to get a JAA First class medical? I read in this thread to explain your case and try to get a waiver or something like it, but to who?? How about if I just take my chances and try to go get a first Class without saying anything..Will they ever find out?

Thank for all the help, its very appreciated.

Scube.

Jimmy The Big Greek 31st Jan 2006 08:00

I would go for a medical in spain. If they reject me I would try for medical U.K
It is possible that you can pass a First class medical because your eyes was within the renewal requirements before surgery.
It all depends on the licensing authourity.

Some doctors are nice and wants you to pass. They just check that you are a safe pilot.

Then there are doctors that are assholes. Remember one a doctor that wanted to fail me because I had to much earwax. I then called AMC and they just laughed. Anyway I got really scared with this and now everytime a go for a medical check I get "white coat hypertension"

Scube3 31st Jan 2006 12:50

Jimmy, Are you tracking me out!? Just kidding.Thank you sooo much for your imputs. They are not great news, but my head is now clear. I guess I'll have to put all this new project on hold till my next trip to Europe. Well, lets keep are hopes high.
Thanks again for all the help.

Scube.

7gcbc 1st Feb 2006 01:44

Sparks,


Originally Posted by sparks-flying
You mentioned the EEG being dropped.
It actually got dropped over a year ago, just before my initial class 1.
Shame , it sounded quite interesting!!!
SF


if having to stare into a hi intensity strobe light pulsate at various frequencies 6 inches away from your face for 20 mins, whilst clumsily attached leads to your head (complete with immovable surgical gel) irritate your skull, all the while a igor-esque machine operator straight out of a 1950's Bela lugosi movie, moves various levers and scribbles various notes which you are aware of in the periphary....... :{

The only thing missing is a "Herr Doktor" with a monocle and a maniac grin... :uhoh:

Unless a previous history dictates investigation, I don't personally see the point in such a test ?

AlR 19th Feb 2006 13:44

Vision requirements
 
There are options to Vision enhancement without surgery. I started Ortho K when I was 19. Contact lens reshapes the Cornea and maintains for 24 to 48 hours. FAA and the Saudi's version dropped all limitations on my Class One Med. Now I suscribe to updated version call CRT, where I sleep with a modified set of Lens and remove them during the day. Still maintains 20/15. This procedure if stopped will allow Cornea to return to original shape and eyesight. I'm 52 today ans never had a problem with my eye's. I wouldn't think of letting someone "cut" on my Cornea when most Opthomolgists wouldn't do the same.

Obviously, not having to wear any sort of corrective lens would be preferred, however, if you need corrected vision and want a Class one this may work for you. My wife is a NeoNatal Physician and was recently contemplating Lasik. I suggested she try the CRT and if she wasn't happy, discontinue it and go the Lasik way. At 49 Years she started the CRT and has 20/20 today.

I don't sell the Product or receive renumeration in any way, just happy with what is has done for me and knowing I could discontinue it at anytime I wanted to. Not the perfect anwser, but a solution that allows me to make my living in a Jet.:D :ok:

Niland 19th Feb 2006 17:22

I am no expert but i believe the general direction things are headed in can be seen in the NPA here

Hawk 19th Feb 2006 19:52

Niland..thanks for posting that link.
cheers
H.

Dash8100 20th Feb 2006 10:10

Does this mean (if the draft is OK'ed) that you're going to be able to get a Class 1 with -6?

Jimmy The Big Greek 20th Feb 2006 10:11

I just looked at the new NPA. It seems like they have removed the line which states:
"There is no stereoscopic test requirement"

Does this mean that we are going to be tested for stereovision now?

paulthornton 20th Feb 2006 18:54

From the CAA page here:

Ambylopia - The visual acuity in the other non-amblyopic eye should be 6/6 with or without correction. (Previously the 6/6 acuity had to be achieved without correction)
This is excellent news for me as it seems like my issue with having a lazy eye which is slighly long sighted and a good eye which is short sighted (which pushes me over the prescription difference between eyes limit) might finally be resolved - I can hopefully get a JAA class 2 finally. Flying in the UK on an Australian license is beginning to become a bit limiting.

Does anyone have any information on whether or not the prescription difference limit has been relaxed as well?

Paul.

guimaraes 2nd Mar 2006 13:40

Ok guys,I have dioptre -1.75 both eyes.Is that good enough for Class 1 in Europe?

Kestrell820 4th Mar 2006 23:42

-8dpt
 
I found this on the JAA page (NPA 28):

At revalidation or renewal examinations, an applicant experienced to the satisfaction of the Authority
with a refractive errors error not exceeding +5 dioptres or with a high myopic refractive error
exceeding -6 dioptres may be considered assessed as fit by the AMS (see paragraph 2 (b) Appendix 13 to
Subpart B).
(iii) Applicants with a large refractive error shall use contact lenses or high-index spectacle lenses.


Does this mean, if i have e.g. -8dpt at the renewal, the might give me the class 1 medical?
And when will the NPA become effective?
Thanks

SimJock 9th Mar 2006 12:08

I had a class 1 renewal 2 weeks ago, AME said that the extension to 12 monthly testing of over 40's was coming in November 2006 so advised that I have my next renewal after that date and it will last for 12 months. Thats OK for me as I'm not flying commercially at the moment.

Martin4 17th Mar 2006 21:16

My eye site is:

Right Eye:
Sphere = -0.50
Cyl = +2.50
Axis = 10

Left Eye:
Sphere = -0.50
Cyl = +2.75
Axis = 165

Can i ask, what section in that list is the dioptres in my eyes?

And also, could i get a class 1 medical with that standard of eye site after they change the requirements?


Martin

chrisbl 28th Mar 2006 17:35

The dioptres are the measures as +2.75 etc.

Go to the CAA website and look for the eyesight requirements.

|Ken| 2nd Apr 2006 12:56


Originally Posted by fhchiang
JAA is Strict...
But Malaysian's DCA Class-1 is Even Stricter..
I can only obtain a Class-1 With Night Flying Restrction With the following:
R:-4.50D 1.75D(Astig)
L:-4.25D 1.75D(Astig)

What is the medical requirements of DCA Malaysia?

fhchiang 3rd Apr 2006 16:02


Originally Posted by |Ken|
What is the medical requirements of DCA Malaysia?

well.. weird...

i went to AME...

did some checks.. he gave me a FULL Malaysian CLass-1 with that correction.


he never told me about the initial limits.. he just say i qualified.. and gave me my certificate......

i couldn't obtain any information on MAlaysian Class-1 Medical Eyesight requirements..

|Ken| 4th Apr 2006 10:27

What is AME? Do you know any other medical requirement?

fhchiang 4th Apr 2006 10:59

Aviation Medical Examiner....


sorry ...|Ken| ,, can relaly help you much as the DCA website isn't very informative........

i don't have the details on other requirements......

all i can say is.. i PASS my class-1 with that eyesight

Becker Junior 27th Apr 2006 15:01

Good News
 
That´s good news! I have a substandart vision in one eye and want to apply for JAA class 1 medical this year. Im trying a job in Europe this month.

giafoschi 11th May 2006 14:43

Hi friends,do you know if there will be any change also in "heart valve replacement" requirements?
Thanks a lot!
Gianluca

Otterman 14th Jun 2006 08:44

Had my medical yesterday. Was told that the rulemaking is being reviewed by all the EU national authorities. My AME is very high up the food chain here in my country, and he told me that he expects them to be handed back with the added comments around September, then they will have to be translated into proper law. The language of the original law will be English. Then the national authorities will have to translate the new rules into their own languages before the new regulations become law in their respective countries.
In my country they have already decided that they will waive the translation step as far as implementation goes. Some things are already being used, no more colour-blindness test is being given, except during your initial class 1. But the person giving me my eye tests did not have any ideas on else was going to change.
My AME figured that it was about 75% sure that the deadline for November 1, 2006 was going to be met in my country. But the exact rules won’t be known for a few more months.
Greetings O.

Hawk 14th Jun 2006 20:49

Hello otterman, many thanks for the update.
cheers
H

degers 16th Jun 2006 14:44

Hi there
I wanted to learn to fly last year, but I didn't bother starting once I'd found out that I couldn't get a class two medical because I am +7.5 and +8.5

I also have some other problems with my eyesight but the CAA said that the refractive errors were the only major problem.
I live in the channel islands so If i wanted to fly, I have to get the JAA PPL and I cant do an NPPL over here!

I have heard this talk about relaxation of vision requirements, do any of you know if I will be able to get a class two in the forseeable future?

And also do you know how long this will be?????


Many thanks,
Degers
(Andrew Degnen)

aubreybristow 17th Jun 2006 21:45


Originally Posted by Sans Anoraque
Is that true though?
I'm surprised that blood tests are not done for every exam. As I understand it, incidences of minor heart attacks and the early onset of cancer for example can be evidenced by enzymes in the blood?

Sorry guys, but there is scant evidence that 'medicals' benefit the punters - they are there to maintain safety for the aircraft and community. If you want a medical in the UK, go to your GP, but we see false positives on a regular basis. BUPA and other companies have made a fortune out of fear but it is just that.

The basic tests of urine (for diabetes) blood pressure and looking at the back of the eye are all you need, and only every few years. Men need a PSA and women a couple of other bits but it is all free on the NHS.

So any reduction in the frequency of tests that reduces costs and the fear of your license being pulled is fantastic news. The current blood tests are worthless anyhow

sfomarc 29th Aug 2006 19:16

Will someone tell me where I can find the physical requirements for a 1st class medical ICAO standards for now and when the age is raised to 65.

I am unable to find a link.

Thanks
Marc

Pirate 8th Sep 2006 08:04

Sfomarc.

You will find each and every ICAO requirement within the ICAO bookset or its annexes. Sorry I don't know which one is germane to medicals but I imagine a trawl through their website will find it. Bear in mind that ICAO requirements form the minimum standard in all areas and that most advanced aviation states have stricter criteria.

I can't see there being any difference for pilots aged over 60. We either meet the standard or we don't.

Confundemus

ACIDO 25th Sep 2006 19:36

We are at the end of september: when could we expect some news about new visual requirements?

Thanx

Bye

ACIDO

JackOffallTrades 30th Oct 2006 19:35


Originally Posted by Otterman (Post 2225695)
If I were to loose my medical I would receive a disability pension from my company equating to around 65% of my paycheck for life. I would receive a lump sum from my loss of license insurance, and I would be exempt from certain income taxes that I now pay. All this is a huge loss to the company, the government, and also to me as an individual. If it is necessary, because of a medical condition, I am happy it is there for me. But as the previous cases have pointed out (and I could keep going), very often in Europe this loss to all parties is not necessary.

Sound like a damn good safety net to me. Wish I had one like that.

LastMinute 5th Nov 2006 20:32

Good news, bad news:

At the FLYER Professional Flight Training Show yesterday, Stuart Mitchell from the UK CAA Aeromedical Centre gave a talk about the Class 1 medical.

He said that NPA-FCL 28 (latest text here [Microsoft Word .doc file, ~1 MB]) is expected to be implemented in December. (The JAA Committee is meeting on 15 November.)

He also suggested that the mechanism for issuing an initial Class 1 with a deviation to those who are between initial and renewal limits is likely to end "sometime soon".

ACIDO 6th Nov 2006 08:45


Originally Posted by LastMinute (Post 2947869)
Good news, bad news:
...He also suggested that the mechanism for issuing an initial Class 1 with a deviation to those who are between initial and renewal limits is likely to end "sometime soon".


That's terrible indeed!

It means that, with the new regulation, who has ,7,50 diopters of miopy won't be able to get a first class neither with restrictions?
If he won't, the new regulation is really a step back in liberalization of requirements!
Dont' you agree?

ACIDO

Jimmy The Big Greek 6th Nov 2006 11:38

Yes, thats true. But if you look further down in the document you can see that they have raised the pre-op value to -8 diopters. So you can correct your -7.5 diopters of myopia with lasik.


Personally I think that the JAA comitee has done a good job towards liberalizing the medical requirements.

For all the young wannabe pilots out there I think that in about 5 years the medical requirements are going to be even less stringent.

ACIDO 6th Nov 2006 12:07


Originally Posted by Jimmy The Big Greek (Post 2948741)
Yes, thats true. But if you look further down in the document you can see that they have raised the pre-op value to -8 diopters. So you can correct your -7.5 diopters of myopia with lasik.
Personally I think that the JAA comitee has done a good job towards liberalizing the medical requirements.
For all the young wannabe pilots out there I think that in about 5 years the medical requirements are going to be even less stringent.

Hi Jimmy, where did you read the preop requirements have been raised to -8 diopters?
I read the NPA 28, but I found that the max preop requirements for a first medical class is +5 -6, not -8. Please, tell me I am wrong!

Bye

:rolleyes:

Jimmy The Big Greek 6th Nov 2006 13:47

oops, you are right. Sorry my misstake. If you really want to become a pilot you can always go to the states and take an FAA license.

I am very sorry about your situation ACIDO.


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