ATCO.MED.A.025 Obligations of AeMC and AME

(a)If the aero-medical examination is carried out by two or more AMEs, only one of them should be responsible for coordinating the results of the examination, evaluating the findings with regard to medical fitness and signing the report.

(b)The applicant should be made aware that the associated medical certificate may be suspended or revoked if the applicant provides incomplete, inaccurate or false statements on their medical history to the AME or AeMC.

(c)The AME or AeMC should give advice to the applicant on treatment and preventive measures if, during the course of the examination, medical conditions which may endanger the medical fitness of the applicant in the future are found.

GUIDELINES FOR THE AEMC AND AME CONDUCTING THE AERO-MEDICAL EXAMINATIONS AND ASSESSMENTS FOR CLASS 3 MEDICAL CERTIFICATES

(a)Before performing the aero-medical examination, the AeMC or AME should:

(1)verify the applicant’s identity by checking their identity card, passport, driving licence or other official document containing a photograph of the applicant;

(2)obtain details of the applicant’s licence from the applicant’s licensing authority if they do not have their licence with them;

(3)obtain details of the applicant’s most recent medical certificate from the applicant’s licensing authority if they do not have their certificate with them;

(4)in the case of a specific medical examination (SIC) on the existing medical certificate, obtain details of the specific medical condition and any associated instructions from the applicant’s licensing authority. This could include, for example, a requirement to undergo a specific examination or test;

(5)except for initial applicants, ascertain, from the previous medical certificate, which routine medical test(s) should be conducted, for example electrocardiogram (ECG);

(6)provide the applicant with the application form for a medical certificate and the instructions for its completion and ask the applicant to complete the form but not to sign it yet;

(7)go through the form with the applicant and give information to help the applicant understand the significance of the entries and ask any questions which might help the applicant to recall important historical medical data; and

(8)verify that the form is complete and legible, ask the applicant to sign and date the form and then sign it as well. If the applicant declines to complete the application form fully or declines to sign the declaration consent to the release of medical information, inform the applicant that it may not be possible to issue a medical certificate regardless of the outcome of the clinical examination.

(b)Once all the items in (a) have been addressed, the AeMC or AME should:

(1)perform the aero-medical examination of the applicant in accordance with the applicable rules;

(2)arrange for additional specialist medical examinations, such as otorhinolaryngology or ophthalmology, to be conducted as applicable and obtain the associated report forms or reports;

(3)complete the aero-medical examination report form in accordance with the associated instructions for completion; and

(4)ensure that all of the report forms are complete, accurate and legible.

(c)Once all the actions in (b) have been carried out, the AeMC or AME should review the report forms and:

(1)if satisfied that the applicant meets the applicable medical requirements as set out in this Part, issue a medical certificate, with limitations if necessary. The applicant should sign the certificate once signed by the AeMC or AME; or

(2)if the applicant does not meet the applicable medical requirements or if the fitness of the applicant is in doubt:

(i)refer the decision on medical fitness to the licensing authority as indicated in ATCO.MED.B.001; or

(ii)deny issuance of a medical certificate, explain the reason(s) for denial to the applicant and inform them of their right of a review according to the procedures of the competent authority.

(d)The AeMC or AME should send the documents as required by ATCO.MED.A.025(b) to the applicant’s licensing authority within five days from the date of the aero-medical examination. If a medical certificate has been denied or the decision has been referred, the documents should be sent to the licensing authority on the same day that the denial or referral decision is reached.