CHARACTERISTICS OF MEDICALLY DISQUALIFIED AIRMAN APPLICANTS
IN CALENDAR YEARS 1973 AND 1974

I. Introduction

The Federal Aviation Administration (FAA)
and its predecessor, the Civil Aeronautics Ad-
ministration, have been charged with the respon-
sibility for medical certification of all United
States and some international civil airmen since
1927. Except for glider and balloon pilots,
each airman must hold a current, corresponding
class of medical certificate for performing the
duties of any pilot certificate he may possess.
Federal Aviation Regulations stipulate that a
first-class physical examination must be per-
formed at 6-month intervals for duties requiring
an air transport pilot rating; a second-class
physical examination must be performed an-
nually for duties requiring commercial pilot
ratings, an air traffic control tower operator
rating, etc.; and, a third-class physical examina-
tion must be performed at 2-year intervals for
duties requiring a private pilot rating. Differ-
ent medical standards apply to the different
categories of medical certification.

Medical certification criteria will continue to
change as a result of the evolution of aviation
medicine and increased efforts in the area of
aeromedical research. These changes are some-
times brought about by a study such as this.

Previous studies'? that provided descriptive
data concerning airmen who were denied medical
certification have proved to be of great value.
Numerous questions have been answered for the
FAA and the aviation community concerning
these airmen. However, more comprehensive
data reflecting pertinent denial rates with re-
spect to the medical and general attributes of
those airmen denied medical certification have
been needed for program monitoring with re-
spect to workload information, aeromedical
standards, appeal system appraisal, research di-
rection, and risk determinations by the aviation

community. Of course, the primary purpose of
these efforts continues to be the promotion and
enhancement of aviation safety through medical
program data analysis.

This study provides descriptive epidemiologic
data, such as age, sex, occupation, and cause-
specific rates for denied airman applicants. A
study providing this type of data is planned
every 2 years to monitor any changes in the
epidemiologic findings concerning airmen denied
medical certification.

Il. Methods and Source

The Aeromedical Certification Branch of the
Civil Aeromedical Institute is the central screen-
ing facility and repository within the FAA for
the collection, processing, adjudication, investi-
gation, and analyses of medical data generated
by the aeromedical certification and related
regulatory programs.

The Aeromedical Certification Branch’s com-
puterized medical records provide historical data
both for daily screening of document input and
for statistical/research purposes. The “active
master tape file” contains the most recent record
within the past 3 years of an airman’s medical
application for certification. The tape file in-
cludes applications issued, pending, or denied
and abbreviated records of significant pathology
cases retained indefinitely for further medical
reference in the event an inactive airman decides
to again exercise his flying privilege.

The denial data were obtained from the active
master tape files as of July 1, 1974, for calendar
year (CY) 1973 applicants and July 1, 1975, for
CY 1974 applicants. The 6-month time lapse
was allowed to assure that final certification ac-
tion had been taken in the majority of cases.
The data were summed for the 2 calendar years
to provide a larger group for comparison with
the active airman population.



applicants respectively. Only 2.4 percent of the
total denials were in the airline pilot occupation
category. All the other occupation categories
combined represented less than 3 percent of total
denials.

These findings are consistent with previous
experience as to denial data by occupation. How-
ever, the percentage of total ATC denials has
increased by almost 4 percent since the 1971
study. The annual denial rate for ATCs is more
than twice the total denial rate. Implementa-
tion of the FSS Program in early 1974, increased
recruitment of ATC and FSS applicants, and
effects of the second-career program no doubt
contributed to this denial rate increase.

E. Total Flying Time of Denied Airmen.

Flying time data further emphasize the con-
tribution of new applicants to total denials.
Table 5 shows total civilian flying time as re-
corded by the applicant on his denied appli-
cation for medical certification. Fifty-three
percent of the denied airmen indicated less than
40 hours total flying time (the number of hours
required for a private pilot’s license), Thirty-
three percent of these airmen indicated no flying
time. Of course, some of these airmen indicat-
ing no hours flown, as many as 1,163, are strictly
air traffic controllers (see Table 3). However,
if the 1,163 controller denials are subtracted, the
remainder still indicates that new pilot appli-
cants are the major contributor to total denials.
The “less than 40 hours flying time” category
still equals 44.5 percent when the “air traffic con-
troller only” figure is subtracted.

Taste 5. CY 1973 and 1974 denied applicants by total

recorded flying time,

‘fetal Fiying TimeTM Ferceat

Number Denied of Total
o 4465. 33.0
1-10 1,667 124

1 = 20 62s 46
n= 40 ane aa
Subrotat 2,149 53.
4-99 seL 6.6

100 - 299 1,681 12.5

300 = 499 746 3.6

500 ~ 1,000 961 ra

More then 1,000 2,037 isa
Subtecat 6,306 46.9
roran 13,455 100.0

The total civilian flying cime recorded in Block 16, FAA Form 8500-8,
determines total flying time.

The next largest percentage of denials occurs
at the “more than 1,000 hours” interval (15.1
percent) followed by the “100-299 hours” in-
terval (12.5 percent).

F. Medical Characteristics of Denied Airmen.

Tables 6 and 7 provide annual cause-specific
denial data, per 10,000 applicants, by class of
medical certificate applied for and by sex. In
Table 6, one can observe an increasing denial
rate for third-class over second-class and for
second-class over first-class. This is also true
for the cause-specific rates except in the eye; ear,
nose, throat, and mouth; and bones and joints
categories where the second-class rates are larger
than the first- and third-class rates. The most
significant cause for denial (regardless of class
applied for) are cardiovascular (with an annual
denial rate of 30.4 per 10,000 applicants) ; the
miscellaneous category, which includes endocri-
nopathies, general systemic conditions, use of
disqualifying medications, and administrative
denials for failure to provide additional medical
information (with an annual denial rate of 27.4
per 10,000 applicants); and neuropsychiatric
(with an annual denial rate of 16.4 per 10,000
applicants). Eye and abdominal pathology are
next in importance at substantially lower rates.
These findings are essentially the same as the
findings of the study of 1971 applicants.

Administrative denials for failure to provide
additional medical information represent a large
portion of the denials in the miscellaneous
pathology category. Of the 4,156 denials in this
category, 1,933 or 46.5 percent were for failure
to provide additional medical information. Also,
55 percent of the females and 46 percent of the
males denied in the miscellaneous pathology
category were denied for failure to provide addi-
tional information.

As shown in Table 7, cause for denial by sex
indicates that males were most frequently denied
for cardiovascular reasons, second for miscel-
laneous causes, and third for neuropsychiatric
reasons. Females, however, were most often
denied for miscellaneous causes (almost 40 per-
cent) followed by neuropsychiatric reasons, eye
pathology, and cardiovascular reasons. These
findings differ slightly from those in the study
of 1971 applicants in that eye pathology rated
third in this study as compared to fourth (be-


cory or can comm sos MEDICAL CERI.
Sear cor CERTIFICATE VEO. APPLICATION FOR moamanmcsiet’ —— [] srsSEMPACOP Ct tare
MEDICAL CERTIFICATE CLASS (| FULL NAME (Last, frst, middle) PATH CONTROL
AND STUDENT PILOT CERTIFICATE i
1g [24 ADDRESS (No. Street, City, State, ZIP No.) [2B. SOCIAL SECURITY No.
THIS CERTIFIES THAT (Full nome and address) 2 | |
2 2C. PLACE OF BIRTH (Student pilot applicants only)
S-DATE OF BIRTH Ja HEIGHT —]5 WEIGHT To COLOR OF 7 COLOR OF SEX
[DATE OF BIRTH [HEIGHT WEIGHT [HAIR EYES [Sex (edevt om owt HAIR eves
fou class OF [98. NPE OF AIRMAN CERTIFICATES) HELD
Tor me te medial vondords_presuibed ta Pon 67, Federl MEDICAL AIRLINE TRANSPORT TUGHTINSTRUCTOR
Aviation Regulations for this clots of Medical Cerificate peas COMERCIAL pavare
FIRST AIC SPECIALIST ‘STUDENT
‘SECOND FUGHT ENGINEER NONE
2 THIRD FLIGHT NAVIGATOR OTHER
3 TO OCCUPATION (if ATC Specialist, spreify position and facility)
z
fn BKTENOED ACTIVE DUTY MEMBER OF Tz APLOVER
DATE OF EXAMINATION EXAMINERS SERATNO, a Aa FORCE a CONST GUARD
ie anu = Natt Guano [13 LENGTR OF TIME
q]scwaraie cravTnannts [| cnone PRESENT
zg TARY SERVICE NO. Ta, PRIMARY TYPE OF FLYING
& [yeD Name BUSINESS |_| PLEASURE
PAIRMAN'S SIGNATURE 15. CURRENTIY USE ANY MEDICATION (Including eye drops)
ves | PE AND PURPOSE
BUEN ISSUED AS 4 MEDICAL STUDENT PILOT GERTIFICATE,
Ie holder hay met standards preweribed I for such No
ine pele” ar et ate dt carting basse
TOTAL PLOT Time TEHAS-AN-FAR-AIRWAN MEDTCAT [19 HAVE YOU, ASA PILOT HAD AN [Z0. DATE OF (AST FAR
CERTIFICATE EVER BEEN DENIED, | AIRCRAFT ACCIDENT WITHIN THE PHYSICAL EXAM
le TO OAT JI7 STE MOS| SUSPENDED, OR REVOKED. Past 2 YEARS {if none, state 10)
cm res __[oare fves [DATE
TaIUTARY NO NO
21, MEDICAL HISTORY — HAVE YOU EVER HAD OR HAVE YOU NOW ANY OF THE FOLLOWING: (For each “yes” checked, describe condition in REMARKS)
fresnel Condition mo Condition [rane Condition [rere Condition
a. Freavent or severe headaches fo, Heart roubi fm Nervous trouble of any sort Tr eiedion From or Tor
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REMARKS (If wo changes since lost report, 40 sate) FOR Fan USE
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IGUEO "a SALEM! | —Tses ke and | EHONSTRATED ABT wave
‘RBWITY WAIVER)

73. MEDICAL TREATMENT WITHIN PAST 5 YEARS

Dare NAME AND ADDRESS OF PHYSICIAN CONSULTED REASON
— NOTICE — ts 24, APPLICANT'S DECLARATION
Yhorver in any matter within the jurisdiction of om vertif ‘oll statements and answers provi Las his gramming
sepriment cent Perl Nee font fr sl tes scl er Mie his gzaminaion
He coerale ree OY ty be considered part of the basi " Cersficate to m
jee one neta tie" radind uhderstand: the Prsacy cet statement thot accompanies
tite dorama Rag Re sit to i fai
pe ethan ta an al ie and [STONATURE OF APPUCANT (in wh) pare
ee seen au’ mns an sore
ii” Ele ake Ree" TOO

Fam FORM 93008 1075, Form Approved OMB No 04-RO089
SUPERSEDES PREVIOUS EDITION

Figure 1a, FAA Form 8500-8 (front)--Application for Medical Certification.



A medically certified airman is considered
“active” for a maximum of 24 calendar months
following his most recent FAA medical exami-
nation; i., regardless of the class of medical
certificate issued, it is valid for third-class pur-
poses for a period of time up to 24 calendar
months unless otherwise limited or recalled by
the FAA.

The active airman population as of December
31, 1973, was used as the population base for
rate computation. This population was used
since it is the midpoint for the denied applicant
group.

Data from the most recent medical record
were selected and extracted from the active
master tape file for construction of the various
frequency tables presented in this study.

Data presented are descriptive in nature, and
appropriate population comparisons are made
via conventional statistical methodology where
compatible data exists and statistical treatment
would be meaningful.

Annual rates were computed to provide data
more useful for answering the many questions
received concerning airmen denied medical cer-
tification. In CY 1973 and 1974, 13,455 airmen
were denied medical certification for various
medical and/or administrative reasons; i.e., fail-
ure to provide additional medical information.
The frequency tables that follow were compiled
based on data extracted from these airmen’s
medical records and comparable data extracted
from the active airman population as of Decem-
ber 31, 1973. The active population at that time
totaled 758,243 airmen.

A copy of the application for medical certifi-
cation is provided for reference to block numbers
cited in the following discussion.

Age of denied airmen was computed to last
birthday as of the date of the physical examina-
tion. Age of the active population airmen was
computed to last birthday as of December 31,
1973. Date of birth is provided by the airman
in block 3 of the medical application form, and
computer edits assure a reasonable month, day,
and year.

Class of certificate applied for is determined
from information supplied by the applicant in
blocks 9A and 9B (Class of Medical Certificate
Applied For and Type of Airmen Certificate (s)
Held) of the application.

In many areas, accuracy of data is contingent
upon the completeness and accuracy of informa-
tion supplied by the airman applicant. Other
data are coded by Aeromedical Certification
Branch personnel. Some human error is recog-
nized but is not considered significant enough to
seriously bias the data provided in this study.

Some first-class airmen will have applied for
medical certification four times during the 2-
year period, some second-class airmen will have
applied twice, and third-class airmen will have
applied once. However, rate data are provided
for the number of applicants versus the number
of applications, except for a portion of Table 1.
The active master tape file provides applicant
data because it contains only the most recent
examination of an airman. Both the deniai data
and the population data are maintained on the
active master tape file.

Previous examination data were determined
by whether the applicant entered a date in block
20 of the application form and a “match” was
made to a previous examination on the active
master tape file. If the applicant indicates a
previous FAA examination has been performed,
a notification will be received by medical review
personnel if the previous examination cannot be
located on the active master file with the same
control data information (last name, first initial,
date of birth, and sex). This action helps to
assure accuracy of the control data by providing
manual review of the medical record.

Occupation is coded from information fur-
nished by the applicant in block 10 of the appli-
cation form. Only aeronautical occupations are
coded for input to the automated system. If the
item is left. blank by the applicant and cannot
be determined from other information provided
on the examination, the occupation is entered as
“nonaeronautical”.

The cause for denial was determined by the
presence of an alpha prefix to a specific pathology
code. The prefix and code are assigned by medi-
cal review clerks in the Aeromedical Certifica-
tion Branch. Internal computer edits assure
logical assignment of such prefixes and pathology
codes. These edits are applied when initial file
maintenance to an airman’s record is made and
again at the end of each month to eliminate
discrepancies in pathology and denial data on
the active master tape file. Data presented in


Taste 8. CY 1973 and 1974 denied applicants by age, class of medical certificate applied for,

and whether a previ-

ous examination was recorded.

neineet?

Yecoad Crees

Second Clase Second cleus Meroe Sts, Thsd Class Third Clave
ines class second class METcWv/oMe Meuse Sitar Mistge ews den roo}
——— a aT Ts eo
tera. tan 70 Sn a ne a : Sn ee a
hth Bo 8 a me BG EE ee oe
as BON gs mB Bot : er ee OO
donde RON le Be : ra a et
58 83 Mh om om we pot bof te Rk eae Soa
io Bf Be Bow et ‘ Bol ht Buh eee
rc 8 $ i me om Fe é Se TO
Sense wo fe ®t 6 eo} $3 te te Oh tins Sea
WoL BR wf t ‘ Bol Sh th Mae Te oe
B53 % dS} fF i Fe ee
a : Sa
or i i i rr
rout re a ee Pr ee ee ee er 649s
percutest thet 13.2 DAGGERS 10 SHE sa on
stena'sage a4 of the date of sxaninatton to last birthday,
swtne date, 1f any, in Block 20, Tt Fore @800-8, indicates whether a previous exaninstlon was recorded,
nnvercentogce provided are within te Eee major clase appliee for cotegorLee (Kiet, aveondy third),
This relationship was expected because the applicants indicated nonaeronautical occupa-

first- and second-class categories are normally
associated with professional pilots who have been
previously medically appraised by the FAA,
whereas new pilots are more likely to make ap-
plication for third-class medical certification.

This relationship is further substantiated, as
previously discussed, in that 34 percent of all
third-class, 9 percent of all second-class, and 1
percent of all first-class examinations performed
in 1973 and 1974 were “new applications”.

D. Occupations of Denied Airmen.

The majority of denied airmen are not oc-
cupationally connected with aviation (see Table
4). Eighty-three percent of all denied airman

Taste 4, CY 1978 and 1974 denied applicants by occupation and class of medical certificate applied for,

tions on their application. These applicants
yield an annual denial rate of 8.8 per 1,000 appli-
cants, The largest denial percentage of appli-
cants occupationally connected to aviation was
the 11 percent among air traffic controllers
(ATCs), which also includes flight service sta-
tion (FSS) specialists. The ATC category also
experienced the highest overall annual denial
rate (21.8 per 1,000 applicants). Of the occupa-
tionally connected airmen, self-employed com-
merical pilots had the second highest rate, flight
navigators the third, aircraft mechanics the
fourth, and airline pilots the fifth, with annual
denial rates of 7.4, 6.7, 5.5, and 4.4 per 1,000

Second ——Feesaa
second Secon) Second clase Case str Tire Third Total, Total svnusl nate
iret Second Clase ois cond Chane at CUS sey, Clase Claes, ented, Active per 1,000
occupation orat secont | CUM pecSttTTeary _Robipator _Pilot/ARe "Pliot/ate” _neivate_sewlent_Atmme!_Atmmente_Aoplisnote
Pitot, Fievelaoe
Aelines Only 35 - : : : - De ms 36,838 my
Plight Engineer pon : - 2 : : - oe Paety aa
Flighe Navigator!
auto Ovetator - oe : : 3 : : - 3 206 oa
pilot, Pisstclase
Noncsielies ws 2 - : : : : sr 18,280 40
comercial Plo,
Settctoptoyes - os . : : : : - oe Peer ra
comercial etlet,
Tae seleebepioyee = 78 - : . : : toe aan as
sero Application es) : - - - : - oe 3673 4a
bie aeattie
Controlleste = 1060 6 : ne w rT as
utghe teetructor 82 - : : : . - oe 65h a7
piverate Mechanic 2 - : : : - eo 555,008 55
owcheronsvticel oF
wor elven a9 2.068 2 1 2 1 : 5yte9 5,288 11217 638,701 ae
ros ri 23609 1,048 ” 26 ais w 3,208 5,298 1355 758,049 as
ou i a a3 yore dose

Be 9
SEOs Gi and By FM Form 6500-8, determine class applied For.
sens of Decenber 31, 1973.

veplight Service Station Spectaliate are included in this category.



Technical Report Documentation Page

T. Report No. 2. Goverament Accession No. 3, Recipient's Catalog No.

FAA-AM-76-10

%._ Title and Subtitle 5, Report Dare
CHARACTERISTICS OF MEDICALLY DISQUALIFIED
AIRMAN APPLICANTS IN CALENDAR YEARS 1973 6. Performing Organization Code
AND 1974

[B. Performing Organization Report No.
7. Author! s)
Shirley J. Dark
9. Performing Organization Name and Address 10. Work Unit No. (TRAIS)
FAA Civil Aeromedical Institute
P.O. Box 25082 TH Contract or Grant No-

Oklahoma City, Oklahoma 73125

13.” Type of Report and Period Covered

12. Sponsoring Agency Name ond Address
Office of Aviation Medicine
Federal Aviation Administration OAM Report
800 Independence Avenue, S.W. Ta.” Sponsoring Agency Code
Washington, D.C. 20591

15. Supplementary Notes

16. Abstract This study provides comprehensive data reflecting pertinent
denial rates with respect to the medical and general attributes of
those airmen denied medical certification in calendar years 1973 and
1974. The study provides such descriptive epidemiologic data as age,
sex, occupation, class of certificate applied for, total flying time,
and cause-specific annual denial rates for medically disqualified
applicants. In calendar years 1973 and 1974, 13,455 airmen were
denied medical certification for various medical and/or administrative
reasons. The active airman population (758,243) as of December 31,
1973, was used as the population base for rate computation as it is
the midpoint for the denied applicant group. The annual denial rate
based on airman applicants was 8.9 per 1,000 airmen. By class of
certificate applied for, the annual denial rate per 1,000 applicants
was 4.5 for first class, 7.1 for second class, and 11.2 for third
class. As anticipated, general aviation and new applicants
contributed greatly to total denials. Eighty-three percent of all
denied applicants indicated nonaeronautical occupations. Fifty-three
percent indicated less than 40 hours total flying time. The most
significant causes for denial (regardless of class applied for) were
cardiovascular, the miscellaneous pathology category, neuropsychiatric,
and, at a substantially lower level, eye pathology. These four
categories are involved in 90 percent of all denials.

17, Key Words ~ 8. Distribution Statement
Airman Certification (Medicai) Document is available to the public
Pilots, Denied through the National Technical
Statistical Analysis Information Service,

Springfield, Virginia 22151
19. Security Classif. (of this report) 20. Security Classif. (of this page) 21. No. of Pages 22, Price
Unclassified Unclassified $3.00

Form DOT F 1700.7 (8-72) Reproduction of completed page authorized



Iv. Summary

This study of CY 1973 and 1974 applicants
has updated earlier data and provided more com-
prehensive data reflecting pertinent denial rates
with respect to the medical and general attri-
butes of those airmen denied FAA medical cer-
tification. A similar study is planned every 2
years to monitor any changes in the epidemio-
logic findings concerning denied airman appli-
cants.

As of December 31, 1973 (the midpoint for
the denied applicant group), there were 758,243
active certified airmen. In CY 1973 and 1974,
13,455 airman applicants were denied medical
certification, resulting in an overall denial rate
of 8.9 per 1,000 applicants. By class of certificate
applied for, the denial rate was 4.5, 7.1, and 11.2
per 1,000 applicants for first-, second-, and third-
class respectively.

As expected, the mean age of the denied air-
men group was higher (by 4 years) than the
mean age of the active airman population group
but was consistent with previous findings. Age-
specific denial rates for the younger age intervals
(less than 20-29) were higher than for the 30-44
age intervals. This can be attributed to new
applicants not having been previously screened
by the FAA. At the 4549 age interval the
denial rates start upward, with the highest over-
all rate at the 70+ interval.

As anticipated, general aviation (third-class)
applicants and new applicants contributed greatly
to total denials, reflecting again that new appli-
cants are being screened for the first time.
Almost half (48 percent) of all denied appli-
cants indicated no previous FAA medical appli-
cation had been made. Eighty-three percent of
all denied applicants indicated nonaeronautical
occupations on their application. Of the profes-
sional categories, the air traffic controller group
had the highest denial rate with 21.3 per 1,000
applicants. Airline pilots were fourth highest
of the occupationally connected airmen with a
rate of 4.4 per 1,000 applicants.

Total flying time data also substantiated the
contribution of new applicants to total denials
with 53 percent of the denied applicants indicat-
ing less than 40 hours total flying time and 33
percent indicating no flying time.

10

For denials by pathology, an increasing overall
denial rate for third-class over second-class and
for second-class over first-class was observed.
This was also true for cause-specific denial rates
except that second-class rates were highest in the
eye; ear, nose, throat, and mouth; and bones
and joints categories. The most significant
causes for denial (regardless of class applied for)
were cardiovascular, miscellaneous pathology,
neuropsychiatric, and, at a substantially lower
level, eye pathology. These four categories are
involved in 90 percent of all denials.

Cardiovascular causes resulted in the highest
denial rate for males, while the miscellaneous
pathology category provided the highest denial
rate for females (55 percent of the “miscel-
laneous” female denials were for failure to pro-
vide additional medical information).

Epidemiologic findings were consistent with
expectations and previous findings on denied
airmen. Only ATC denials have increased
significantly. This increase was probably due to
the implementation of the FSS Program, heavy
recruitment of applicants, and effects of the
second-career program. For female applicants,
eye pathology was the third highest cause-specific
denial rate and cardiovascular reasons was fourth
highest. In the 1971 study the opposite cause-
specific relationship existed for female appli-
cants.

REFERENCES

1. Siegel, P. V. and Booze, C, F.: A Retrospective Anal-
ysis of Aeromedical Certification Denial Actions,
January 1961-December 1976. FAA Office of Aviation
Medicine Report No. AM-68-9, 1968.

2. Booze, C. F.: Characteristics of Medically Disquali-
fied Airman Applicants During Calendar Year 1971,
FAA Office of Aviation Medicine Report No, AM-74-5,
1974,

8. Aeromedical Certification Branch: 1973 Statistical
Handbook Computer Run (Internal Workload Re-
port), RIS: AC 8500-1, December 31, 1973.

. Aeromedical Certification Branch: Denied Airmen
Summary Report (Internal Workload Report), RIS:
AC 8065-8 through-13, 1973 and 1974.

. Aeromedical Certification Branch: Examination Com-
puter Submission Summary Report (Internal Work-
load Report), RIS: AC 8500-8, 1973 and 1974.


Taste 6, Cause for denial of CY 1973 and 1974 denied applicants by pathology series and class of medical certifi-
cate applied for.

“Hier Cisse jecend Clase Tass, =
Gause For Annual Rate per Cause for Annual Rate por Gause Tor Annual Rate per Cause for Annual Rate peF
Pathology Series Denielt 10,000 Appiscants Densal® 10,000 Applicants  Denfal* 10,000 Applicants Denial 10,000 Applicants
Bye 29 1.8 47 2.9 405 5.3 908 6.0
Ear, Nose, Throat, and Mouth 26 7 to) 25 to 13 27% Le
Respiratory 9 0.6 on 07 6 0.9 us 0.8
cardiovascular 320 20.3 1,254 21.0 3,035, 39.9 4,609 30.4
Abdominal 2 2.0 226 3.8 299 39 587 3.7
Neuropsychiatric 153 9.7 1,018 7.0 1,310 2 2,481 16.4
Bones and Joints a 13 0 12 n 0.9 163 ua
Muscles 2 on w 0.2 re) 0.2 28 0.2
Miscellaneous (Dtsquali fying
Medication, Endoerino=
pathies, ete.) 186 ww? 1158 19.3 2,818 37.0 4,156 274
TOTAL 76 49.3 4,400 3.6 aus 108.6 13,296 87.7

‘FRetera to distinct pathological conditions cited ao case Tor dental, Data docs not
‘single cause.

pathology code assigned.

‘epresent airman applicants; however, wost ave dented for @

‘Sone applicants are denied for administrative reasons, e.g., failure co provide required ancillary or history data, asy not have & specific

Taste 7. CY 1973 and 1974 denied applicants by pathology series and sex.

Malek Female*
‘Annual Rate Annual Rate
Cause For per 10,000 Cause For per 10,000
Pathology Series Denial * Applicants Denial** Applicants
Eye 776 5.4 132 18.3
Ear, Nose, Throat, and Mouth 258 1.8 16 2.2
Respiratory 112 0.8 6 0.8
Cardiovascular 4,490 31.1 119 16.5
Abdominal 533 3.7 24 3.3
Neuropsychiatric 2,328 16.1 153 21.2
Bones and Joints 160 Lal 3 0.4
Muscles 27 0.2 1 O.1
Miscellaneous (Disqualifying
Medication, Endocrinopathies, etc.) 3,871 26.8 285 39.5
TOTAL 12,555 86.9 739 102.5

kActive airman population by sex (male--722,209, female--36,034) as of December 31. 1973.

*eRefers to distinct pathological conditions cited

as cause for denial. Does not represent

airman applicants; however, most are denied for a single cause.

hind cardiovascular reasons) in the earlier study
for the female denied applicants. However, for
all denied applicants, four pathology categories
(cardiovascular, miscellaneous, neuropsychiatric,
eye) account for more than 90 percent of all
denials and an annual cause-specific rate of 80
per 10,000 applicants.

The female population also experienced a
higher overall denial rate (102.5 per 10,000 appli-
cants) than did the male population (86.9 per
10,000 applicants). If the “failure to provide
additional information” data were deleted, the
denial rates per 10,000 applicants would be com-
parable (74.6 for males and 80.6 for females).



REPORT OF MEDICAL EXAMINATION

NOR. | CHECK EACH ITEM IN APPROPRIATE
MAL | COLUMN (Enter VE if not evaluated)

ah | NOTES. Describe every obnormol
Not | ehvemment Use eddtonet 3h

in

il, enter opplicable item number before
necessary ond attach to this form

25. Head, face, neck and scalp

26, Nose
27. Sinuses

28. Mouth ond throot

29. Ears, general fiitan it ade won)

30. Drums Wferton)

BT Eyes, general (Hmal aay under seme 06 52

“32. Ophiholmoscopie

‘33. Pupils ireualiy ant wraton)

34, Ocolar motilny —fuagatnd Beale mans

35. Lungs and chest (ntedie bray

36. Heoet (Tha see tim mand)

37, Vosculor system

“38. Abdomen and viscera (lniulng hone)

‘39. Anus ond rectum lomormhoid fut prone)

“20, Endocrine system

41. GU system

2 Upper ond lower waveniies SRP

3, Spine, other musculoskeletal

“44. Ideotifying Body marks, scars, totoos

“5. Skin eed lymphatics

@. Neurologic Tere iigaaoron, mam

47 Peychiatcic preity any prsnaiy devon)

FOR FAA USE. PATHOLOGY CODE NOS,

48. General systemic

49, HEARING RIGHT EAR TERT EAR ‘50, DISTANT VISION (Standard text types only) | 51. NEAR VISION (Use linear values)
WHISPERED VOICE Gut eve | 207 TED T
rSTERED YOKE F Fr. [Ricnt eve | 20 CORRECTED TO 20/ 20) CORRECTED 10 20/
DISTANT EAR CLOSED! __["$09 TrouDT2G00 <00} SoD [ToDo Tzo00T «000 (err eve | 207 CORRECTED 10 207 20) “CORRECTED 10 207

"AUDIOMETER
el ora eves | 207 ‘CORRECTED TO 20/ 207 CORRECTED 10 20/

32, INTRAOCULAR TENSION. (Tonometry required
for Air Teaffie Control Specialist)

$3 COLOR VISION (Test used, number of plates mised)

TACHIE RiGaT EYE vert eve
TONOMETRIC
34, FIELD OF VISION ‘55, HETEROPHORIA DIOPTERS (Not required for Class Three)
WIGHT EVE Terr EVE DISTANCE BORHORA EXOPHORA RIGHT A. THT

‘56, BLOOD PRESSURE

37. PULSE (Wrist)

aecuMBENT. S¥STOUC DUSTOUC RESTING AFTER EXERCISE 2 MINUTES AFTER EXERCISE
MM MERCURY

58. URINALYSIS. 59. ECG (Date) | 60. OTHER TESTIS
ABM SUGAR

61, COMMENTS ON HISTORY AND FINDINGS; RECOMMENDATIONS (Atlach all consultation reports, FCG:

this report before mailing)

G2. APPLICANT'S NAME

 Nerays, et. £0 FOR FAA USE
coveo
PUNCHED
VERIFIED.
63, DISQUALIFYING DEFECIS (List by item no)

EXAMINER CODES

wasaeen wove [] neo cemme (ped anp vom

NO CERF. BSUED FURTHER EVALUATION REGUIAED
Co
aS BEEN DENIED Le11ER OF DENIAL SUED (Qh oR g)

‘CieRcaT REVECT

‘64, MEDICAL EXAMINER'S DECLARATION,

Thereby certify that I personally examined the applicant named on this

medical examination report, and that this report with any attachment embodies my findings completely and correctly.

DATE OF EXAMINATION, "AVIATION MEDICAL EXAMINER'S NAME AND ADDRESS "AVIATION MEDICAL EXAMINERS SIGNATURE

(Type or print)

Ficure 1b, FAA Form 8500-8 (back)—Report of Medical Examination.





ACKNOWLEDGEMENT

Appreciation is extended to Dr. Charles F. Booze, Jr., Chief, Medical
Statistical Section, Aeromedical Certification Branch, for his valuable guid-
ance, comments, and suggestions during the preparation of this study. The
author also expresses appreciation to Mrs. Mary Randall and Mrs. Judy
Toberman for their assistance in the review and preparation of this study.