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Table I.H
AVIATION MEDICAL EXAMINER SUMMARY DATA*
1991

A. Number of Designated U.S. Non-Military Aviation Medical 5,949
Examiners

B. Number of Designated International Aviation Medical 322
Examiners

Cc. Number of Designated Military Aviation Medical 425
Examiners (Installations)

D. Ratio of U.S. Non-Military Aviation Medical Examiners to 1:110
U.S. Civil Airmen

E. Percentage of Non-Military Aviation Medical Examiners Who Are 50.6%
Qualified Pilots

F. Percentage of Aviation Medical Examiners Who Were Military 15.9%
Flight Surgeons

G. Number of Non-Military Aviation Medical Examiners Who 147
Participate in Accident Investigation

H. Percentage of Non-Military Aviation Medical Examiners Who 17.1%
Have Attended One Seminar

I. Percentage of Non-Military Aviation Medical Examiners Who 81.2%
Have Attended More Than One Seminar

J. Percentage of Non-Military Aviation Medical Examiners Who 1.7%
Have Not Attended a Seminar

K. Total Number of Seminars Conducted in 1991 15

L. Total Attendance of Aviation Medical Examiners at Seminars 1,472

*An Aviation Medical Examiner may have been classified in more than one
of these categories.

Source: Civil Aeromedical Institute, Aeromedical Education Division,
Aviation Medical Examiner Program.



SECTION III

REFERRALS AND DENIALS

This section is concerned with those applications for medical certification
which require manual review. These data are presented by calendar year and
reflect the number of rejects, either medical or administrative, generated
when the application enters the automated system. Also included are data

reflecting the number of special issuance and denials.



EMPLOYERS OF ACTIVE AIRMEN BY
CLASS OF CERTIFICATE ISSUED*

Table IV.M

37

As of: December 31, 1991
First Second Third Major Percent
Employer Class Class Class Total of Total
Air Wisconsin 247 1 - 248
Airlift Associates 8 6 - 14
Alaska Airlines 725 159 3 887
Aloha Airlines 207 23 - 230
American Airlines 7,736 1,588 13 9,337
American Eagle 736 12 1 749
America West 1,255 18 1 1,274
Aspen Airways 9 1 - 10
Atlantic Southeast 385 12 - 397
Bar Harbor Airlines 12 1 - 13
Big Sky Airlines 8 2 - 10
Braniff Airlines 75 8 1 84
British Airways 62 8 1 71
Britt Airways 65 3 1 69
Business Express 224 1 - 225
China Airlines 37 2 - 39
Comair, Inc. 603 22 - 625
Command Airways 11 - - 11
Continental Airlines. . 4,346 58 6 4,410
Delta Airlines 8,220 67 13 8,300
Eastern Airlines 969 14 2 985
Evergreen Airlines 302 94 - 396
Federal Express 2,033 191 3 2,227
Florida Airlines 7 1 - 8
Hawaiian Airlines 287 25 1 313
Henson Airlines 196 6 1 203
Horizon Airlines - 475 21 5 501
Japan Airlines 24 77 ~ 102
KLM - Royal Dutch Airlines 11 - - 11
Korean Airlines 267 98 3 368
Lufthansa-German Airlines 30 198 - 228
Mesa Airlines 186 7 - 193
Mesaba Airlines 235 2 1 238
Metro Airlines 266 17 - 283
Midway Airlines 714 33 1 748
Nashville Eagle . 34 3 1 38
Northwest Airlines 5,604 80 6 5,690
Pan Amer. World Airways 2,091 184 7 2,282
Pennsylvania Airlines 152 2 - 154
Piedmont Aviation 11 2 - 13
Saudi Arabian Airlines 1,072 127 2 1,201
Simmons 150 3 2 155
Southwest Airlines 1,057 18 1 1,076
Trans World Airlines 3,288 93 7 3,388
Trump Shuttle 213 5 - 218





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Table III.c

Special Issuances and Denials
As of: December 31, 1991

ategory First . Second Third
ssuance/Denial Class Class Class Total
ssuances

YTSB Issuance 5 4 4 13
special Issuance

by AAM-300 649 345 2,501 3,495
special Issuance

by AAM-1 472 164 452 1,088
special Issuance

by RFS 5 19 96 120
stal Special Issuances 1,131 532 3,053 4,716
cemptions 19 28 60 107
nials

‘inal Denials

by AAM-300 87 142 613 842
tinal Denials

by AAM-1 49 5 8 62
‘inal Denials

by RFS - 1 3 4
tal Denials 136 148 624 908

igures include those cases coded under special issuances or denials on
ctive master file and those still certified under the exemptions process.

ource: Civil Aeromedical Institute, Aeromedical Certification Division,

rogram Support Branch; RIS:

AC-8065-1, Pathology Code Summary.



Table II.F (Continued

MEDICAL CERTIFICATION ACTIVITY SUMMARY
1989-1991

The "Record of Physical Examinations Computer Submissions Summary
Report," AC 8500-3, was modified during 1969 to reflect the final
certification action for each application performed during the previous

year. The report is produced in August of each year and reflects data
for the previous year.

**Includes information requested by the Aeromedical Certification Division
and inquiries from airmen or regional offices.

Source: Civil Aeromedical Institute, Aeromedical Certification Division,
Program Support Branch; RIS: AC 8500-1, 8500-3, and 8065-3.



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Table I.D

AVIATION MEDICAL EXAMINER SEMINARS
DATE, LOCATION AND ATTENDANCE

1991
DATE . LOCATION ATTENDANCE
February 28-March 3 San Diego, CA 119
March 14-17 Corpus Christi, TX 70
April 22-26 . *Oklahoma City, OK 46
May 5~9 * **Cincinnati, OH AsMA 198
May 16-19 Anchorage, AK 77
June 20-23 Salt Lake City, UT 99
July 11-14 Mobile, AL 71
duly 25-28 Washington, D.C. 119
August 8-11 St. Louis, MO 78
August 22-25 Rochester, MN 86
September 26-29 Hartford, CT 91
October 20-13 Portland, OR 119
October 28-November 1 . ***Oklahoma City, OK 53
November 15-18 x*eekAtlanta, GA (SMA) 95
December 5-8 Chicago, IL 151
TOTAL 1,472

Source: Civil Aeromedical Institute, Aeromedical Education Division,

Aviation Medical Examiner Program.



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Table I.A

DESIGNATED FAA AVIATION MEDICAL EXAMINERS BY REGION
1990 - 1991

PERCENT AVIATION MEDICAL EXAMINERS

REGION OF 1991 TOTAL * 1991 1990
Alaskan 1.6 104 102
Sentral 6.9 440 459
jastern 12.0 769 790
sreat Lakes 15.0 954 1,029
Jew England 3.8 240 244
Jorthwest Mountain 10.2 648 655
southern 17.1 1,092 1,174
southwest 12.5 794 840
festern Pacific 9.2 586 611
SUBTOTAL , 88.3 5,627 5,904
Military** 6.7 425 435
International 5.0 : 322 299
TOTAL 100.0 6,374 6,638

*The basis for percentage computations is total designations as of the end
of calendar year 1991, i.e., U.S. and International designations
represent one physician for each designation; whereas, Military
designations represent one facility for each designation.

*Denotes military installation designations rather than individual
physicians.

Source: Civil Aeromedical Institute, Aeromedical Education Division,
Aviation Medical Examiner Program; RIS: AC 8500-2, AME Worklist by
State (designated FAA Aviation Medical Examiners by Region and State).



“SECTION I

AVIATION MEDICAL EXAMINER INFORMATION

This section reflects the activities of the Aviation Medical Examiner

Program during calendar year 1991 with some comparative data for

previous years.

An Aviation Medical Examiner (AME) is a physician authorized by the
Federal Aviation Administration (FAA) to perform airman physical
examinations for issuance of FAA medical certificates. These physi-
cians are designated according to the geographical distribution of airmen.
There are also military facilities (installations) designated to perform
FAA airman examinations of military personnel for issuance of second

and third class certificates. A facility or installation, instead of

an individual, is designated in this instance due to frequent rotation

of military medical officers.

AME seminars are held in each region and at Oklahoma City’s Aeronautical
Center to acquaint these physicians with the regulations and procedures

governing the issuance of FAA medical certificates.



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Table I.C

REGIONAL COVERAGE -OF AVIATION MEDICAL
EXAMINERS VERSUS CIVIL AIRMEN

1991
Active U.S. U.S. Non-

civil Military

Airman AME Ratio AMEs
REGION Population* Population** To Airmen
Alaskan 9,180 104 1:88
Central 31,765 440, 1:72
Eastern 82,143 769 1:107
Great Lakes 108,353 954 1:114
New England 30,516 240 1:127
Northwest Mountain 61,786 _ 648 i 1:95
Southern 113,162 1,092 1:104
Southwest 74,474 794 1:94
Western Pacific 109,891 586 1:188
rOTAL 621,270 5,627 1:110

*Active U.S. Civil Airman Population figures are as of December 31, 1991;
RIS: AC 8065-4, Examination Time: Period Summary, Military and
International not included.

k*U.S. Non-Military AME Population figures are as of January 25, 1992;
RIS: AC 8520-2, AME Worklist by State (Designated FAA Aviation
Medical Examiners by Region and State). Military and International
not included.

Source: Civil Aeromedical Institute, Aeromedical Education Division,
Aviation Medical Examiner Program; and Aeromedical Certification
Division, Program Support Branch.



20

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AC 8500-1

1991

AEROMEDICAL CERTIFICATION

STATISTICAL HANDBOOK

ay

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U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION

CIVIL AEROMEDICAL INSTITUTE
AEROMEDICAL CERTIFICATION DIVISION



43

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Table I.F

ACTIVE AVIATION MEDICAL EXAMINERS
SEMINAR ATTENDANCE BY REGION*

1991
Total one More Than No Seminar
REGION AMEs Seminar __One_Seminar Attendance
Alaskan 104 22 79 3
Central 440 76 364 -
Eastern 769 122 622 25
Great Lakes 954 161 792 1
New England 240 46 190 4
Northwest Mountain 648 102 540 6
Southern 1,092 176 912 4
Southwest 794 112 681 1
Western Pacific 586 93 490 3
d International 322 107 161 54
TOTAL 5,949 1,017 4,831 101
Percent of
Total 100.0 17.1 81.2 1.7

*Training data are obtained from computer listings of non-military
Aviation Medical Examiners.

Source: Civil Aeromedical Institute, Aeromedical Education
Division, Aviation Medical Examiners Program; RIS:

AME Training Summary Report.

AC 8520-6,



Table I.E

AVIATION MEDICAL EXAMINER
SEMINARS AND ATTENDANCE
1960 - 1991

DATE SEMINARS ATTENDANCE
1960 1 49
1961 16 1,031
1962 24 1,432
1963 13 1,153
1964 9 1,406
1965 10 1,596
1966 7 1,187
1967 . 11 1,281
1968 5 545
1969 7 : 970
1970 , 5 750
1971 10 1,521
1972 5 873
1973 4 806
1974 8 1,498
1975 13 1,633
1976 15 1,871
1977 12 1,309
1978 . 14 1,439
1979 16 1,733
1980 15 2,012
1981 13 1,477
1982 15 1,652
1983 17 1,523
1984 17 1,551
1985 15 . 2,033
1986 11 1,701
1987 ‘ 13 1,573
1988 17 1,525
1989 16 1,550
1990 15 1,599
1991 15 1,472
TOTAL 384 43,750

Source: Civil Aeromedical Institute, Aeromedical Education Division,
Aviation Medical Examiner Program.



39

Section V
MEDICAL CHARACTERISTICS OF THE AIRMAN POPULATION

This section presents medical characteristics of the active airman
population (those airmen certified within the preceding 25 months) as

of December 31, 1991, by class of medical certificate issued.



27

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17

Table II.F
MEDICAL CERTIFICATION ACTIVITY SUMMARY
1989-1991
cy cy cy

Activity 1991 1990 1989
Applications for Medical Certification 494,612 480,922 481,168
New Applications for First Class

Medical Certificates* - 7,580 6,590
New Applications for Second Class

Medical Certificates* - 11,674 11,232
New Applications for Third Class

Medical Certificates* - 48,948 52,357
First Class Combined Student/Medical

Certificates 5,122 7,625 6,876
Second Class Combined Student/Medical

Certificates 10,887 15,551 14,678
Third Class Combined Student/Medical 69,206 100,168 103,446

Certificates
Electrocardiograms Received for

First Class Pilots 67,090 66,716 69,895
Incoming Correspondence 102,408 77,944 58,228
Outgoing Correspondence 126,312 110,448 107,836
Applications Containing Medical or

Clerical Problems 206,226 178,382 190,868
Number of Abnormalities Detected

in Electrocardiograms 13,418 13,343 13,979
Number of First Class Active Airmen

with Pathology Records 33,133 31,196 29,128
Number of Second Class Active Airmen

with Pathology Records 52,600 50,599 50,012
Number of Third Class Active Airmen

with Pathology Records 73,440 69,525 68,036

*An application receipt is considered a "new application" if the airman has
made no indication of previous FAA physical examination and if total

flying time equals last six months flying time.

Of examinations performed

in 1990, 1,275 or 1.9% new applications were denied, 650 or 0.9% were
pending, and 66,277 or 97.2% were issued for a total of 68,202 new

applications.



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23

SECTION IV

GENERAL AIRMAN POPULATION DATA

This section reflects general data concerning the active airman population.
The data presented are as of December 31, 1991, and cover the preceding

25 months. The 25-month time period was used to describe the active airman
population because a medically certified airman is considered "active" for
a maximum of 25 months after his last FAA physical examination, i.e.,
regardless of the class of medical certificate issued, it is valid for
third class purposes for a period of time up to 25 months. Those airmen
who have allowed their medical certification to lapse into a time period

greater than 25 months would be considered "inactive" airmen.

Data are presented by class of medical certificate issued and do not
include applications pending or denied. Table IV.A presents data by
"effective status" of medical certification. This refers to the time
lapse since the certificate was issued as opposed to the class issued.
Present FAA regulations stipulate that air transport pilots must be
first class medically certified at six-month intervals, commercial
pilots must be second class medically certified annually, and general
aviation airmen must obtain third class medical certification every
two years. Thus, an airman may be first or second class medically
certified and the time lapse since examination would reduce the

“effective status" to a lower class.



SYMBOLS

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FOR ADDITIONAL INFORMATION ON DATA PRESENTED, please
refer to the footnotes provided on the table or chart,
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Section

IV. GENERAL AIRMAN POPULATION DATA

A.

L.

M.

Regional Distribution of Active Airmen by Class of
Certificate and Effective Status

Active Airmen’s State of Residence by Sex and Class
of Certificate Issued

Age Distribution of Medically Certified Airmen (Chart)

Age Distribution of Medically Certified First Class
Airmen (Chart)

Age Distribution of Medically Certified Second Class
Airmen (Chart)

Age Distribution of Medically Certified Third Class
Airmen (Chart)

Age Distribution of Active Airmen by Class and Sex
(Table)

Age Distribution of Airline Pilots (Chart)
Age Distribution of Airline Pilots (Table)
Height Distribution of Active Airmen by Class and Sex
Weight Distribution of Active Airmen by Class and Sex
Active Airmen by Occupation, Class and Sex

Employers of Active Airmen by Class of Certificate
Issued

MEDICAL CHARACTERISTICS OF THE AIRMAN POPULATION

A.

B.

Active Airmen by Number of Restrictions Carried,
Class and Sex

Frequency of Restrictions Among Active Airmen
by Class and Sex

Active Airmen with Defective Color Vision by
Class and Sex

Active Airmen with Waivers by Class and Sex

qi

Page
23

24

25

27

28

29

30

31
32
33
34
35
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40

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45

46



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Table III.B

21

DISTRIBUTION OF CAUSES FOR REVIW BY MAJOR AND MINOR CATEGORIES

1991

Major Category Minor
Reject a Totals Percent Categories Percent

inist: i 286,569 43.8
No NDR Authorization 19,820 3.0
AME Number Rejects . 9,383 1.4
No Ticket Flag Set 81,520 12.4
Previous Exam Has No

Ticket Flag 5,309 0.8
Previous Exam Pending 762 O.1
Clerical Reject 7,664 1.2
Airman Over 80 Years of Age 333 0.1
Waiver Rejects 1,758 0.3
Re-Submit Exam to Computer 2,612 0.4
Date of ECG Rejects 7,691 1.2
No Match Between New and

Previous Exams 3,037 0.5
Discrepancy in Name/DOB 14,714 2.2
Student/Medical Age Less

Than 16 215 0.0+
Discrepancy in Social

Security Number 11,866 1.8
other* 119,885 18.4

ual 55,547 8.5

Distant Vision 35,612 5.4

Near Vision 14,864 2.3

Intraocular Tension 316 0.0+

Field of vision 557 O.1

Color Vision 4,198 0.7
Other Medical Conditions 181,165 27.

Denied or Pending -

Current Exam 15,341 2.3
Urinalysis 7,893 1.2
Pathology Codes 69,296 10.6
Abnormalities (Items 25-48) 3,410 0.5
Medication 61,938 9.5
Restrictions 23,287 3.6

99,268 15.
Previous. Exam Special Case 718 0.1
Medical History 74,974 11.5
Previous Exam on Tape Denied 2,043 0.3
Previous Exemption/Special

Issuance Case 4,095 0.6
Input Exemption/Special

Issuance Case 1,271 0.2
Follow-up Material Requested 11,258 1.7
current Information with

Previous Record 2,511 0.4
Previous Exam Sent to

Washington or Region 573 O.L
Previous Record in ECG

Pending/Follow-up Not

Required This Exan/File

Sent to Consultant 1,825 0.3

Hearing 24,370 3.7
Hearing 24,370 3.7
2 7,061 Led
Blood Pressure 5,316 0.8
Pulse 1,745 0.3
TOTAL REJECT MESSAGES 653,980 100.0 100.0

*Rejects resulting from validity checks against established edit
criteria for height; weight, and address; rejects for certificates
a

not issued dua to c
pathology number assigned rejects.

ss, no'ticket flag, or bad address; and

Source: Civil Aeromedical Institute, Aeromedical Certification

Division, Program Support, Branch; RIS: AC 8065~3,

Certification Processing Summary.

Aeromedical



Section

I.

II.

Tit.

Table of Contents

AVIATION MEDICAL EXAMINER INFORMATION

A.

B.

E.

F.

G.

H.

Designated FAA Aviation Medical Examiners by Region
Medical Practice of Aviation Medical Examiners (Chart)

Regional Coverage of Aviation Medical Examiners Versus
Civil Airmen

Aviation Medical Examiner Seminars - Date, Location, and
Attendance

Aviation Medical Examiner Seminars and Attendance

Active Aviation Medical Examiners Seminar Attendance
by Region

Regional Aviation Medical Examiner Activity

Aviation Medical Examiner Summary Data

CERTIFICATION ACTIVITY

A.

B.

Cc.

F.

Airman Applications for Medical Certification (Chart)
Receipts of Medical Certificate Applications by Class

Medical Applications Processing by the Aeromedical
Certification Division

Aeromedical Certification Division, Correspondence Unit
Activity

Aeromedical Certification Division Computer Tape File
Summary

Medical Certification Activity Summary

REFERRALS AND DENIALS

A.

B.

Cc.

Distribution of Causes for Review by Major Category
(Chart) :

Distribution of Causes. for Review by Major and Minor
Categories

Special Issuances and Denials (Table)
i

Page

12
12

13

14

15

17

19

20

21

22



45

Table v.c

ACTIVE AIRMEN WITH DEFECTIVE COLOR VISION
BY CLASS AND SEX*
As of: December 31, 1991

Class ___Frequency**

Issued Male Percent Female Percent
First 2,152 (1.5) 1 ( 0.0+)
Second 4,621 ( 2.6) . 9 ( 0.0+)
Third 11,294 (. 3.6) 43 ( 0.2)
TOTAL 18,067 ( 2.8) 53 (0.1)

*Figures are based on active airmen certified within the past 25 months
and the assignment of the restriction "Not Valid for Night Flying or by
Color Signal Control" or issuance of a waiver for deficient color vision.

**Basis for percentages is the number of active airmen by sex within each
class. Percent of total is computed using the total male or female
population.

Source: Civil Aeromedical Institute, Aeromedical Certification Division,
Program Support Branch; RIS: AC 8500-1, Aeromedical Certification
Statistical Handbook Computer Run.



29

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Table IV.M (Continued)

EMPLOYERS OF ACTIVE AIRMEN BY
CLASS OF CERTIFICATE ISSUED*

As of: December 31, 1991

First Second Third . Major Percent

Employer Class Class Class Total of Total
U.S. Air 5,926 355 9 6,290

United Airlines _7,437 661 22 8,120

West Air 645 24 - 669

World Airways 140 44 1 185

Zantop Airways 169 13 - 182

SUBTOTAL - ALL AIRLINES 58,962 4,390 115 63,467 { 9.4)
Federal Aviation Adn. 710 5,778 314 6,802 (1.0)
Government, other than

Military or FAA,

includes State and .

Local Government 763 1,543 68 2,374 ( 0.4)
Aircraft Industry 479 408 32 919 ( 0.2)
Industry, other than

aircraft 4,299 2,405 31 6,735 ( 1.0)
Fixed Base Operation

(Flying schools, etc.) 5,220 6,396 221 11,837 ( 1.8)
Self Employed 4,500 7,398 115 12,013 { 1.8)
Other 30,793 13,495 138 44,426 ( 6.6)
Not Applicable 39,044 130,425 338,617 508,086 ( 75.3)
Air Force 4,045 5,179 369 9,593 (2.4)
Army 600 3,249 89 3,938 ( 0.6)
Coast Guard 180 151 6 337 ( .0.0+)
Marines and Navy 1,681 2,390 131 4,202 ( 0.6)
National Aeronautics

and Space Adm. 74 167 97 338 ( 0.0+)
SUBTOTAL - ALL OTHERS 92,388 178,984 340,228 611,600 ( 90.6)
POTAL 151,350 183,374 340,343 675,067 (100.0)

‘Totals are based on active airmen certified within
Employer data is provided by the airmen in Block 12 of FAA Form 8500-8.

If blank or other than aeronautical emp

classified as "not applicable".

Source: Civil Aeromedical

Program Support Branch; RIS:

the past 25 months.

loyer is reflected, it is

Institute, Aeromedical Certification Division,

Statistical Handbook Computer Run.

AC 8500-1, Aeromedical Certification

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24



REGIONAL AVIATION MEDICAL EXAMINER ACTIVITY*

Table I.G

1991

AMES AMES AMES Total
Regio: ointe Reinstated Separated AMEs
Alaskan 8 2 6 104
fentral 11 4 37 440
jastern 24 24 48 769
reat Lakes 20 11 101 954
lew England 15 - 15 240
lorthwest Mountain 25 1 35 648
southern 24 12 114 1,092
southwest 22 8 83 794
lestern Pacific 25 9 56 586
nternational 25 3 6 322
‘otal 199 74 501 5,949

Military installations not included.

Source: Civil Aeromedical Institute, Aeromedical Education Division,
Aviation Medical Examiner Program.



Table V.D

ACTIVE AIRMEN WITH WAIVERS
BY CLASS OF SEX*
As of: December 31, 1991

Class Frequency**

Issued Male Percent Female Percent
First 10,622 ( 7.3) 464 ( 8.1)
Second 27,783 (15.8) 1,208 (15.2)
Third 17,125 ( 5.4) 513 ( 2.0)
TOTAL 55,530 ( 8.7) 2,185 (5.5)

*Figures are based on active airmen certified within the past 25 months;
however, the waiver may have been issued prior to the most recent
examination. Tabulations were based on an indication of a waiver in the
class issued code or the presence of a waiver number.

**Basis for percentages is the number of active airmen by sex within each
class. Percent of total is computed using the total male or female
population. : : wy

Source: Civil Aeromedical Institute, Aeromedical Certification Division,
Program Support Branch; RIS: AC 8500-1, Aeromedical Certification
Statistical Handbook Computer Run.



11

SECTION II

c F ie) CTIVITY

The Aeromedical Certification Division is the central screening facility
and repository within the Federal Aviation Administration for collection,

investigation, adjudication, and analysis of medical data.

Activities of the Aeromedical Certification Division are presented in this
section. Data are presented by calendar year and reflect workload in the

certification area.