15
Table II.F
MEDICAL CERTIFICATION ACTIVITY SUMMARY
1984-1986
cy cy CY

Activity 1986 1985 1984
Applications for Medical Certification 474 392 479 ,849 463 617
New Applications for First Class

Medical Certificates* - 3 343 3,092
New Applications for Second Class

Medical Certificates* - 10 ,812 10,811
New Applications for Third Class

Medical Certificates* - 61,680 65 273
First Class Combined Student/Medical

Certificates 3,949 3,069 2,680
Second Class Combined Student/Medical

Certificates 12 ,568 11,192 11,093
Third Class Combined Student/Medical

Certificates 117,182 116,814 121,038
Electrocardiograms Received for

First Class Pilots 55,377 50,130 50 ,494
Incoming Correspondence** 56,145 71,893 78,691 |
Outgoing Correspondence 86 601 97 336 94 ,946
Applications Containing Medical or

Clerical Problems 178,705 243 425 243 ,068
Number of Abnormalities Detected

in Electrocardiograms 11,075 10,126 10,095
Number of First Class Active Airmen

with Pathology Records 24 328 22,677 21,090
Number of Second Class Active Airmen

with Pathology Records 51,227 52,411 55 4434
Number of Third Class Active Airmen

with Pathology Records 64 ,643 63,104 61,943

*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 1985,

1,064 or 1.4% new applications were denied, 579 or 0.8% were pending, and
74,192 or 97.8% were issued for a total of 75,835 new applications.



36
Table IV.N
EMPLOYERS OF ACTIVE AIRMEN BY

CLASS OF CERTIFICATE ISSUED*
As of: December 31, 1986

First Second Third Major Percent
Employer Class Class Class Total of Total
Air California 347 11 - 358
Air Hawaii 5 1 - 6
Air Illinois 2 - - 2
Air Nevada 10 - ° 10
Air Virginia 15 2 - 7
Air Wisconsin 171 2 - 173
Airlift Associates 13 3 - 16
Alaska Airlines 463 25 - 488
Allegheny Commuter Airlines 13 2 - 15
Aloha Airlines 85 5 90
American Airlines 4,889 839 3 5,731
Aspen Airways 44 5 49
Atlantic Airlines 65 1 - 66
Bankair, Inc. 8 - - 8
Bar Harbor Airlines 107 5 - 112
Big Sky Airlines 26 - - 26
Braniff Airlines 332 10 - 342
Britt Airways 232 8 - 240
Capitol International Airways 6 3 - 9
Comair, Inc. 180 9 - 189
Continental Airlines 2,156 26 2 2,184
Delta Airlines 4,095 60 5 4,160
Eastern Airlines 4,293 90 6 4,389
Emery Air 4 - - 4
Florida Airlines 3 - - 3
Flying Tiger Lines 576 109 3 688
Frontier Airlines 251 13 1 265
Hawaiian Airlines 210 12 - 222
Korean Airlines 282 117 - 399
Las Vegas Airlines 2 - - 2
Metro Airlines 81 3 - 84
Midstate Airlines 70 7 - 77
Midway Airlines 210 10 - 220
New York Air 298 4 - 302
Northern Airlines 3 2 - 5
Northwest Orient Airlines 3,217 37 4 3,258
Ozark Air Lines 477 7 - 484
Pacific Southwest Airlines 541 19 2 562
Pan American World Airways 1,678 426 6 2,110
Piedmont Aviation 1,765 39 2 1,806



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SECTION II

CERTIFICATION ACTIVITY

The Aeromedical Certification Branch 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 Branch are presented in this
section. Data are presented by calendar year and reflect workload in the

certification area,



Table Ii1.B

DISTRIBUTION OF CAUSES FOR REVIEW BY MAJOR AND MINOR CATEGORIES

19

1986
Major Category Minor
Reject Totals Percent Categories Percent
227 346 45.5
AME Number Rejects 10,787 2.2
No Ticket Flag Set 54 449 10.9
Previous Exam Has No Ticket Flag 3,621 0.7
Previous Exam Pending 634 0.1
Clerical Reject 10 ,679 2,2
Class Issued Higher Than Applied For** 470 Ow
Airman Over 80 Years of Age 330 0.1
Firet Class Over 60 Years of Age** 387 0.1
Waiver Rejects** 2,939 0.6
Re-Submit Exam to Computer 2,917 0.6
Date of ECG Rejecta** 8,140 1.6
No Match Between New and Previous Exams 3,366 0.7
Discrepancy in Name/DOB 18,055 3.6
Student/Medical Age Less Than 16 233 0.04
Discrepancy in Social Security Number 17,746 3.5
Other® 92 593 18.5
Visual 53,008 10.6
Distant Vision 25,602 5.1
Near Vision** 14,103 2.8
Intraocular Tension** 1,133 0.2
Field of Vision** 1,058 0.2
Color Vision** 3,975 0.8
Variation in Distant Vision** 3,598 0.7
Hsophoria and Exophoria** 1,721 0.4
Right or Left Hyperphoria** 1,818 0.4
Other Medical Conditions 141,919 28.4
Denied or Pending - Current Exam 13,441 2.7
Urinalysis 11,274 2.3
Pathology Codes 48,748 947
Abnormalities (Items 25-48)** 5,577 1.1
Medication 38,981 7.8
Restrictions 23,898 4.8
Medical History 48,875 9.7
Special Case 434 0.1
Medical History#* 33,499 6.7
Previous Exam on Tape Denied 2,000 0.4
Previous Exemption/Special Issuance Case 2,577 0.5
Input Exemption/Special Issuance Case 987 0.2
Follow-up Material Requested 6,132 1.2
Current Information with Previous Record 1,706 0.3
Previous Exam Sent to Washington or Region 581 O.1
Previous Record in ECG Pending/Follow-up
Not Required This Exam/File Sent to
Consultant 959 0.2
22,772 4.6
22,771 4.6
Blood Pressure/Pulse 5,950 1,2
Blood Pressure** 3,999 0.8
Pulee** 1,951 0.4
TOTAL REJECT MESSAGES - 499,869 100.0 100.0

*Rejects resulting from validity checks against established edit criteria for height,
weight, and address; rejects for certificates not issued due to class, no ticket flag,

or bad address; and pathology number assigned rejects,

** In February 1986, several edits were modified to help reduce workload and backlog. This

resulted in less rejects by the computer.

Source: Civil Aeromedical Institute, Aeromedical Certification Branch, Medical Statistical

Section; RIS: AC 8065-3, Aeromedical Certification Processing Summary.



37
Table IV.N (Continued)

EMPLOYERS OF ACTIVE AIRMEN BY
CLASS OF CERTIFICATE ISSUED*
As of: December 31, 1986

First Second Third Major Percent

Employer Class Class Class Total of Total
Pioneer Airways 30 - - 30

Prinair 5 - - 5

Reeve Aleutian 8 3 - 11

Republic Airlines 1,252 33 3 1,288

South Central Air 5 1 - 6

Southwest Airlines 529 13 1 543

Trans America Airlines 199 108 - 307

Trans International 5 1 - 6

Trans World Airlines 2,880 185 6 3,071

U. S. Air 1,606 85 - 1,691

United Airlines 5,989 532 6 6,527

Western Airlines 1,176 130 1 1,307

World Airways 174 38 - 212

Zantop Airways 193 25 - 218

SUBTOTAL - ALL AIRLINES 41,276 3,066 51 44,393 ( 6.4)
Federal Aviation Administration 1,346 6,523 357 8,226 ( 1.2)

Government, other than Military
or FAA, includes State and

Local Government 738 1,377 8 2,123 ( 0.3)
Aircraft Industry 579 638 23 1,240 ( 0.2)
Industry, other than aircraft 6,840 2,745 15 9,600 ( 1.4)
Fixed Base Operation (flying

schools, etc.) 3,350 6 5589 78 10,017 ( 1.4)
Self Employed 4,202 7,385 61 11,648 ( 1.7)
Other 29,381 10 ,678 89 40,148 ( 5.8)
Not Applicable 24,308 136,919 368,587 529,814 ( 76.5)
Air Force 2,056 14,876 97 17,029 ( 2.4)
Army 530 7,015 17 7,562 ( 1.1)
Coast Guard 135 266 ~ 401 ( 0.1)
Marines and Navy 984 8,949 41 9,974 ( 1.4)
National Aeronautics and Space

Administration 83 229 271 583 ( 0.1)
SUBTOTAL - ALL OTHERS 74 ,532 204,189 369,644 648 ,365 ( 93.6)
TOTAL 115 ,808 207,255 369,695 692 ,758 (100.0)

*Totals are based on active airmen certified within the past 25 months. Employer
data is provided by the airmen in Block 12 of FAA Form 8500-8. If blank or other
than aeronautical employer is reflected, it is classified as “not applicable".

Source: Civil Aeromedical Institute, Aeromedical Certification Branch, Medical
Statistical Section; RIS: AC 8500-1, Aeromedical Certification Statistical
Handbook Computer Run.





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ak

Table LI.F (Continued)

MEDICAL CERTIFICATION ACTIVITY SUMMARY
1984-1986

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 Branch and
inquiries from airmen or regional offices.

Source: Civil Aeromedical Institute, Aeromedical Certification Branch,
Medical Statistical Section; RIS: AC 8500-1, 8500-3, and 8065-3.



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Table I,D

AVIATION MEDICAL EXAMINER SEMINARS
DATE, LOCATION, AND ATTENDANCE

1986

Date Location Attendance
February 20-23 Houston, Texas 104
March 13-16 Saddle Brook, New Jersey 72
April 6-11 Oklahoma City, Oklahoma 55
April 20-24 Nashville, Tennesse (AsMA) 290
June 19-22 Seattle, Washington 265
August 21-24 Phoenix, Arizona 136
September 18-21 Miami, Florida 81
October 5-10 Oklahoma City, Oklahoma 74
October 23-26 Washington, D. C. 245
November 13-16 Denver, Colorado 163
December 4-7 Chicago, Illinois 216

TOTAL 1,701

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



28

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Table I.A

DESIGNATED FAA AVIATION MEDICAL EXAMINERS BY REGION

1985-1986
Percent of Aviation Medical Examiners

Region 1986 Total* 1985 1986
Eastern 11.6 883 857
Central 7.8 625 581
Southern 17.1 1,302 1,265
Southwest 12.8 943 945
Western Pacific 9.8 712 728
Northwest Mountain 9.9 845 737
New England 3.6 277 267
Great Lakes 16.5 1,266 1,225
Alaskan 1.6 112 117
SUBTOTAL 90.7 6,965 6,722
Military** 5.6 493 418
International 3.7 281 274
TOTAL 100.0 7,739 7,414

*The basis for percentage computations is total designations as of the

end of calendar year 1986, 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 Branch, Aviation

Medical Examiner Program; RIS: AC 8500-2, AME Worklist by State (Designated
FAA Aviation Medical Examiners by Region and State).



SECTION L

AVIATION MEDICAL EXAMINER INFORMATION

This section reflects the activities of the Aviation Medical Examiner
Program during calendar year 1986 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 1.C

REGIONAL COVERAGE OF AVIATION MEDICAL
EXAMINERS VERSUS CIVIL AIRMEN

1986
Active U.S. U.S. Non-
Civil Military
Airman AME Ratio AMEs

Region Population* Population** To Airmen
Eastern 81,324 857 1:95
Central 34 334 581 1:59
Southern 103 ,903 1,265 1:82
Southwest 80 ,407 945 1:85
Western Pacific 112 ,038 728 12154
Northwest Mountain 60 ,001 737 1:81
New England 31,394 267 13118
Great Lakes 108 ,951 1,225 1:89
Alaskan 10 ,308 117 1:88

TOTAL 622 ,660 6,722 1:92

*Active U.S. Civil Airman Population figures are as of December 31, 1986,
RIS: AC 8065-4, Examination Time Period Summary. Military and International
not included.

**U.S, Non-Military AME Population figures are as of January 25, 19873
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 Branch, Aviation
Medical Examiner Program; and Aeromedical Certification Branch, Medical
Statistical Section.



Table III.C
Special Issuances and Denials*
As of: December 31, 1986

Category of First Second Third
Issuance/Denial Class Class Class Total
Issuances
NTSB Issuance 3 8 8 19
Special Issuance

by AAM-130 326 185 1,173 1,684
Special Issuance .

by AAM-1 389 232 687 1,308
Special Issuance

by RFS 2 4 70 86
Exemptions 53 67 200 320

Denials

Final Denials
by AAM-130 54 72 278 404

Final Denials
by AAM-1 34 29 93 156

Final Denials

by RFS 2 2 7 11

*Figures include those cases coded under special issuances or denials on active master
file and those still certified under the exemption process.

Source: Civil Aeromedical Institute, Aeromedical Certification Branch, Medical
Statistical Section; RIS: AC 8065-1, Pathology Code Summary.



AC 8500-1

1986

AEROMEDICAL CERTIFICATION

STATISTICAL HANDBOOK

a

U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION
MIKE MONRONEY AERONAUTICAL CENTER

CIVIL AEROMEDICAL INSTITUTE
AEROMEDICAL CERTIFICATION BRANCH
Medical Statistical Section



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Table I.F

ACTIVE AVIATION MEDICAL EXAMINERS
SEMINAR ATTENDANCE BY REGION*

1986
Total One More Than No Participation
Region AMEs Seminar One Seminar At Seminars
Eastern 857 165 681 11
Central 581 135 440 6
Southern 1,265 265 953 47
Southwest 945 206 721 18
Western Pacific 728 149 577 2
Northwest Mountain 737 172 562 3
New England 267 66 197 4
Great Lakes 1,225 265 g21 39
Alaskan 117 25 85 7
International 274 96 87 91
TOTAL 6,996 1,544 5 224 228
Percent of
Total 100.0 22,1 74.7 3.2

*Training data are obtained from computer listings of non-military
aviation medical examiners.

Source: Civil Aeromedical Institute, Aeromedical Education Branch,
Aviation Medical Examiner Program; RIS: AC 8520-6, AME Training
Summary Report.



Table I.E

AVIATLON MEDICAL EXAMINER
SEMINARS AND ATTENDANCE

1960 - 1986

Date Seminar Attendance
1960 1 49
1961 16 1,031
1962 24 1,431
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 4 1,439
1979 16 1,733
1980 15 2,012
1981 13 1,477
1982 15 1,652
1983 v7 1,523
1984 ; Ww 1,551
1985 15 2,033
1986 11 1,701

TOTAL 308 36,031

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



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, 1986, by class of medical certificate issued,

39



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SECTION IIL

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 Issuances and Denials.

17



34
Table IV.L

ACTIVE AIRMEN BY TYPE OF
FLYING AND CLASS*
As of: December 31, 1986

Type of Flying**

Class Business &

Issued Business Percent Pleasure Percent Pleasure Percent
First 97,507 (14.1) 17,523 ( 2.5) 7718 (0.1)
Second 77,055 (11.1) 126 386 (18.2) 3,814 (0.6)
Third 41,000 (5.9) 321,723 (46.5) 6 972 (1.0)
TOTAL 215 ,562 (31.1) 465 ,632 (67.2) 11,564 (1.7)

*Totals are based on active airmen certified within the past 25 months. Basis for
percentage computations is also total active certified airmen (692,758).

**Based on response by airmen in Block 14 of FAA Form 8500-8. If type of flying was
not given, it was classified as “pleasure”. .

Source: Civil Aeromedical Institute, Aeromedical Certification Branch, Medical
Statistical Section; RIS: AC 8500-1, Aeromedical Certification Statistical Handbook
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or contact the office indicated in the source note.

iii



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Section

Iv.

GENERAL AIRMAN POPULATION DATA

A.

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 Type of Flying and Class

Active Airmen by Occupation, Class and Sex

Employers of Active Airmen by Class of Certificate Issued

MEDICAL CHARACTERISTICS OF THE AIRMAN POPULATION

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

ii

Page

21

22

23

25

26

27

28
29
30
31
32
33
34
35

36

39

40

41

45



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21
SECTION IV

GENERAL AIRMAN POPULATION DATA

This section reflects general data concerning the active airman population.
The data presented are as of December 31, 1986, 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 regula~
tions 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.



Section

qT.

Il.

Ill.

Table of Contents

AVIATION MEDICAL EXAMINER INFORMATION

A.

Be

c.

De

G.

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

Aviation Medical Examiner Summary Data

CERTIFICATION ACTIVITY

Ae

Be

c.

Fe

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

Medical Applications Processing by the Aeromedical
Certification Branch

Aeromedical Certification Branch, Correspondence Section
Activity

Aeromedical Certification Branch Computer Tape File Summary

Medical Certification Activity Summary

REFERRALS AND DENIALS

A.

Be

Distribution of Causes for Review by Major Category (Chart)

Distribution of Causes for Review by Major and Minor
Categories

Special Issuances and Denials (Table)

Page

10

11

12

13
14

15

7

18

19

20



ACTIVE AIRMEN WITH DEFECTIVE COLOR VISION

Table V.C

BY CLASS AND SEX*

45

As of: December 31, 1986
Class Frequency**
Issued Male Percent Female Percent
First 1,594 (1.4) 3 (0.1)
Second 4,565 (2.3) 3 (0.0+)
Third 11,887 (3.5) 46 (0.2)
TOTAL 18 ,046 (2.8) 52 (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:
Medical Statistical Section; RIS:

Civil Aeromedical Institute, Aeromedical Certification Branch,

AC 8500-1, Aeromedical Certification

Statistical Handbook Computer Run,



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Le

Table 1.6

AVIATION MEDICAL EXAMINER SUMMARY DATA*
1986

Number of Designated U.S. Non-Military Aviation Medical
Examiners

Number of Designated International Aviation Medical
Examiners

Number of Designated Military Aviation Medical Examiners
(Installations)

Ratio of U.S. Non-Military Aviation Medical Examiners to
U.S. Civil Airmen

Percentage of Non-Military Aviation Medical Examiners Who
Are Qualified Pilots

Percentage of Aviation Medical Examiners Who Were Military
Flight Surgeons

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

Percentage of Non-Military Aviation Medical Examiners Who
Have Attended One Seminar

Percentage of Non-Military Aviation Medical Examiners Who
Have Attended More Than One Seminar

Percentage of Non-Military Aviation Medical Examiners Who
Have Not Attended a Seminar

Total Number of Seminars Conducted in 1986

Total Attendance of Aviation Medical Examiners at Seminars
Conducted in 1986

6 4722

274

418

1:92

49.02%

19%*

177

22.1%

74.7%

3.2%

i

1,701

An aviation medical examiner may have been classified in more than one

of these categories.

Source: Civil Aeromedical Institute, Aeromedical Education Branch,

Aviation Medical Examiner Program.



46

Table V.D

ACTIVE AIRMEN WITH WAIVERS
BY CLASS AND SEX*
As of: December 31, 1986

Class Frequency**

Issued Male Percent. Female Percent

Firet 8,671 (7.7) 302 ( 9.9) |
Second 28,343 (14.3) 1,241 (12.7)

Third 16 ,546 (4.9) 518 ( 1.8)

TOTAL 53 560 ( 8.2) 2,061 (4.9)

*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. ww
Percent of total is computed using the total male or female population.

Source: Civil Aeromedical Institute, Aeromedical Certification Branch, Medical
Statistical Section; RIS: AC 8500-1, Aeromedical Certification Statistical
Nandbook Computer Run.



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