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40


Table I.G

REGIONAL AVIATION. MEDICAL EXAMINER ACTIVITY*

1992

AMES AMEs AMES Total
Region Appointed Reinstated Separated AMES
Alaskan 8 5 13 103
Central 14 5 36 424
Eastern 19 3 41 751
Great Lakes _, 28 8 93 909
New England 8 2 21 233
Northwest Mountain 46 10 51 655
Southern 50 12 143 1,017
Southwest 34 19 67 774
Western Pacific 24 10 55 565
International 35 2 10 342
Total 266 76 530 5,773

* Military installations not included.

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



———

Table V.D

ACTIVE AIRMEN WITH WAIVERS
BY CLASS AND SEX*
As of: December 31, 1992

Class ~Frequency** :
Issued Male Percent Female Percent
First 10,601 ( 7.3) 483 ( 8.1)
Second 28,068 (16.3) 1,301 (16.2)
Third 17,329 ( 5.6) 493 ( 2.0)
TOTAL 55,998 (9.0) 2,277 ( 5.8)

* 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.

**x 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, Reromedical Certification
Division, Program Support Branch; RIS: AC 8500-1, Aeromedical
Certification Statistical Handbook Computer Run. oe


eee

Table II.F (Continued)

MEDICAL CERTIFICATION ACTIVITY SUMMARY
1990-1992

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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21
Table IILB
DISTRIBUTION OF CAUSES FOR REVIEW BY MAJOR AND MINOR CATEGORIES
1992
Major Category Minor
Reject Totals Percent Categories Percent
inistrat 240,448 41.0
No NDR Authorization 1,120 02
AME Number Rejects : 4,792 08
No Ticket Flag Set 67,104 us
Provious Exam Has No Ticket Flag 5,539 09
Previous Exam Pending 815 Qt
Clerical Reject 7,074 12
Airman Over 80 Years of Age 337 0.0+
Waiver Rejects 1,389 0.2
Re-Submit Exam to Computer 2313 04
Date of ECG Rejects 6,167 rR
No Match Between New and Previous Exams 2978 os
Discrepancy in Name/DOB 13,213 23
‘Student/Medical Age Less
Than 16 201 0.0+
Discrepancy in Social Security Number 6,945 12
Other* 120,461 20.6
51,132 a8
Distant Vision 32,522 56
Near Vision 13,971 24
Field of Vision 337 ou
Color Vision 4,082 07
is iti 181,822 31.0
Denied or Pending - Current Exam 15,932 27
Uris 3,648 0.6
Pathology Codes 75,135 128
Abnormalities (tems 25-48) 2,925 os
Medication 63,918 109
Restrictions 20,264 33
24,710 145
Previous Exam Special Case 567 01
Medical History 61,246 10.5
Previous Exam on Tape Denied 1,969 03
Previous Exemption/Special Issuance Case 4,124 0.7
Tnput ion/Special Issuance Case 1,334 0.2
Follow-up Material Requested 11,179 19
Current Information with Previous Record 2,126 0.4
Previous Exam Sent to Washington or Region 408 ol
Previous Record in ECG Pending/Follow-up Not
Required This Exam 1,757 03
it 21,521 37
Hearing 21,521 37
se 5,667 10
‘Blood Pressure 4,154 07
Pulse 1,513 03
TOTAL REJECT MESSAGES 585,300 100.0 100.9

* 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.

Source: Civil Aeromedical Institute, Aeromedical Certification Division, Program Support Branch; RIS:
AC 8065-3, Aeromedical Certification Processing Summary.



Table II.F
MEDICAL CERTIFICATION ACTIVITY SUMMARY
1990-1992
cy cy cy
Activity 1992 1991 1990
Applications for Medical Certification 473,884 494,612 480,922
New Applications for First Class
Medical Certificates* - 7,474 7,580
New Applications for Second Class
Medical Certificates* - 12,478 11,674
New Applications for Third Class
Medical Certificates* - 51,207 48,948
First Class Combined Student/Medical
Certificates 1,769 5,122 7,625
Second Class Combined Student/Medical
Certificates 4,151 10,887 15,551
Third Class Combined Student/Medical
Certificates 22,147 69,206 100,168
Electrocardiograms Received for
First Class Pilots 70,096 67,090 66,716
J Incoming Correspondence 77,766 102,408 77,944
Outgoing Correspondence 126,883 126,312 110,448
Applications Containing Medical or
Clerical Problems 190,439 206,226 178,382
Number of Abnormalities Detected
in Electrocardiograms 14,019 13,418 13,343
Number of First Class Active Airmen
with Pathology Records 34,414 33,133 31,196
Number of Second Class Active Airmen
with Pathology Records 54,748 52,600 50,599
Number of Third Class Active Airmen
with Pathology Records 78,850 73,440 69,525

* 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 1991, 1,175 or 1.7% new applications were
and 69,271 or 97.3% were issued
for a total of 71,159 new applications.

denied, 713 or 1.0% were pending,

(Continued)

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Table I.C

REGIONAL COVERAGE OF AVIATION MEDICAL
EXAMINERS VERSUS CIVIL AIRMEN

1992
Active U.S. U.S. Non-
Civil Military
Airman AME Ratio AMEs
REGION Population* Population** To Airmen
Alaskan 9,055 103 1:88
Central . 31,683 424 1:75
Eastern 80,662 751 ; 1:107
Great Lakes 106,844 909 1:118
New England 29,465 233 1:126
Northwest Mountain 62,551 655 1:95
Southern 111,616 1,017 1:110
Southwest 73,392 774 1:95
Western Pacific 106,122 565 1:188
TOTAL 611,390 5,431 1:113

* Active U.S. Civil Airman Population figures are as of December 31,
1992; RIS: AC 8065-4, Examination Time Period Summary. Military
and International not included.

**U.S. Non-Military AME Population figures are as of January 1, 1993;
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.



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VAL PIEL



SECTION I
AVIATION MEDICAL EXAMINER INFORMATION

This section reflects the activities of the Aviation Medical Examiner
Program during calendar year 1992 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
physicians 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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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
systen. Also included are data reflecting the number of special
issuances and denials.

19



AC 8500-1

1992

AEROMEDICAL CERTIFICATION

STATISTICAL HANDBOOK

Pe

oy

U.S. DEPARTMENT OF TRANSPORTATION
FEDERAL AVIATION ADMINISTRATION

CIVIL AEROMEDICAL INSTITUTE
AEROMEDICAL CERTIFICATION: DIVISION



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Table I.E

AVIATION MEDICAL EXAMINER
SEMINARS AND ATTENDANCE

1960-1992
DATE SEMINARS 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 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 ; ui 1,701
1987 13 1,573
1988 17 1,525
1989 16 1,550
1990 15 1,599
1991 15 1,472
1992 17 . 1,507
TOTAL 401 45,257

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



Table I.D

AVIATION MEDICAL EXAMINER SEMINARS

DATE, LOCATION AND ATTENDANCE

1992
DATE LOCATION ATTENDANCE
February 20-23 San Francisco, CA 119
March 12-15 Boston, MA 60
April 27 - May 1 Oklahoma City, OK 60
May 10-14 Miami Beach, FL (ASMA) 142
June 4-7 Honolulu, HI 77
June 22-26 Oklahoma City, OK 53
July 9-12 Denver, CO 72
July 23-26 Charlotte, NC 110
August 6-9 Washington, D.c. 92
August 27-30 Bloomington, MN 71
September 10-13 Albuquerque, NM 82
wD September 17-20 Seattle, WA 182
October 1-4 Kansas City, MO 95
October 26-30 Oklahoma City, OK 71
November 11-14 san Antonio, TX (SMA) 81
November 30 - Dec. 4 Oklahoma City, OK 54
December 3-6 Columbus, OH 86
Total * 1,507

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



____... eee

38
Table IV.M (Continued)
EMPLOYERS OF ACTIVE AIRMEN BY

CLASS OF CERTIFICATE ISSUED*
As of: December 31, 1992

Major
First Second Third Percent
Employer Class Class Class Total of Total
Federal Aviation Adm. 619 5,706 320 6,645 (1.0)
Government, other than
Military or FAA,
includes State and
Local Government 515 1,096 16 1,627 ( 0.2)
Aircraft Industry 271 239 6 516 (| 0.1)
Industry, other than
Aircraft 3,586 2,144 16 5,746 ( 0.9)
Fixed Base Operation
(Flying schools, etc.) 5,489 6,537 206 12,232 ( 1.8)
Self Employed 3,841 6,811 84 10,736 ( 1.6)
Other 31,638 14,330 157 46,125 ( 6.9)
Not Applicable 42,196 128,730 331,936 502,862 ( 75.7)
Air Force 3,554 4,983 182 8,719 ( 1.4)
Arny 554 2,837 49 3,440 ( 0.5)
Coast Guard 167 107 4 278 ( 0.0+)
Marines and Navy 1,401 2,201 79 3,681 ( 0.6
National Aeronautics
and Space Adm. 81 158 141 380 ( 0.1)
SUBTOTAL - ALL OTHERS 93,912 175,879 333,196 602,987 ( 90.8) @
TOTAL 151,097 180,078 333,254 664,429 (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
Division, Program Support Branch; RIS: AC 8500-1, Aeromedical
Certification Statistical Handbook Computer Run.


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Table I.A
DESIGNATED FAA AVIATION MEDICAL EXAMINERS BY REGION

1991 - 1992

PERCENT AVIATION MEDICAL EXAMINERS
REGION OF 1992 TOTAL* 1992 1991
Alaskan 1.7 103 104
central 6.8 424 440
Eastern 12.1 751 769
Great Lakes 14.7 909 954
New England 3.8 233 240
Northwest Mountain 10.6 655 648
Southern . 16.4 1,017 1,092
Southwest 12.5 774 794
Western Pacific 9.1 565 586
SUBTOTAL 87.7 5,431 5,627
Military** 6.8 422 425 wy
International 5.5 342 322
TOTAL 100.0 6,195 ; 6,374

*The basis for percentage computations is total designations as of
the end of calendar year 1992, 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).



16

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22
Table III.c

Special Issuances and Denials
As of: December 31, 1992

Category First Second Third
Issuance/Denial Class Class Class Total
Issuances
NTSB Issuance 4 6 6 16
Special Issuance
by AAM-300 755 405 2,710 3,870
Special Issuance
by AAM-1 436 168 359 963
Special Issuance
by RFS 3 19 84 106
Total Special Issuances 1,198 598 3,159 4,955
Denials
Final Denials
by AAM-300 89 140 686 915

Final Denials
by AAM-1 47 5 3 55

Final Denials
by RFS - 4 11 15

Total Denials 136 149 700 985

* Figures include those cases coded under special issuances or denials
on active master file.

Source: Civil Aeromedical Institute, Aeromedical Certification
Division, Program Support Branch; RIS: AC 8065-1, Pathology Code
Summary.



Section
IV. GENERAL AIRMAN POPULATION DATA

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

B. Active Airmen's State of Residence by Sex and Class
of Certificate Issued

C. Age Distribution of Medically Certified Airmen (Chart)

D. Age Distribution of Medically Certified First Class
Airmen (Chart)

E. Age Distribution of Medically Certified Second Class
Airmen (Chart)

F. Age Distribution of Medically Certified Third Class
Airmen (Chart)

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

H. Age Distribution of Airline Pilots (Chart)

I. Age Distribution of Airline Pilots (Table)

J. Height Distribution of Active Airmen by Class and Sex

K. Weight Distribution of Active Airmen by Class and Sex

L. Active Airmen by Occupation, Class and Sex

M. 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

ii

Page

23
24

25
27

28
29
30

31
32

“oO

34
35
36

37
39

40
41

45
46


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39
Section V

BA CTE: CS_OF THE A fe)

This section presents medical characteristics of the active airman
population (those airmen certified within the preceding 25 months) as
of December 31, 1992, by class of medical certificate issued.



Table I.H

AVIATION MEDICAL EXAMINER SUMMARY DATA*
1992

A. Number of Designated U.S. Non-Military Aviation Medical
Examiners 5,431

B. Number of Designated International Aviation Medical
Examiners 342

c. Number of Designated Military Aviation Medical
Examiners (Installations) 422

D. Ratio of U.S. Non-Military Aviation Medical Examiners to
U.S. Civil Airmen 1:113

E. Percentage of Non-Military Aviation Medical Examiners
Who Are Qualified Pilots 50.5%

F. Percentage of Aviation Medical Examiners Who Were Military
Flight Surgeons 16.2%

G. Number of Non-Military Aviation Medical Examiners Who
Participate in Accident Investigation 137

H. Percentage of Non-Military Aviation Medical Examiners Who
Have Attended One Seminar 16.3%

J I. Percentage of Non-Military Aviation Medical Examiners Who

Have Attended More Than One Seminar 82.2%

J. Percentage of Non-Military Aviation Medical Examiners Who
Have Not Attended A Seminar 1.5%

K. Total Number of Seminars Conducted in 1992 17

L. Total Attendance of Aviation Medical Examiners at Seminars 1,507

* 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.



11
SECTION II

IC. ON_AC

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.



Section

I.
A.
B.

c.

II.
A.

B.

F.
IIt.
A.

B.

Table of Contents

AVIATION MEDICAL EXAMINER INFORMATION

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

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

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

11
12

13

14

15

16
17
19

20

21
22



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37
Table IV.M
EMPLOYERS OF ACTIVE AIRMEN BY

CLASS OF CERTIFICATE ISSUED*
As of: December 31, 1992

Major

First Second Third Percent

Employer Class Class Class Total of Total
Air Wisconsin 263 4 - 267
Airlift Associates 4 1 - 5
Alaska Airlines 766 167 2 935
Aloha Airlines 188 22 - 210
American Airlines 8,550 1,630 7 10,187
American Eagle 962 17 - 979
America West 1,123 16 - 1,139
Atlantic Southeast 424 15 - 439
Big Sky Airlines 9 - - 9
Braniff Airlines 106 7 1 114
British Airways 45 11 - 56
Britt Airways 30 2 - 32
Business Express 465 3 1 469
China Airlines 50 2 - 52
Comair, Inc. 581 42 - 623
Continental Airlines 4,162 45 1 4,208
Delta Airlines 9,324 54 8 9,386
Eastern Airlines 168 2 1 171
Evergreen Airlines 287 86 - 373
Federal Express 2,079 237 3 2,319
» Hawaiian Airlines 282 31 - 313
Henson Airlines 179 10 - 189
Horizon Airlines 532 23 - 555
Japan Airlines 41 86 - 127
KLM - Royal Dutch Airlines 15 - - 15
Korean Airlines 344 104 2 450
Lufthansa~German Airlines 43 111 1 155
Mesa Airlines 206 12 - 218
Mesaba Airlines 310 2 - 312
Metro Airlines 213 5 - 218
Midway Airlines 77 4 - 81
Northwest Airlines 5,468 51 5 5,524
Pan Amer. World Airways 357 61 2 * 420
Pennsylvania Airlines 93 3 - 96
Piedmont Aviation 15 3 - 18
Saudi Arabian Airlines 1,107 126 - 1,233
Simmons 160 - 2 162
Southwest Airlines 1,216 22 1 1,239
Trans World Airlines 3,044 67 5 3,116
Trump Shuttle 45 - - 45
U.S. Air 5,620 395 3 6,018
United Airlines 7,563 627 12 8,202
West Air 399 30 - 429
World Airways 132 46 1 179
Zantop Airways 138 17 - 155

/ SUBTOTAL - ALL AIRLINES 57,185 4,199 58 61,442 { 9.2)
(Continued)



SECTION IV
GENERAL AIRMAN POPULATION DATA

This section reflects general data concerning the active airman
population. The data presented are as of December 31, 1992, 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.



Table I.F

ACTIVE AVIATION MEDICAL EXAMINERS
SEMINAR ATTENDANCE BY REGION*

1992
Total one More Than No Seminar
REGION AMEs Seminar One Seminar Attendance
Alaskan 103 22 75 6
Central 424 56 367 1
Eastern 751 . 103 621 27
Great Lakes 909 149 760 -
New England 233 41 191 1
Northwest Mountain 655 116 538 1
Southern 1,017 163 853 1
Southwest 774 101 672 1
Western Pacific 565 71 491 3
International 342 118 178 46
SP vorat 5,773 940 4,746 87
Percent of
Total 100.0 16.3 82.2 1.5

* 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: AC 8520-6, AME
Training Summary Report.



SYS re

45
Table V.c

ACTIVE AIRMEN WITH DEFECTIVE COLOR VISION
BY CLASS AND SEX*
As of: December 31, 1992

Class Frequency** ~
Issued Male Percent Female Percent
First 2,129 (1.5) - (0.0)
Second 4,665 (2.7) 9 (0.1)
Third 11,041 (3.6) 37 (0.1)
TOTAL 17,835 (2.9) 46 (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
D Certification Statistical Handbook Computer Run.