Overview of Pilot Medical Standards - Part 67 at a Glance
Index to 14 CFR Part 67
Apr 2014
Abbreviated Briefing:
- Legal Authority for Medical Standards from CFR Part 67
- Medical Standards are based on Class of Certificate
- Major Medicolegal Categories include
- Eyes and Vision
- Ears, Hearing and Equilibrium
- Mental
- Cardiovascular
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Guidance is compiled and interpreted by professional pilots and physicians at FlightPhysical.com from the 2014 AME Guide, FAA and FDA web data (www.FAA.gov & www.FDA.gov), instructions specified in the Aeronautical Information Manual, Federal Air Surgeon Bulletins from 1999-2015, and 14 CFR Part 61 and Part 67 (the FARs).
Table of Contents
PART 67 — MEDICAL STANDARDS AND CERTIFICATION
from Title 14: Aeronautics and Space
Subpart A—General
| Section | Topic |
|---|---|
| §67.1 | Applicability. |
| §67.3 | Issue. |
| §67.4 | Application. |
| §67.7 | Access to the National Driver Register. |
Subpart B—First-Class Airman Medical Certificate
| Section | Topic |
|---|---|
| §67.101 | Eligibility - Class 1 |
| §67.103 | Eye - Class 1 |
| §67.105 | Ear, nose, throat, and equilibrium - Class 1 |
| §67.107 | Mental - Class 1 |
| §67.109 | Neurologic - Class 1 |
| §67.111 | Cardiovascular - Class 1 |
| §67.113 | General medical condition - Class 1 |
| §67.115 | Discretionary issuance - Class 1 |
Subpart C—Second-Class Airman Medical Certificate
| Section | Topic |
|---|---|
| §67.201 | Eligibility - Class 2 |
| §67.203 | Eye - Class 2 |
| §67.205 | Ear, nose, throat, and equilibrium - Class 2 |
| §67.207 | Mental - Class 2 |
| §67.209 | Neurologic - Class 2 |
| §67.211 | Cardiovascular - Class 2 |
| §67.213 | General medical condition - Class 2 |
| §67.215 | Discretionary issuance - Class 2 |
Subpart D—Third-Class Airman Medical Certificate
| Section | Topic |
|---|---|
| §67.301 | Eligibility - Class 3 |
| §67.303 | Eye - Class 3 |
| §67.305 | Ear, nose, throat, and equilibrium - Class 3 |
| §67.307 | Mental - Class 3 |
| §67.309 | Neurologic - Class 3 |
| §67.311 | Cardiovascular - Class 3 |
| §67.313 | General medical condition - Class 3 |
| §67.315 | Discretionary issuance - Class 3 |
Subpart E—Certification Procedures
| Section | Topic |
|---|---|
| §67.401 | Special issuance of medical certificates. |
| §67.403 | Applications, certificates, logbooks, reports, and records: Falsification, reproduction, or alteration; incorrect statements. |
| §67.405 | Medical examinations: Who may perform? |
| §67.407 | Delegation of authority. |
| §67.409 | Denial of medical certificate. |
| §67.413 | Medical records. |
| §67.415 | Return of medical certificate after suspension or revocation. |
| Medical Certificate Pilot Type |
First-Class Airline Transport Pilot |
Second-Class Commercial Pilot |
Third-Class Private Pilot |
|||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DISTANT VISION | 20/20 or better in each eye separately, with or without correction. |
20/40 or better in each eye separately, with or without correction. | ||||||||||||||||
| NEAR VISION | 20/40 or better in each eye separately (Snellen equivalent), with or without correction, as measured at 16 inches. | |||||||||||||||||
| INTERMEDIATE VISION |
20/40 or better in each eye separately (Snellen equivalent), with or without correction at age 50 and over, as measured at 32 inches. | No requirement. | ||||||||||||||||
| COLOR VISION | Ability to perceive those colors necessary for safe performance of airman duties. | |||||||||||||||||
| HEARING | Demonstrate hearing of an average conversational voice in a quiet room, using both ears at 6 feet, with the back turned to the examiner or pass one of the audiometric tests below. | |||||||||||||||||
| AUDIOLOGY | Audiometric speech discrimination test: Score
at least 70% reception in one ear. Pure tone audiometric test. Unaided, with thresholds no worse than: |
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| ||||||||||||||||||
| ENT | No ear disease or condition manifested by, or that may reasonably be expected to maintained by, vertigo or a disturbance of speech or equilibrium. | |||||||||||||||||
| PULSE | Not disqualifying per se. Used to determine cardiac system status and responsiveness. | |||||||||||||||||
| BLOOD PRESSURE | No specified values stated in the standards. The current guideline maximum value is 155/95. | |||||||||||||||||
| ELECTRO- CARDIOGRAM (ECG) |
At age 35 and annually after age 40 for 1st Class. |
Not routinely required for 2nd or 3rd class certificates. | ||||||||||||||||
| MENTAL | No diagnosis of psychosis, or bipolar disorder, or severe personality disorders. | |||||||||||||||||
| SUBSTANCE DEPENDENCE AND SUBSTANCE ABUSE |
A diagnosis or medical history of "substance dependence" is disqualifying unless there is established clinical evidence, satisfactory to the Federal Air Surgeon, of recovery, including sustained total abstinence from the substance(s) for not less than the preceding 2 years. A history of "substance abuse" within the preceding 2 years is disqualifying. "Substance" includes alcohol and other drugs (i.e., PCP, sedatives and hynoptics, anxiolytics, marijuana, cocaine, opioids, amphetamines, hallucinogens, and other psychoactive drugs or chemicals). | |||||||||||||||||
| DISQUALIFYING CONDITIONS |
AME must disqualify if the applicant has a history of:
|
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