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Synopsis of Medical Standards - Revised April 3, 2006

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Download the Synopsis of Medical Standards(PDF)document.

Summary of Medical Standards

Medical Certificate Pilot TypeFirst-Class Airline Transport PilotSecond-Class Commercial PilotThird-Class Private Pilot
Distant Vision20/20 or better in each eye separately, with or without correction.20/40 or better in each eye separately, with or without correction.
Near Vision20/40 or better in each eye separately (Snellen equivalent), with or without correction, as measured at 16 inches.
Intermediate Vision20/40 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 VisionAbility to perceive those colors necessary for safe performance of airman duties.
HearingDemonstrate 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.
AudiologyAudiometric speech discrimination test: Score at least 70% reception in one ear.Pure tone audiometric test. Unaided, with thresholds no worse than:
Sound Levels:
Ear Condition500 Hz1,000 Hz2,000 Hz3,000 Hz
Better Ear35 dB30 dB30 dB40 dB
Worst Ear35 dB50 dB50 dB60 dB
EntNo ear disease or condition manifested by, or that may reasonably be expected to maintained by, vertigo or a disturbance of speech or equilibrium.
PulseNot disqualifying per se. Used to determine cardiac system status and responsiveness.
Blood PressureNo specified values stated in the standards. The current guideline maximum value is 155/95.
Electrocardiogram (ECG)At age 35 and annually after age 40 (first-class only)Not routinely required. (second- and third-class only)
MentalNo diagnosis of psychosis, or bipolar disorder, or severe personality disorders.
Substance Dependence and Substance AbuseA 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 hypnotics, anxiolytics, marijuana, cocaine, opioids, amphetamines, hallucinogens, and other psychoactive drugs or chemicals).
Disqualifying ConditionsUnless otherwise directed by the FAA, the Examiner must deny or defer if the applicant has a history of: (1) Diabetes mellitus requiring hypoglycemic medication; (2) Angina pectoris; (3) Coronary heart disease that has been treated or, if untreated, that has been symptomatic or clinically significant; (4) Myocardial infarction; (5) Cardiac valve replacement; (6) Permanent cardiac pacemaker; (7) Heart replacement; (8) Psychosis; (9) Bipolar disorder; (10) Personality disorder that is severe enough to have repeatedly manifested itself by overt acts; (11) Substance dependence; (12) Substance abuse; (13) Epilepsy; (14) Disturbance of consciousness and without satisfactory explanation of cause, and (15) Transient loss of control of nervous system function(s) without satisfactory explanation of cause.
Note: For further information, contact your Regional Flight Surgeon.
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This page was originally published at: https://www.faa.gov/about/office_org/headquarters_offices/avs/offices/aam/ame/guide/standards/

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