Review of medical certification standards
We are calling for submissions into a wide ranging discussion paper to consider industry and community views to any possible changes for the medical certification regime. The paper - titled Medical Certification Standards - raises a number of issues, the responses to which will assist CASA in determining whether to make changes to the current medical certification regime which encompasses class 1, class 2 and class 3 medical certificates, as well as the recreational aviation medical practitioner’s certificates.
It is intended to stimulate debate and raise awareness of our current approach to aviation medicine, the propriety of current medical fitness standards, the factors involved in aeromedical decision-making and related considerations, and developments internationally and in other jurisdictions. If there are other issues or sources of information not included in this discussion paper, but which are relevant to medical certification for any of the affected sectors, we will be happy to receive comments on those matters as part of this process.
The paper will form the basis for any future consultation and all affected stakeholders on the issues raised and any action we propose to take. Aviation medicine is complex-involving medical, regulatory and legal considerations. We encourage written submissions and comments from all sectors of the aviation and medical communities.
There are six options that may be considered for future consultation, although further options will be considered on the basis of responses to this discussion paper.
The options are:
- continuing the existing medical certification requirements and arrangements (status quo)
- re-assessing risk tolerances which inform medical certifications standards in the context of industry and community expectations
- examining and streamlining medical certification practices across the various certification standards, including the approach to assessing incapacitation risk
- aligning certification standards across the sport and recreational sectors by revising the recreational aviation medical practitioner’s certificate to make it both more accessible to pilots and more widely applicable
- developing a new medical certificate for the sport and recreational sectors which considers overseas approaches with elements of self-certification
- mitigating the risks of any changes by applying operational restrictions.
We welcome comments on any elements of this discussion paper. Some of the key issues that feedback is invited on include:
- Can the assessment of incapacitation risk be streamlined for private, recreational and possibly other participants in the aviation sector? What are the impacts on individual and system risk?
- Is there an appetite to accept a higher level of risk to participants and third parties? Would an elevated rate of occurrences be acceptable?
- Should the requirements for assessment and surveillance be adjusted?
- What should the priorities be for reviewing the administrative burden?
- Are there some medical conditions or administrative requirements which need either introducing or retiring?
- What are (or should be) the processes when a safety-relevant condition is reported to a doctor?
- Should the requirements for declaring a comprehensive medical history be uniform across all the medical certification standards?
- Are additional considerations necessary to avoid decision shopping, particularly in the case of psychiatric conditions?
- How should psychiatric conditions, dementia or substance abuse be considered in any shifts to greater self-certification?
- What would the implications and acceptability be of a more prominent role in the medical certification process to doctors outside the aviation medicine specialisations?
- What are the likely cost implications of any changes (including training)?
- Is an assessment of risk as used by overseas regulators appropriate for Australian pilots and conditions?
- What type of pilot training or education is required to support any move to self-certification? Should this education and training be mandatory?
- How many pilots would benefit from a greater degree of self-certification would this justify an increase in training and education requirements?
How to respond
Written submissions and comments may be provided by email to: firstname.lastname@example.org.
Please include ‘Avmed discussion paper‘ in the email title.
Alternatively by post to:
Avmed Discussion Paper
GPO Box 1544
Canberra ACT 2601
All material submitted will be acknowledged.
Submissions/comments close 30 March 2017.
21 December 2016
- Discussion Paper - Medical Certification Standards