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The Path to FAA Medical Certification Reform

Rather than helping them get over a hurdle to “yes,” pilots often feel the approach to FAA medical certification appears to be to throw new hurdles in the path of applicants. Philippe de Kemmeter
Gemini Sparkle

Key Takeaways:

  • The FAA's medical certification process (CAMI) is widely perceived by pilots as adversarial, cold, and lacking empathy, leading to a significant loss of trust and often causing undue hardship and prolonged certificate denials.
  • The root cause of this adversarial culture is identified as CAMI's mission focused solely on "assuring civil aerospace safety," rather than balancing safety with helping medically imperfect but capable pilots continue flying.
  • Inspired by successful cultural reforms in other government agencies (e.g., California DMV) and within the FAA (Flight Standards Service), CAMI has committed to changing its approach and fostering a more trusting relationship with pilots.
  • CAMI is actively re-crafting its communications to be more empathetic, exploring alternative risk mitigation strategies (like requiring a second pilot instead of outright denial), and is willing to collaborate with the aviation community on medical certification reform.
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When John came to in the hospital a number of years ago after a lapse of consciousness, you will appreciate that the very first concern he expressed was for his aviation medical certificate. Perhaps the most significant and deeply personal touchpoint with the FAA for every pilot is the medical certification process. To a pilot, the ability to fly is a profoundly important part of their very being.

Martha King

Martha King and John King take turns writing Sky Kings. They have shared flying and teaching aviation for more than 50 years.

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