Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011 Federal Aviation Administration Aerospace Medicine - Now and Over the Horizon

2 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Agenda Yesterday Today Tomorrow Questions

3 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Today Medical Specialties –Psychiatry and Psychology –Internal substance abuse program –Aeromedical standards and policy –Medical Appeals

4 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Today Aerospace Medical Certification –Medical review and appeals –Case review and appeals

5 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Aeromedical Certification 594,285 Pilots 378,048 applications received 33,628 special issuance applicants

6 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - Cardiovascular as of May 31, 2011 Class 1Class 2Class 3Total Myocardial Infarction ,2012,874 Bypass Surgery ,0752,325 Angioplasty Stents ,0583,982

7 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - Cardiovascular as of May 31, 2011 Class 1Class 2Class 3Total Valve Replacement Bioprostheses Mechanical Pacemaker Defibrillator0011

8 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - Substance Abuse as of May 31, 2011 Class 1Class 2Class 3Total Alcoholism Drug Dependence

9 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - Transplants as of May 31, 2011 Class 1Class 2Class 3Total Liver Lung0011 Kidney Heart0033

10 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - Eye as of May 31, 2011 Class 1Class 2Class 3Total Monocular

11 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances—Diabetes as of May 31, 2011 Class lClass llClass IIITotal Non-Insulin6521,1424,3086,102 Insulin00472

12 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - Cancer as of May 31, 2011 Class lClass llClass IIITotal Breast Colon Leukemia / Lymphoma Melanoma Prostate Renal

13 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - Neuropsychiatric as of May 31, 2011 Class lClass llClass IIITotal CVA Head Trauma Migraine Seizures Stroke

14 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - HIV as of May 31, 2011 Class 1Class 2Class 3Total HIV

15 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Class 1Class 2Class 3Total Atrial Fibrillation ,0901,716 Deep Vein Thrombosis Special Issuances – Anticoagulation as of May 31, 2011

16 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Special Issuances - Sleep Disorders as of May 31, 2011 Class lClass llClass IIITotal Sleep Disorders Sleep Apnea ,8363,151

17 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Aeromedical Certification 6,379 denials (1.69% of all applications) - 5,905 failed to pursue denials (0.13% of all applications) when all information requested was provided

18 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Today Aerospace Medical Education –Aviation medical examiners Initial certification Recertification –Pilots Cockpit resource management Physiological training Survival training

19 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Today Aerospace human factors research –Flight deck human factors research –National Airspace human factors research

20 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Today Aerospace medical research –Bioaeronautical sciences research –Aeromedical protection survival

21 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Today Industry drug abatement –Field operations –Special investigations

22 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 The Future

23 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Flying in space is not like taking a roller coaster ride

24 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011

25 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Safety Management System (SMS) Safety Policy Safety Risk management Safety Assurance Safety Promotion

26 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, In the Office

27 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 Aerospace Medicine 2031

28 Federal Aviation Administration Office of Aerospace Medicine July 14, 2011 January 21, 2011 QUESTIONS?