1. Presented to: Airlines Medical Directors AsMA, Atlantic City, NJ By: Michael A. Berry, M.D., M.S. FAA - Deputy Federal Air Surgeon Date: April 23, 2016 Federal Aviation Administration Office of Aerospace Medicine Learning from GermanWings What should we do differently? The Regulator

2. Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 2016 Pilot Fitness Aviation Rulemaking Committee (ARC) Chartered by the FAA on May 11, 2015 Consider specific objectives and tasks in a forum for the U.S. aviation community to discuss and provide recommendations to the FAA on pilot mental fitness for duty. Chartered after the Commercial Aviation Safety Team (CAST) considered the circumstances of Malaysia flight 370 and GermanWings flight 9525

3. 3 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 ARC Charter What does data show about changes in awareness and reporting of emotional and mental health issues in the general population? If there is a change in the general public awareness, is there a similar change in the pilot community? Do changes in awareness and reporting of emotional and mental health issues in the pilot community indicate increased risks to aviation safety? What methods are used to evaluate the emotional and mental health of pilots today?

4. 4 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 ARC Charter (cont.) What methods are used to encourage pilots to report medical conditions, including emotional and mental health issues? What steps are taken when emotional and mental health conditions are reported -- either by the pilot or by family, friends or co-workers? Are there barriers preventing pilots from reporting medical conditions, i.e. emotional and mental health? Are there gaps in the methods used today to evaluate the emotional and mental health of pilots?

5. 5 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 ARC Process First meeting - June 2, 2015 5 subsequent meetings (monthly) Assign ARC Charter tasks to working groups Vigorous discussion on all tasks Last meeting – October 27, 2015 Final Report to the Administrator November 26 Report not yet released to the public

6. 6 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 ARC General Philosophy Create environment that encourages and is supportive of pilot self-disclosure Expand use of pilot support programs Educate air carriers and pilots on mental fitness for duty issues Risk mitigation processes built on Safety Management System (SMS) principles

7. 7 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 General Philosophy (cont.) Holistic, team approach to addressing pilot mental fitness issues offers the best opportunity for a positive outcome. Existing pilot support programs are extremely important and beneficial

8. 8 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 Pilot Support Programs C ONTRACT A EROMEDICAL A DVISORS A IR C ARRIER E MPLOYEE A SSISTANCE P ROGRAMS A IR C ARRIER -S PECIFIC P ILOT A SSISTANCE P ROGRAMS C REW R ESOURCE M ANAGEMENT C RITICAL I NCIDENT R ESPONSE P ROGRAM F ORMAL P ILOT M ENTORING P ROGRAMS H UMAN I NTERVENTION M OTIVATION S TUDY P ROFESSIONAL S TANDARDS P ROGRAM

9. 9 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 FAA Actions Aviation Medical Examiner (AME) Restructure the AME basic and refresher curricula (initiated January 28, 2016) Expand general knowledge regarding mental status assessment and mental health. Enhance AME’s ability to identify warning signs and refer the pilot for evaluation and appropriate intervention.

10. 10 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 FAA Actions (cont.) Mental Health Research Determine need for psychological research in U.S. to better understand o Pilot mental health in general o Better predict changes in pilot mental health over time.

11. 11 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 FAA Actions (cont.) Mental Health Research (cont.) FAA Office of Aerospace Medicine/UK CAA collaboration re recommendations of the CAA Mental Health Working Group. o Further study of psychological testing benefits in a research cohort of pilots o Explore early recognition of pilot personality and behavioral difficulties posing future problems

12. 12 Federal Aviation Administration AMDA – GermanWings - Regulator April 23, 1916 AsMA Actions Medical Reporting Encourage advocacy for a uniform national policy on mandatory reporting of medical issues that affect public safety. AsMA resolution to the American Medical Association calling for mandatory reporting of medical issues affecting public safety.

13. 13 QUESTIONS ? Federal Aviation Administration