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Aerospace Medicine - Now and Over the Horizon. Agenda. Yesterday Today Tomorrow Questions. Today. Medical Specialties Psychiatry and Psychology Internal substance abuse program Aeromedical standards and policy Medical Appeals. Today. - PowerPoint PPT Presentation
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Presented to: Aviation Accreditation Board International, Norman, Oklahoma
By: Frederick E. Tilton, M.D. Federal Air Surgeon
Date: Thursday, July 14, 2011
Federal AviationAdministration
Aerospace Medicine -Now and Over the Horizon
January 21, 2011 2Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Agenda
Yesterday
Today
Tomorrow
Questions
January 21, 2011 3Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Today
Medical Specialties– Psychiatry and Psychology– Internal substance abuse program– Aeromedical standards and policy– Medical Appeals
January 21, 2011 4Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Today
Aerospace Medical Certification– Medical review and appeals
– Case review and appeals
January 21, 2011 5Federal AviationAdministration
Office of Aerospace Medicine
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Aeromedical Certification
594,285 Pilots
378,048 applications received
33,628 special issuance applicants
January 21, 2011 6Federal AviationAdministration
Office of Aerospace Medicine
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Special Issuances - Cardiovascular as of May 31, 2011
Class 1 Class 2 Class 3 Total
Myocardial Infarction
376 297 2,201 2,874
Bypass Surgery
46 204 2,075 2,325
Angioplasty 118 103 689 910
Stents 513 411 3,058 3,982
January 21, 2011 7Federal AviationAdministration
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Special Issuances - Cardiovascular as of May 31, 2011
Class 1 Class 2 Class 3 Total
Valve Replacement
Bioprostheses 48 22 238 308
Mechanical 31 24 132 187
Pacemaker 37 43 301 381
Defibrillator 0 0 1 1
January 21, 2011 8Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Special Issuances - Substance Abuse as of May 31, 2011
Class 1 Class 2 Class 3 Total
Alcoholism 382 19 17 418
Drug Dependence
36 3 15 54
January 21, 2011 9Federal AviationAdministration
Office of Aerospace Medicine
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Special Issuances - Transplants as of May 31, 2011
Class 1 Class 2 Class 3 Total
Liver 5 4 32 41
Lung 0 0 1 1
Kidney 25 18 71 114
Heart 0 0 3 3
January 21, 2011 10Federal AviationAdministration
Office of Aerospace Medicine
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Special Issuances - Eye as of May 31, 2011
Class 1 Class 2 Class 3 Total
Monocular 36 38 310 384
January 21, 2011 11Federal AviationAdministration
Office of Aerospace Medicine
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Special Issuances—Diabetes as of May 31, 2011
Class l Class ll Class III Total
Non-Insulin 652 1,142 4,308 6,102
Insulin 0 0 472 472
January 21, 2011 12Federal AviationAdministration
Office of Aerospace Medicine
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Special Issuances - Cancer as of May 31, 2011
Class l Class ll Class III Total
Breast 28 32 106 166
Colon 73 72 337 482
Leukemia / Lymphoma
109 112 377 598
Melanoma 131 112 439 682
Prostate 89 156 462 707
Renal 40 58 138 236
January 21, 2011 13Federal AviationAdministration
Office of Aerospace Medicine
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Special Issuances - Neuropsychiatric as of May 31, 2011
Class l Class ll Class III Total
CVA 1 9 26 36
Head Trauma
121 134 558 813
Migraine 87 70 434 591
Seizures 9 7 33 49
Stroke 69 83 389 541
January 21, 2011 14Federal AviationAdministration
Office of Aerospace Medicine
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Special Issuances - HIV as of May 31, 2011
Class 1 Class 2 Class 3 Total
HIV 40 4 32 76
January 21, 2011 15Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Class 1 Class 2 Class 3 Total
Atrial Fibrillation
349 277 1,090 1,716
Deep Vein Thrombosis
165 127 432 724
Special Issuances – Anticoagulation as of May 31, 2011
January 21, 2011 16Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Special Issuances - Sleep Disorders as of May 31, 2011
Class l Class ll Class III Total
Sleep Disorders 65 65 314 444
Sleep Apnea 678 637 1,836 3,151
January 21, 2011 17Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Aeromedical Certification
6,379 denials (1.69% of all applications)
- 5,905 failed to pursue
- 474 denials (0.13% of all applications) when all information requested was provided
January 21, 2011 18Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Today
Aerospace Medical Education– Aviation medical examiners
• Initial certification • Recertification
– Pilots• Cockpit resource management• Physiological training• Survival training
January 21, 2011 19Federal AviationAdministration
Office of Aerospace Medicine
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Today
Aerospace human factors research– Flight deck human factors research
– National Airspace human factors research
January 21, 2011 20Federal AviationAdministration
Office of Aerospace Medicine
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Today
Aerospace medical research– Bioaeronautical sciences research
– Aeromedical protection survival
January 21, 2011 21Federal AviationAdministration
Office of Aerospace Medicine
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Today
Industry drug abatement– Field operations
– Special investigations
January 21, 2011 22Federal AviationAdministration
Office of Aerospace Medicine
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The FutureThe Future
January 21, 2011 23Federal AviationAdministration
Office of Aerospace Medicine
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Flying in space is not like taking
a roller coaster ride
Flying in space is not like taking
a roller coaster ride
January 21, 2011 24Federal AviationAdministration
Office of Aerospace Medicine
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January 21, 2011 25Federal AviationAdministration
Office of Aerospace Medicine
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Safety Management System (SMS)
Safety Policy
Safety Risk management
Safety Assurance
Safety Promotion
January 21, 2011 26Federal AviationAdministration
Office of Aerospace Medicine
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- In the Office
January 21, 2011 27Federal AviationAdministration
Office of Aerospace Medicine
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Aerospace Medicine
2031
January 21, 2011 28Federal AviationAdministration
Office of Aerospace Medicine
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QUESTIONS?
