How do FAA medicals work?

The Airman Medical Certificate is obtained after completion of a satisfactory physical exam conducted by an Aviation Medical Examiner, or AME. The AME tests vision, hearing, general health, and cardiovascular health.



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The FAA will deny medical certification if a pilot has one of the following medical conditions (However, if you do have one or more of these conditions, you may still be eligible for an FAA special issuance medical certificate.): (1) Severe personality disorder. (2) Psychosis. (3) A bipolar disorder.

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You must contact an AME of your choosing, schedule an appointment, complete an official FAA application form via MedXPress, and undergo a physical examination by an AME. If you meet the appropriate medical standards, the AME will issue you a medical certificate.

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According to the Department of Transportation (DOT), there are tarmac delay rules that US airlines must follow: Carriers are not allowed to hold a domestic flight on the tarmac for more than three hours and an international flight for more than four hours, barring a couple of exceptions (like if the pilot deems it's ...

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U.S. Tarmac Delay Laws After a tarmac delay of two hours, passengers must be provided with food, water, operational lavatories, and medical care (medical care only if needed). After a tarmac delay of three hours in the U.S., passengers must be given the option to deplane.

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The FAA's regulations require airline pilots to undergo a medical exam with an Aviation Medical Examiner (AME) every six months to five years, depending on the type of flying they do and their age. Aviation Medical Examiners are trained to determine the pilot's mental health and fitness to fly.

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If you aren't sure whether your medication falls into one of these categories, you should check with your AME:
  • Tranquilizers, such as but not limited to Valium, Librium, Ativan.
  • Most antidepressants. ...
  • Opiates, such as Morphine, Codeine, Lortab, Percodan, Oxycontin.
  • Muscle relaxants, such as Soma, Sonata, Flexeril.


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Who should not travel by air? Diseases that prevent you from boarding a plane
  • Chronic obstructive pulmonary disease (COPD)
  • A recent stroke.
  • Infectious diseases, such as chickenpox, influenza or even COVID-19.
  • A recent surgery.
  • A pregnancy of over 28 weeks.
  • Angina (chest pain at rest)


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To obtain a medical certificate you must be examined by an FAA-designated Aviation Medical Examiner (AME). As the airman you should follow these steps to apply for and obtain your medical certificate: Use MedXPress, to complete the initial portion of the application.

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When it is within your control, run, don't walk, to the gate. My rule: Ten minutes before departure is when getting on a plane is no longer within your control. It's better to sit or stand around the gate area waiting to board.

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An altitude of 500 feet above the surface, except over open water or sparsely populated areas. In those cases, the aircraft may not be operated closer than 500 feet to any person, vessel, vehicle, or structure.

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unobstructed runways, establish a landmark at 50% of your calculated takeoff distance. When reaching that landmark, you should be at 70% of your rotation speed. If not, abort the takeoff and reduce weight or wait for more favorable wind and temperature conditions.

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Years ago, piston engines were undependable. Because of this, twin-engine aircraft were required to fly in range of a suitable airport for landing. In 1953, the FAA imposed what is known as the “60-minute rule” on two- and three-engine airplanes, disallowing them to fly more than 60 minutes outside the closest airport.

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The 40:1 surface is calculated out to 22.09 nautical miles from the runway end within an arc of 180° centered along the runway centerline extended. These requirements are part of FAR Part 77.23(a)(3). This is TERPS criteria. The standard aircraft departure climb gradient (CG) is 200 feet per nautical mile.

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Flight times within the duty periods are restricted to a maximum of 8 hours for flight crews consisting of one pilot and 10 hours for flight crews consisting of two pilots. The 8-hour and 10-hour flight time limitations include any additional commercial flying performed by the flight crew during the period.

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BasicMed is an alternate way for pilots to fly without holding an FAA medical certificate as long as they meet certain requirements. Print off a FAA Form 8700-2; BasicMed Comprehensive Medical Examination Checklist ( CMEC ) and get your physical exam with a state-licensed physician.

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The US Code of Federal Regulations Section 67.403(c)(1) provides for revocation or suspension of a medical certificate if you entered an incorrect statement on an application for a medical certificate, upon which the FAA relied.

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