What is an Aviation Medical Examiner?
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If you have ever wondered what is an aviation medical examiner, then think of a clinician who keeps the flight deck honest. The job is clinical, regulatory, and quietly consequential. In the United States, a physician designated by the FAA (Federal Aviation Administration) evaluates the pilot's health against medical standards so the crew can perform flight duties safely. The aim is simple: to reduce in-flight medical risk to a level that keeps the passengers safe and alive.
Who AMEs Are and How They Qualify?
An AME is a physician trained in aviation medicine and approved by the agency. AME is required to attend seminars and stay updated on the policy changes. They have the authority to perform examinations and issue aviation clearances within strict rules. Most AMEs work in private clinics. Some of them also practice in hospitals or flight departments. AMEs basically serve both student and private pilots who are seeking a first clearance. They also help commercial pilots to maintain eligibility for paid flying. Lastly, they help an airline transport pilot keep a first-class certificate updated.
Responsibilities of AME
Here are the responsibilities of AME:
Review the pilot’s digital application and records.
Conduct targeted physical examinations with attention to risk.
Decide, within their delegation, whether to issue or defer.
Document everything, because good notes are cheaper than subpoenas.
Certificates At a Glance
Pilots in the United States hold one of the three class certificates. Each relates to the privileges they want to exercise and to the risk profile of that work.
First class for airline operations and the strictest checks.
Second class for compensated flying other than airline service.
The third class is for recreational and training use.
Across the systems, the Aviation Medical Examiners conduct examinations and issue aviation decisions that match the certificate level and age limits.
What to Expect During the Exam and How to Prepare
This exam is practical and organized, and it is totally different from a gym or a surprise test. Here is what happened inside the room:
Your vital signs, vision, and color perception will be checked. Don’t worry, the eye chart has no trick letters.
Your hearing will be tested by listening to normal conversation or through a hearing test.
Your heart will be screened, and you might get an EKG if needed.
A quick check of your brain and mental function will be done.
Your medications and past health issues will be reviewed.
Since this is a flight physical, the focus is on how your body handles altitude and stress.
Aviation Medical Examiners (AMEs) only provide medical decisions when all the paperwork is completed. If something is not clear, they may ask the agency to review it. That is completely normal, and it means the process is working as it should be. Here is how you can prepare for the medical exam:
Bring glasses, hearing aids, and medication lists.
Know your medical history. Guessing is a poor strategy.
Sleep well and hydrate. Simple, effective, free.
Start early if you plan to train, so the FAA medical does not surprise you mid‑course.
Special Cases and Tips for New Pilots
Some health conditions can’t be approved right away. The AME might ask for more tests or suggest a special approval process. This means that you will need to show proof that your conditions are under control.
Conditions like treated high blood pressure or diabetes may be okay if your reports are stable.
Corrected vision is common and usually easy to handle.
If you have a heart condition, expect close follow-ups and regular checks.
Mental health history is reviewed based on how you’re doing now and what support you have.
If everything meets the rules, the AME can issue your certificate. If not, then you will get clear instructions on what to do next. Here are some helpful tips for new pilots:
Start with the certificate that matches your training level. Student and private pilots usually begin with a third-class certificate.
If you plan to move up to a commercial or airline pilot, be aware that higher classes have stricter rules and expire sooner.
Choose an AME who understands the kind of flying you’ll do. A small detail can make a big difference and save you time.
Behind the Curtain Event
Join us for behind the curtain with special guest William Thrift, Aviation Medical Examiner, on Saturday, August 9, 2025, at 12 PM Eastern. Expect plain talk on what examiners check, how decisions are made, and practical prep tips for your next flight physical. If you are a student, private, commercial, or airline transport pilot, this hour will save you time and guesswork. Bring questions; we will cover common pitfalls and policy nuances.
Reserve your spot or set a reminder, then share the link with a friend. After the livestream, the recording and this blog will be linked for easy reference.
