Guidance for Medical Certification of aircrew

Links to guidance material by medical system and implementing rule.

The UK CAA Guidance Material (GM) has been produced by incorporating text from EASA Part-MED Implementing Rules (IRs) and Acceptable Means of Compliance (AMCs).  Below are links to the UK CAA GM.

Any specific or general queries regarding your aeromedical fitness should be directed to an Aeremedical Examiner (AME) or Aeromedical Centre (AeMC).  Changes to your aeromedical fitness status should be notified to the doctor who conducted your last medical examination or assessment.

Class 1

Class 2

Cardiology Cardiology

   Aortic aneurysm  MED.B.010 (b)(3)(ii) 
   Blood pressure  MED.B.010 (c) 
   Cardiac valvular abnormalities  MED.B.010 (b)(3)(iii)   
   Cardiomyopathy  MED.B.010 (b)(3)(v)   
   Cardiovascular System - Examination    MED.B.010 (a)
   Cardiovascular System - General  MED.B.010 (b)  
   Coronary artery disease  MED.B.010 (d) 
   Mitral valve disease  MED.B.010 (b)(3)(iii) 
   Myocardial ischaemia/myocardial infarction/ 
   revascularisation for coronary artery disease
  MED.B.010 (d)(4)  
   Pericarditis  MED.B.010 (b)(3)(v) 
   Peripheral artery disease  MED.B.010 (b)(3)(i) 
   Rhythm and Conduction Disturbances - GM MED.B.10 (e) 
   Syncope  MED.B.010 (b)(3)(vii) 
   Thromboembolic disorders  MED.B.010 (b)(3)(viii) 
   Valvular surgery  MED.B.010 (b)(3)(iv)

   Aortic aneurysm  MED.B.010 (b)(3)(ii) 
   Blood pressure   MED.B.010 (c) 
   Cardiac valvular abnormalities  MED.B.010 (b)(3)(iii)   
   Cardiomyopathy  MED.B.010 (b)(3)(v)   
   Cardiovascular System - Examination    MED.B.010 (a)
   Cardiovascular System - General  MED.B.010 (b) 
   Coronary artery disease  MED.B.010 (d) 
   Mitral valve disease  MED.B.010 (b)(3)(iii) 
   Myocardial ischaemia/myocardial infarction/ 
   revascularisation for coronary artery disease
  MED.B.010 (d)(5)  
   Pericarditis  MED.B.010 (b)(3)(v) 
   Peripheral artery disease   MED.B.010 (b)(3)(i)    
   Rhythm and Conduction Disturbances - GM  MED.B.10 (e)  
   Syncope  MED.B.010 (b)(3)(vii) 
   Thromboembolic disorders  MED.B.010 (b)(3)(viii) 
   Valvular surgery  MED.B.010 (b)(3)(iv)
 
DermatologyDermatology

   Dermatology - GM  MED.B.085
   Dermatological conditions 

   Dermatology - GM MED.B.085 
   Dermatological conditions

Gastrointestinal (digestive system)Gastrointestinal (digestive system)
   Digestive - GM  MED.B.020
   
   Digestive - GM  MED.B.020
GenitourinaryGenitourinary
   Genitourinary - GM  MED.B.035
   Abnormal urinalysis  MED.B.035 (b) 
   Renal/genitourinary disease  MED.B.035 (c) 
   Renal/urological surgery  MED.B.035 (e) 
   Urinary calculi (stones)  MED.B.035 (d)(2) 
     

   Genitourinary - GM  MED.B.035
   Abnormal urinalysis  MED.B.035 (b)
   Renal/genitourinary disease  MED.B.035 (c)
   Renal/urological surgery  MED.B.035 (e)
   Urinary calculi (stones)  MED.B.035 (d)(2)

HaematologyHaematology
   Abnormal haemoglobin  MED.B.030 (e)(1) 
   Anaemia  MED.B.030 (e)(1) 
   Coagulation/haemorrhagic disorders MED.B.030 (c)(1)  
   Haematology - GM  MED.B.030
   Haemoglobinopathy  MED.B.030 (e)(1)  
   Leukaemia  MED.B.030 (c)(2) 
   Lymphatic system disorders  MED.B.030 (c)(1) 
   Polycythaemia  MED.B.030 (e)(1) 
   Splenomegaly  MED.B.030 (c)(2) 
   Thrombo-embolic disorders  MED.B.030 (c)(1) 
          
   Abnormal haemoglobin  MED.B.030 (e)(1)
   Anaemia  MED.B.030 (e)(1)
   Coagulation/haemorrhagic disorders MED.B.030 (c)(1)  
   Haematology - GM  MED.B.030
   Haemoglobinopathy  MED.B.030 (e)(1)  
   Leukaemia  MED.B.030 (c)(2)
   Lymphatic system disorders  MED.B.030 (c)(1)
   Polycythaemia  MED.B.030 (e)(1)
   Splenomegaly  MED.B.030 (c)(2)
   Thrombo-embolic disorders  MED.B.030 (c)(1) 
   
Infectious Diseases   Infectious Diseases
   Hepatitis A/B/C  MED.B.040 (a)
   HIV  MED.B.040 (b)  
   Infectious disease - GM  - GM  - GM  - GM MED.B.040 
   Interferon  MED.B.040 (a)
   Malaria  MED.B.040 (a)
   
   Hepatitis A/B/C  MED.B.040 (a)
   HIV  MED.B.040 (b)  
   Infectious disease - GM - GM - GM - GM MED.B.040 
   Interferon  MED.B.040 (a)
   Malaria  MED.B.040 (a)
Metabolic & EndocrinologyMetabolic & Endocrinology

   Diabetes  MED.B.020 (c)(g)    
   Glucose metabolism (abnormal)  MED.B.025 (a)(f) 
   Metabolic and endocrine - GM  MED.B.025 
   Obesity  MED.B.025 (a)(b) 
   Thyroid dysfunction MED.B.025 (a)(e)

   Diabetes  MED.B.020 (c)(g) 
   Glucose metabolism (abnormal)  MED.B.025 (a)(f) 
   Metabolic and endocrine - GM GM GM GM MED.B.025  
   Obesity  MED.B.025 (a)(b) 
   Thyroid dysfunction MED.B.025 (a)(e)
MusculoskeletalMusculoskeletal
   Musculoskeletal - GM  MED.B.050
  
   Musculoskeletal - GM  MED.B.050
 
NeurologyNeurology

   Neurology - GM  MED.B.065
   Dementia/cognitive impairment   MED.B.065 (c)(8),(b)
   Epilepsy  MED.B.065 (b) and (c)
   EEG abnormalities (clinical)  MED.B.065 (c)(3)
   Head injury  MED.B.065 (c)(6)
   Neurological disease  MED.B.065 (c)(4)
   Parkinson's disease  MED.B.065 (c)(4)
   Spinal/peripheral nerve injury  MED.B.065 (c)(8)
   Stroke/TIA/TGA  MED.B.065 (c)(5)
   

   Neurology - GM  MED.B.065
   Dementia/cognitive impairment  MED.B.065 (c)(8),(b)
   Epilepsy  MED.B.065 (b) and (c)
   EEG abnormalities (clinical)  MED.B.065 (c)(3)
   Head injury  MED.B.065 (c)(6)
   Neurological disease  MED.B.065 (c)(4)
   Parkinson's disease  MED.B.065 (c)(4)
   Spinal/peripheral nerve injury  MED.B.065 (c)(8)
   Stroke/TIA/TGA  MED.B.065 (c)(5)
OncologyOncology

   Oncology - GM  MED.B.090

   Oncology - GM  MED.B.090

Obstetrics & GynaecologyObstetrics & Gynaecology

   Gynaecological surgery  MED.B.045 (b)
   Obstetrics & Gynaecology - GM  MED.B.045
   Pregnancy  MED.B.045 (c)

   Gynaecological surgery  MED.B.045 (b) 
   Obstetrics & Gynaecology - GM  MED.B.045
   Pregnancy  MED.B.045 (c)

Otorhinolaryngology (ENT)Otorhinolaryngology (ENT)

   Ear conditions  MED.B.080 (d)
   Hearing  MED.B.080 (c)
   Otorhinolaryngology - GM  MED.B.080 
   Vestibular disturbance  MED.B.080 (d)(3)

   Ear conditions  MED.B.080 (d)
   Hearing  MED.B.080 (c)
   Otorhinolaryngology - GM  MED.B.080
   Vestibular disturbance  MED.B.080 (d)(3)

PsychiatryPsychiatry
   Alcohol/substance misuse  MED.B.055 (b)   
   Psychiatry - GM  MED.B.055
   Psychiatric disorders  MED.B.055 (c) 
   Alcohol/substance misuse  MED.B.055 (b)  
   Psychiatry - GM  MED.B.055
   Psychiatric disorders  MED.B.055 (c)
PsychologyPsychology

   Psychological - GM  MED.B.060  

 

   Psychological - GM   MED.B.060
Respiratory Respiratory
   Asthma  MED.B.015 (d)(1)
   Pneumothorax  MED.B.015 (d)(4)
   Respiratory - GM  MED.B.015
   Sarcoidosis  MED.B.015 (d)(3)
   Sleep apnoea syndrome  MED.B.015 (d)(5)
   Spirometry testing  MED.B.015 (a),(b),(c)    

   Asthma  MED.B.015 (d)(1)
   Pneumothorax  MED.B.015 (d)(4)
   Respiratory - GM  MED.B.015
   Sarcoidosis  MED.B.015 (d)(3)
   Sleep apnoea syndrome  MED.B.015 (d)(5)
   Spirometry testing  MED.B.015 (a),(b),(c)   

VisualVisual

   Colour vision - GM  MED.B.075
   Comprehensive eye examination  MED.B.070 (b)
   Correcting lenses  MED.B.070 (j)
   Eye examination  MED.B070 (b)
   Eye surgery  MED.B.070 (f)
   Refractive Error  MED.B.070 (b)
   Routine eye examination  MED.B.070 (b)
   Sub-standard vision  MED.B.070 (c)(3)
   Visual acuity  MED.B.070 (c)(1)
   Visual System GM  MED.B.070

   Colour vision - GM  MED.B.075
   Correcting lenses  MED.B.070 (j)
   Eye examination  MED.B.070 (b)
   Eye surgery  MED.B.070 (f)
   Refractive error  MED.B.070 (b)
   Routine eye examination  MED.B.070 (b)
   Sub-standard vision  MED.B.070 (c)(3)
   Visual acuity  MED.B.070 (c)(2)
   Visual System GM  MED.B.070