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![Page 1: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/1.jpg)
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
![Page 2: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/2.jpg)
January 21, 2011 2Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Agenda
Yesterday
Today
Tomorrow
Questions
![Page 3: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/3.jpg)
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
![Page 4: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/4.jpg)
January 21, 2011 4Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Today
Aerospace Medical Certification– Medical review and appeals
– Case review and appeals
![Page 5: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/5.jpg)
January 21, 2011 5Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Aeromedical Certification
594,285 Pilots
378,048 applications received
33,628 special issuance applicants
![Page 6: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/6.jpg)
January 21, 2011 6Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
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
![Page 7: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/7.jpg)
January 21, 2011 7Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
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
![Page 8: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/8.jpg)
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
![Page 9: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/9.jpg)
January 21, 2011 9Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
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
![Page 10: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/10.jpg)
January 21, 2011 10Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Special Issuances - Eye as of May 31, 2011
Class 1 Class 2 Class 3 Total
Monocular 36 38 310 384
![Page 11: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/11.jpg)
January 21, 2011 11Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
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
![Page 12: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/12.jpg)
January 21, 2011 12Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
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
![Page 13: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/13.jpg)
January 21, 2011 13Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
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
![Page 14: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/14.jpg)
January 21, 2011 14Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Special Issuances - HIV as of May 31, 2011
Class 1 Class 2 Class 3 Total
HIV 40 4 32 76
![Page 15: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/15.jpg)
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
![Page 16: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/16.jpg)
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
![Page 17: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/17.jpg)
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
![Page 18: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/18.jpg)
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
![Page 19: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/19.jpg)
January 21, 2011 19Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Today
Aerospace human factors research– Flight deck human factors research
– National Airspace human factors research
![Page 20: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/20.jpg)
January 21, 2011 20Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Today
Aerospace medical research– Bioaeronautical sciences research
– Aeromedical protection survival
![Page 21: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/21.jpg)
January 21, 2011 21Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Today
Industry drug abatement– Field operations
– Special investigations
![Page 22: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/22.jpg)
January 21, 2011 22Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
The FutureThe Future
![Page 23: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/23.jpg)
January 21, 2011 23Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Flying in space is not like taking
a roller coaster ride
Flying in space is not like taking
a roller coaster ride
![Page 24: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/24.jpg)
January 21, 2011 24Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
![Page 25: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/25.jpg)
January 21, 2011 25Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Safety Management System (SMS)
Safety Policy
Safety Risk management
Safety Assurance
Safety Promotion
![Page 26: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/26.jpg)
January 21, 2011 26Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
- In the Office
![Page 27: Presented to: Aviation Accreditation Board International, Norman, Oklahoma By: Frederick E. Tilton, M.D. Federal Air Surgeon Date: Thursday, July 14, 2011.](https://reader036.fdocuments.us/reader036/viewer/2022062422/56649ef25503460f94c03b5a/html5/thumbnails/27.jpg)
January 21, 2011 27Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
Aerospace Medicine
2031
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January 21, 2011 28Federal AviationAdministration
Office of Aerospace Medicine
July 14, 2011
QUESTIONS?