Medically Disqualified Airline Pilots

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Medically Disqualified Airline Pilots

S. J. Dark

This study presents comprehensive data reflecting pertinent denial rates regarding the medical and general attributes of those airline pilots denied medical certification in calendar years 1983 and 1984. The overall annual denial rate of this group is 4.7 per 1,000 active airline pilots. Age-specific denial rates for airline pilots increase to the highest rate at age interval 55-59. The most significant causes for denial are cardiovascular, neuropsychiatric, and the miscellaneous category. The importance of these causes for denial, particularly above age 45, is again recognized. Denials for cardiovascular reasons account for 33% of all denials in this airline pilot group. Reasons/causes for denial and age-specific denial rates are changing. Denial rates of older pilots have decreased while rates for younger pilots have increased when compared with previous studies' rates. This could be attributed to changes in the interpretation of FAA regulations, certification policies, and pilots' concepts and concerns regarding the economic status of their employer. On the basis of these and previous findings, pilots should be educated to report history or symptoms of any disease during their periodic medical certification examinations.