Medical guidance material updates

This section provides access to bulletins that are issued periodically by the Civil Aviation Authority (CAA) to notify changes to medical guidance material used in the assessment and certification of professional flight crew, private pilots, air traffic controllers and cabin crew.

Cardiology

Issue number	Issue date	Subject	Page
2	16/05/2022	Brugada flow chart	Brugada flow chart
		CAD post event – Class 1, 2	Coronary artery disease
7	01/08/2022	Aortic stenosis	Aortic valve stenosis fc
		Extended cardiovascular assessments	Cardiovascular system general
16	28/12/2022	Exercise ECG test protocol	Exercise ECG test protocol
		Investigation of ECG abnormalities table	ECG abnormalities table
25	05/09/2023	Specification for hypertension reports	Hypertension reports
		Specification for cardiology reports	Cardiology reports
26	06/10/2023	ECG MED 108	MED108: UK CAA resting ECG report
27	26/10/2023	Hypertension flow chart	Class 1/2 certification - hypertension
28	13/11/2023	Neurocardiogenic syncope	Neurocardiogenic syncope flow chart

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Dermatology

Issue number	Issue date	Subject	Page
5	09/06/2022	Ustekinumab in psoriasis	Guidance for ustekinumab
11	05/10/2022	Isotretinoin policy	Isotretinoin policy

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Gastrointestinal

Issue number	Issue date	Subject	Page
25	05/09/2023	Gastroenteritis health promotion	Gastroenteritis guidance
26	06/10/2023	Specification for general medical reports	General medical reports

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Genitourinary

Issue number	Issue date	Subject	Page
21	31/05/2023	Fitness decision following kidney donation	Genitourinary guidance material

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Haematology

Issue number	Issue date	Subject	Page
1	27/04/2022	Blood donation	Haematology guidance material (GM)
32	08/05/2024	Haematology guidance material	Haematology guidance material (GM)

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Infectious disease

Issue number	Issue date	Subject	Page
6	20/06/2022	Applicants and certificate holders with a positive HIV test	HIV guidance material (GM)
9	31/08/2022	Specification for HIV reports	HIV medical reports
32	08/05/2024	Infectious respiratory illness	Infectious respiratory illness

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Mental health

Issue number	Issue date	Subject	Page
11	05/10/2022	Fear of flying	Mental health guidance material (GM)
14	26/10/2022	Specification for psychiatric reports	Psychiatric reports
		Depression and related disorders	Flow chart for depression and related disorders
21	31/05/2023	Cannabidiol (CBD) products	Mental Health Guidance Material
23	19/06/2023	Mental health checklist	Mental health checklist
29	29/12/2023	Medical flight test report (B) – Performance-affecting medication	MFT (B) Performance -affecting medication

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Metabolic and endocrinology

Issue number	Issue date	Subject	Page
15	09/11/2022	Obesity information sheet	Obesity information sheet
18	22/02/2023	Medical certification of pilots and air traffic controllers (ATCOs) with diabetes	Certification of pilots and ATCOs with diabetes
		Diabetes briefing sheet for certificate holders treated with potentially hypoglycaemic medication	Diabetes Briefing Sheet
24	21/06/2023	Protocol for pilots treated with insulin and / or potentially hypoglycaemic medication	UK ARA MED 330
29	29/12/2023	Medical flight test report (F) - Diabetes	MFT (F) Diabetes
31	11/04/2024	GLP-1 agonists for obesity	Metabolic and endocrinology guidance material

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Musculoskeletal

Issue number	Issue date	Subject	Page
9	31/08/2022	Guidance for the assessment of prosthetic limbs	limb prosthesis-assessment form
26	06/10/23	Musculoskeletal medical reports	Musculoskeletal medical reports
29	29/12/2023	Medical flight test report (A) – General including musculoskeletal	MFT (A) General including musculoskeletal
		Medical flight test report (E) – Limb prosthesis assessment	MFT (E) Limb prosthesis assessment
30	27/02/2024	Guidance for hydroxychloroquine	Guidance on hydroxychloroquine

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Neurology

Issue number	Issue date	Subject	Page
22	02/06/2023	Epilepsy	Neurology guidance material (GM)
		Parkinson’s disease	Neurology guidance material (GM)
		Cerebral amyloid angiopathy and transient focal neurological episodes	Neurology guidance material (GM)
25	05/09/2023	Head injury guidance	Head injury certification guidance
26	06/10/2023	Specification for head injury medical reports	Head injury medical reports
27	26/10/2023	Specification for migraine reports	Migraine reports
28	13/11/2023	Neurocardiogenic syncope	Neurocardiogenic syncope flow chart

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Obstetrics and gynaecology

Issue number	Issue date	Subject	Page
8	16/08/2022	In vitro fertilisation	Obstetrics and gynaecology guidance material (GM)
12	06/10/2022	Pregnancy information sheet	Pregnancy information sheet
		Hormone replacement therapy	Obstetrics and gynaecology guidance material (GM)

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Oncology

Currently no information.

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Otorhinolaryngology

Issue number	Issue date	Subject	Page
26	06/10/2023	Specification for ENT medical reports	ENT Medical reports

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Respiratory

Issue number	Issue date	Subject	Page
28	13/11/2023	Allergy flow chart	Allergy flow chart

Close Respiratory

Visual

Issue number	Issue date	Subject	Page
13	10/10/2022	Guidance following eye surgery	Guidance following eye surgery
17	15/02/2023	Retinal arterial disorders and retinal vein occlusion	Retinal arterial disorders
			Retinal vein occlusion - RVO
19	06/03/2024	Comprehensive ophthalmology examinations	Comprehensive Ophthalmology Examination Report Form MED 162
20	10/05/2023	Reading glasses for presbyopic correction	Reading glasses for presbyopic correction
		Spectacle frame and lens choice	Spectacle frame and lens choice
		Use of sunglasses for pilots	Use of sunglasses for pilots
		Guidance on the use of contact lenses	Guidance on the use of contact lenses
23	19/06/2023	Vision limitation codes	Vision limitation codes
25	05/09/2023	Vision guidance material	Visual system guidance material
		Visual acuity conversion	Visual conversion chart
26	06/10/2023	Specification for ophthalmic reports	Ophthalmic reports
29	29/12/2023	Medical fight test report (C) – Substandard vision	MFT (C) Substandard vision
30	27/02/2024	Refractive surgeries – additional requirements	Guidance following eye surgery
		Arterial vascular disease	Retinal arterial disorders
31	11/04/2024	Substandard vision flow chart	Substandard vision flow chart
32	08/05/2024	Cataract surgery	Guidance following eye surgery
		MED 162 extended guide for AMEs	MED 162 AME guide

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Aeromedical Examiner (AME) and Certification

Issue number	Issue date	Subject	Page
3	24/05/2022	Alignment of tests	Alignment of investigations and tests
15	09/11/2022	Medical certificate limitation codes	Medical certification limitation codes
27	26/10/2024	Guide to medical certification	Overview
31	27/02/2024	Procedure for a secondary review	Secondary review procedure
32	08/05/2024	AME facilities form	Guidance on AME certification

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Air Traffic Controller (ATCO)

Issue number	Issue date	Subject	Page
8	16/08/2022	ATCO (Class 3) forms	Medical simulator test report forms Functional test report

Issue number

Issue date

Subject

Page

16/08/2022

ATCO (Class 3) forms

Medical simulator test report forms

Functional test report

Close Air Traffic Controller (ATCO)

Cabin crew

Issue number	Issue date	Subject	Page
2	16/05/2022	Medical requirements for undertaking cabin crew duties	Medical requirements for undertaking cabin crew duties
4	26/05/2022	Verification of cabin crew medical reports	Medical examiners database search
8	16/08/2022	Cabin crew appeals process	Secondary and final medical review- cabin crew

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Miscellaneous

Issue number	Issue date	Subject	Page
11	05/10/2022	Health promotion page	Health promotion
17	15/02/2023	UK regulations and AMC	Aircrew
			ATCO Licensing Regulation
21	31/05/2023	Fitness to fly following trauma	Surgical conditions
23	19/06/2023	Health promotion resource	Health promotion in aviation

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News from UK Civil Aviation Authority

Selina Chadha Appointed Group Director for Consumers & Markets at UK Civil Aviation Authority
- Published on: 23 May 2024
- Category: News Item
SaxaVord Spaceport granted range licence by Civil Aviation Authority
- Published on: 25 April 2024
- Category: News Item
Range control licences: Giving space space
- Published on: 25 April 2024
- Category: Blog Post

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