This guide is provided as a ‘quick reference’ to assist Office of Aviation Medicine (AAM) personnel in evaluating some of the most commonly occurring medical conditions found among individuals requesting airman medical certification under 14 CFR part 67 or Air Traffic Control Specialist (ATCS) medical clearance under FAA Order 3930.3 series. The contents of this guide are not considered all-inclusive or directive AAM policy and are always considered provisional.  Because science and the practice of medicine are continually evolving, the contents of this guide undergo planned, continuous periodic reviews and updates to reflect scientific advances, generally accepted standards of care, and to meet statutory requirements (e.g., the 2024 FAA Reauthorization Act).  All cases must undergo an individualized and particularized assessment.

This guide has been developed as a training aid and basic process reference for Legal Instrument Examiners (LIEs) at the Aeromedical Certification Division (AMCD), Program Analysts (PAs) in the regions, and AAM medical officers.  It is also a foundational tool for training Aviation Medical Examiner designees (AMEs). 

The ultimate intent of this guide is to promote consistency and standardization in the medical and mental health documentation and correspondences required for timely and efficient processing of medical certification and clearance applications. The guide also clarifies the roles and responsibilities of AMEs, LIEs, PAs, and medical officers and aims to ensure due process for pilots and ATCSs.

DISCLAIMER

The OneGuide is a quick reference for AAM personnel involved in the medical certification and clearance processes. AAM personnel should not solely rely on this guide in making determinations, which must include an individualized assessment based on generally accepted up-to-date medical practices. The contents of the OneGuide do not constitute medical advice and should not be used for purposes of diagnosis or treatment.