Locations / Date

Hoofddorp, Netherlands

08 - 11 May 2017


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Training courses

NAA Inspectors Training Course - Aeromedical Reqs & Auditing


Standardization of interpretation and application of requirements is critical for aviation safety. Therefore, Standardization Teams conduct audits of National Aviation Authorities. Team Leaders and Team Members have to know and understand the relevant rules to carry out such audits. Furthermore, general principles of auditing have to be understood and to be applied. Whereas the latter is trained in the relevant auditing courses, the former has to be trained in a course specialized in aeromedical requirements. How auditing principles are to be applied in the context of the very special realm of aviation medicine deserves special attention.

All stakeholders are or will soon be required to apply the new medical standards for pilots - commercial and private ones. The same applies to cabin crew (from April 2014 on) and will apply to air traffic controllers soon as well.

Authorities, industry, aeromedical examiners and pilots will be faced and challenged with new medical requirements. Furthermore, general practitioners and occupational health practitioners will be authorized to examine a part of flight personnel as well. The requirements are basis for all those in aviation medicine throughout Europe. Expertise in aviation medicine and in the new provisions will be critical to operate correctly in the field of aviation medicine and contribute to aviation safety.

The background of the actual and future provisions, an outline of the underlying physiological and biological aspects of aviation medicine and associated disciplines is given. All relevant aspects of aviation medicine, human factors and operational aspects in licensing, administration and clinical work of licensing authorities, AeMCs and AMEs are covered in depth. Furthermore, the course provides the opportunity to fulfill the requirements for refresher training for AMEs and the training requirements for transition from other certification systems to those that are applicable now and in the future.

The course gives a comprehensive introduction into the requirements. Furthermore, a comprehensive introduction into the whole range of aviation medicine is given; “hot issues” of international aviation medicine will be discussed as well. A lot of clinical examples from practical aviation medicine will be presented and discussed by the participants.


  • Regulation (EC) 216/2008
  • Commission Regulation (EU) No 1178/2011, Annex IV Part-MED
  • Acceptable Means of Compliance (AMC) and Guidance Material (GM) to Part-MED
  • Commission Regulation (EU) No 290/2012 Annex V Part-CC, Annex VI Part-ARA, Annex VII Part-ORA
  • Acceptable Means of Compliance (AMC) and Guidance Material (GM) to Part-ARA
  • Acceptable Means of Compliance (AMC) and Guidance Material (GM) to Part-ORA
  • Commission Regulation (EU) No 628/2013

Course Content

Detailed Content/Topics:

Regulation (EC) 216/2008 of the European Parliament and of the Council of 20 February 2008 on common rules in the field of civil aviation and establishing a European Aviation Safety Agency, and repealing Council Directive 91/670/EEC, Regulation (EC) No 1592/2002 and Directive 2004/36/EC and its amendments.


  • Article 1 Scope
  • Article 3 Definitions
  • Article 4 Basic principles and applicability


  • Article 7 Pilots
  • Article 10 Oversight and enforcement


  • Section I: TASKS
    Article 21 Pilot certification
      Article 29 Staff
      Article 54 Inspections of Member States
      Article 55 Investigation of undertakings

Commission Implementing Regulation (EU) No 628/2013 of 28 June 2013 on working methods of the European Aviation Safety Agency for conducting standardisation inspections and for monitoring the application of the rules of Regulation (EC) No 216/2008 of the European Parliament and of the Council and repealing Commission Regulation (EC) No 736/2006.

Articles 1 to 27 will be addressed.

Commission Regulation (EU) No 1178/2011 of 3 November 2011 laying down technical requirements and administrative procedures related to civil aviation aircrew pursuant to Regulation (EC) No 216/2008 of the European Parliament and of the Council and its amendments.

All items as per the EASA AirCrew-Medical syllabus will be addressed with special focus on:

  • Introduction to Aviation Medicine, brief history of Aviation and Aviation Medicine
  • Basics of Aviation Medicine
  • International Regulations applicable to medical examinations
  • Introduction to Aviation Regulations in Europe
  • Regulatory Framework: Part-CC, Part-ARA, Part-ORA
  • Introduction to medical requirements
  • Harmonisation and Standardisation in Europe. Auditing in the context of aeromedical requirements
  • Medical requirements, Cardiology
  • Medical requirements, Ophthalmology
  • Other medical requirements
  • EASA Class 1 and Class 2 medical requirements
  • EASA medical requirements for cabin crew
  • EASA medical requirements for air traffic controllers
  • Discussing cases
  • Practical work: medical requirements and much more …

The following case studies will apply:

The principle is that certain medical problems in certain pilots are presented and the students have to apply the pertinent regulations in the assessment of these cases. The outcome is whether the applicants are fit to fly or not, and which regulations and provisions to apply. These cases are discussed with the audience. Almost all regulations in the aeromedical chapter will be applied. The inspectors will have to know the procedures, because the national authorities have to audit this type of work done by the AMEs. The inspector´s job is to audit the national authorities in their surveillance function (unfortunately we cannot use “live” examples as any audit reports on CAA are confidential and therefore not accessible by our trainer). However, our trainer can draw from more than 50 clinical case presentations.

The case studies are consisting of an introduction of a medical problem (e.g. cerebrovascular aneurysm), the students have to find the right diagnosis and then to assess the aero-medical disposition. The potential risks for aviation safety in general and for a medical incapacitation in particular have to be discussed. The so-called 1 %-rule has to be applied (the potential risk is not meant to reach or exceed a probability of 1 % /annum). As a next step the relevant legal provisions have to be found and to be applied. Finally, the verdict fit or unfit for a certain class of medical certificates has to be found. The principle is a format well-known by aero-medical specialists summarised in the expression "Would you fly with this pilot?" As the basic and important role for aeromedical certification is to find the correct verdict after analysis of such problems the medical assessors have to audit those deciding. The future inspectors in turn have to audit the medical assessors in their critical role to supervise the aeromedical specialists. The case studies include medical problems like:

cerebral aneurysm, arteriovenous malformation, neurocysticercosis with epilepsy, closed and open head injury, vertigo, benign paroxysmal positional vertigo, acute and chronic mitral regurgitation, WPW syndrome, syncope, epilepsy, LOC, sudden cardiac death, atrial fibrillation, right bundle branch block, left bundle branch block, Morbus Still, perimyocarditis, limb prosthesis, mesenchymoma of liver with bone metastasis, Guillain Barré Syndrome, hyperparathyreoidism, kidney stones, AV dissociation, stenosis of papilla vateri and pancreatitis, migraine, stroke, decompression sickness, myocardial infarct, neurinoma of acoustic nerve, dyslipoproteinemia, ventricular tachycardis, arachnoidal cyst, malignant teratoma, sinus arrest, pacemaker, cerebral embolism, pertinent formane ovale, chronic inflammatory bowel disease and many more.

Learning Objectives

  • Understanding the important and critical role of Standardisation for aviation safety
  • Understanding how auditing principles can be applied in auditing aeromedical institutions
  • Understanding the medical and scientific background of the current aeromedical requirements and the principle of risk assessment as a basic concept of aviation and aviation medicine to achieve the overall goal of aviation safety.
  • Understanding the factual background of the various roles in the system of aero-medical certification and the own role in the meshwork of aviation safety.
  • Realising that aeromedical requirements are a "living book" and understanding the significant change in rulemaking and aero-medical certification in a period of transition from JAA to EASA.

Who should take this course

  • Agents of EASA and NAAs tasked with auditing institutions tasked with the application of aeromedical requirements
  • Agents of EASA and NAAs tasked with aviation medicine and aeromedical requirements in general
  • Representatives from both Industry and Authority, with an emphasis on Aviation Medicine:
  • Aeromedical Sections/Licensing Authority/Competent Authority, Aeromedical Centres and Aeromedical Examiners
  • AMEs trained outside JAA / before implementation of JAR-FCL 3 / EASA Implementing Rules
  • Medical and other staff of airlines dealing with medical implications on Operations and Licensing
  • Stakeholders and other Organisations involved in Aviation Medicine and Licensing activities
  • Individual holders of pilots licences and ratings with a medical background interested in aviation medicine as a fascinating medical speciality
  • Physicians interested in aviation and aviation medicine
  • General practitioners planning to issue medical certificates for the future Light Aircraft Pilot License (LAPL) have to be trained in aviation medicine
  • Occupational health


Interest in aviation medicine and aviation. Basic (and advanced) training in aviation medicine is a good basis, but the course is feasible for beginners in aviation medicine to get started with a deep insight into the world of aviation medicine as well.

Attendees are requested to bring their laptop to the course and to be familiarized with the Basic Regulation and the Commission Implementing Regulation EU 628/2013

An optional JAA TO examination (EUR 30,-) is available for this course. Candidates who pass a JAA TO Examination, receive an ECAC/JAA TO Certificate of Accomplishment.

Please note that registrations for examinations will be done during the training course in consultant with the trainer.


4 days, starting at 9:30 and ending at 17:00 on all days.