title-14-part-68-sec68-7

642

14 CFR Ch. I (1–1–24 Edition)

§ 68.5

(1) Educate pilots on conducting med-

ical self-assessments;

(2) Advise pilots on identifying warn-

ing signs of potential serious medical
conditions;

(3) Identify risk mitigation strategies

for medical conditions;

(4) Increase awareness of the impacts

of potentially impairing over-the-
counter and prescription drug medica-
tions;

(5) Encourage regular medical exami-

nations and consultations with pri-
mary care physicians;

(6) Inform pilots of the regulations

pertaining to the prohibition on oper-
ations during medical deficiency and
medically disqualifying conditions; and

(7) Provide the checklist developed

by the FAA in accordance with § 68.7.

(b) Upon successful completion of the

medical education course, the fol-
lowing items must be electronically
provided to the individual seeking to
act as pilot in command or serve as a
required flightcrew member under the
conditions and limitations of § 61.113(i)
of this chapter and transmitted to the
FAA—

(1) A certification of completion of

the medical education course, which
shall be retained in the individual’s
logbook and made available upon re-
quest, and shall contain the individ-
ual’s name, address, and airman certifi-
cate number;

(2) A release authorizing single ac-

cess to the National Driver Register
through a designated State Depart-
ment of Motor Vehicles to furnish to
the FAA information pertaining to the
individual’s driving record;

(3) A certification by the individual

that the individual is under the care
and treatment of a physician if the in-
dividual has been diagnosed with any
medical condition that may impact the
ability of the individual to fly, as re-
quired under § 61.23(c)(3) of this chap-
ter;

(4) A form that includes—
(i) The name, address, telephone

number, and airman certificate number
of the individual;

(ii) The name, address, telephone

number, and State medical license
number of the physician performing
the comprehensive medical examina-
tion;

(iii) The date of the comprehensive

medical examination; and

(iv) A certification by the individual

that the checklist described in § 68.7
was followed and signed by the physi-
cian during the medical examination
required by this section; and

(5) A statement, which shall be

signed by the individual certifying that
the individual understands the existing
prohibition on operations during med-
ical deficiency by stating: ‘‘I under-
stand that I cannot act as pilot in com-
mand, or any other capacity as a re-
quired flight crew member, if I know or
have reason to know of any medical
condition that would make me unable
to operate the aircraft in a safe man-
ner.’’.

[Docket FAA–2016–9157, Amdt. 68–1, 82 FR
3165, Jan. 11, 2017, as amended by Docket No.
FAA–2021–1040, Amdt. Nos. 61–152, 87 FR
71236, Nov. 22, 2022]

§ 68.5

Comprehensive medical exam-

ination.

(a) Prior to the medical examination

required by § 61.23(c)(3) of this chapter,
an individual must—

(1) Complete the individual’s section

of the checklist described in § 68.7; and

(2) Provide the completed checklist

to the State-licensed physician per-
forming the medical examination.

(b) The physician must—
(1) Conduct the medical examination

in accordance with the checklist set
forth in § 68.7,

(2) Check each item specified during

the examination; and

(3) Address, as medically appropriate,

every medical condition listed and any
medications the individual is taking.

§ 68.7

Comprehensive medical exam-

ination checklist.

The comprehensive medical examina-

tion required to conduct operations
under § 61.113(i) must include a check-
list containing the following:

(a) A section, for the individual to

complete that contains—

(1) Boxes 3 through 13 and boxes 16

through 19 of the FAA Form 8500–8 (3–
99); and

(2) A signature line for the individual

to affirm that—

(i) The answers provided by the indi-

vidual on that checklist, including the

VerDate Sep<11>2014

14:00 Mar 14, 2024

Jkt 262047

PO 00000

Frm 00652

Fmt 8010

Sfmt 8010

Q:\14\14V2.TXT

PC31

aworley on LAPBH6H6L3 with DISTILLER

643

Federal Aviation Administration, DOT

§ 68.9

individual’s answers regarding medical
history, are true and complete;

(ii) The individual understands that

he or she is prohibited under FAA regu-
lations from acting as pilot in com-
mand, or any other capacity as a re-
quired flight crew member, if he or she
knows or has reason to know of any
medical deficiency or medically dis-
qualifying condition that would make
the individual unable to operate the
aircraft in a safe manner; and

(iii) The individual is aware of the

regulations pertaining to the prohibi-
tion on operations during medical defi-
ciency and has no medically disquali-
fying conditions in accordance with ap-
plicable law;

(b) A section with instructions for

the individual to provide the completed
checklist to the State-licensed physi-
cian performing the comprehensive
medical examination required under
§ 68.5; and

complete, that instructs the physi-
cian—

(1) To perform a clinical examination

of—

(i) Head, face, neck, and scalp;
(ii) Nose, sinuses, mouth, and throat;
(iii) Ears, general (internal and ex-

ternal canals), and eardrums (perfora-
tion);

(iv) Eyes (general), ophthalmoscopic,

pupils (equality and reaction), and ocu-
lar motility (associated parallel move-
ment, nystagmus);

(v) Lungs and chest (not including

breast examination);

(vi) Heart (precordial activity,

rhythm, sounds, and murmurs);

(vii) Vascular system (pulse, ampli-

tude, and character, and arms, legs,
and others);

(viii) Abdomen and viscera (including

hernia);

(ix) Anus (not including digital ex-

amination);

(x) Skin;
(xi) G–U system (not including pelvic

examination);

(xii) Upper and lower extremities

(strength and range of motion);

(xiii) Spine and other musculo-

skeletal;

(xiv) Identifying body marks, scars,

and tattoos (size and location);

(xv) Lymphatics;

(xvi) Neurologic (tendon reflexes,

equilibrium, senses, cranial nerves, and
coordination, etc.);

(xvii) Psychiatric (appearance, be-

havior, mood, communication, and
memory);

(xviii) General systemic;
(xix) Hearing;
(xx) Vision (distant, near, and inter-

mediate vision, field of vision, color vi-
sion, and ocular alignment);

(xxi) Blood pressure and pulse; and
(xxii) Anything else the physician, in

his or her medical judgment, considers
necessary;

(2) To exercise medical discretion to

address, as medically appropriate, any
medical conditions identified, and to
exercise medical discretion in deter-
mining whether any medical tests are
warranted as part of the comprehensive
medical examination;

(3) To discuss all drugs the individual

reports taking (prescription and non-
prescription) and their potential to
interfere with the safe operation of an
aircraft or motor vehicle;

(4) To sign the checklist, stating: ‘‘I

certify that I discussed all items on
this checklist with the individual dur-
ing my examination, discussed any
medications the individual is taking
that could interfere with his or her
ability to safely operate an aircraft or
motor vehicle, and performed an exam-
ination that included all of the items
on this checklist. I certify that I am
not aware of any medical condition
that, as presently treated, could inter-
fere with the individual’s ability to
safely operate an aircraft.’’; and

(5) To provide the date the com-

prehensive medical examination was
completed, and the physician’s full
name, address, telephone number, and
State medical license number.