I/51andadk8GL.jpg' alt='Certified Reliability Engineer Handbook Second Edition' title='Certified Reliability Engineer Handbook Second Edition' />TP 1.Handbook for Civil Aviation Medical Examiners.Table of Contents.Foreword. Civil Aviation Medical Standards The history of medical standards in civil aviation dates back to just after World War I when the International Commission on Air Navigation ICAN was established following the Paris Air Convention of 1.This organization was set up to establish rules and regulations for the safe conduct of civil aviation.ICAN established a medical subcommission which set about producing the first ever medical standards for civil aircrew which were extremely strict.In 1. 94. 4, towards the end of World War II, the International Civil Aviation Organization ICAO, an agency of the United Nations, was formed to carry on the work of ICAN, which had ceased to exist during World War II.Over the years, the international standards and those of Canada have become more liberal to the point now that the majority of the population over the age of 1.In Canada, the regulations pertaining to medical requirements are contained in Part 4.A Certified Quality Engineer understands the principles of product service quality evaluation control.Become an ASQ full member to get up to 150 off.Canadian Aviation Regulations CARs while the actual medical standards are in Part 4.Canadian Aviation Regulations.Both Part 4. 04 and Part 4.Certified Reliability Engineer Handbook Second Edition' title='Certified Reliability Engineer Handbook Second Edition' />Handbook.CAR 4. 24. Civil Aviation Medicine Branch to exercise flexibility in medical certification of pilots and air traffic controllers who technically do not meet the standard, but for whom accredited medical conclusion is such that the failure to meet the standard is such that the exercise of the privilege of the licence is not likely to affect air safety.Over the years, guidelines have been produced in the major areas which cause problems with aeromedical certification, namely neurology, cardiology and diabetes.A copy of these guidelines is available in this Handbook.In your role as a Civil Aviation Medical Examiner CAME, you are usually the only person who physically examines the pilot or ATC and makes a recommendation for medical certification.If youre still using the offices water cooler to judge your offices morale, you might need an upgrade.Sometimes keeping track of how you feel can be as.You are therefore the most important link in the chain of safety in the medical certification process.While performing your CAME function, you are acting as an agent of the Minister of Transport, so Transport Canada will indemnify you for any litigation that may come from your aviation medical examination activity which is conducted in good faith.Recent changes in the medical certification process, and delegation of validation authority to the examiner have not resulted in increasing the exposure to litigation, and will therefore not result in increases to malpractice insurance premiums for CAMEs.Accompanying this book is a video outlining the changes that have taken place in the medical certification process, and showing you how to complete the Medical Examination Report form 2.The medical handbook part of this document is not a text on aviation medicine, it is merely an introduction to the subject and covers the basic facts that you must have to understand the medical problems associated with flight.It will help you deal with many of the questions you may be asked and hopefully will encourage you to furtherstudy the subject.More detailed information on the subject of aviation medicine can be obtained from the following books Aviation Medicine J.Ernsting, A. Nicholson and D.Rainford, Third Edition 1.Butterworth Heinemann.Fundamentals of Aerospace Medicine R.De. Hart and J. Davis, Third Edition 2.Williams and Wilkins.Clinical Aviation Medicine R.Raymond, Third Edition 2.Castle Connolly Graduate Medical Publishing, LLC. Thomas Erl Books Free Download . Civil Aviation Medicine Branch has developed an Internet website which will be used more and more for the dissemination of information between the Branch and CAMEs.Those of you who have Internet access are welcome to browse the website and submit your comments.The address is http www.Section 1. The Civil Aviation Medicine CAM Branch is one of several branches of the Directorate General of Civil Aviation in Transport Canada.The Director of Civil Aviation Medicine reports to the Director General of Civil Aviation.CAM Headquarters.CAM Headquarters is located in the Transport Canada Building, 3.Sparks Street, Tower C, Place de Ville, Ottawa, K1.A 0. N8. The mandate of CAM is to provide medical advice and assistance in setting out physical standards for Civil Aviation personnel to advise in all problems connected with the health of travellers by air.The mission is to ensure aircrew and air traffic controllers are medically fit, to close gaps in scientific knowledge of Canadian aviation medicine, to promote health and safety in the field of aviation and to prevent aircraft accidents due to medically related human factors.Regional Offices.There are currently four Regional offices across Canada located in Montreal, Toronto, Edmonton, and Vancouver.The Edmonton, Toronto, and Montreal offices are under the direction of a Regional Aviation Medical Officer RAMO while the office in Vancouver is staffed by an Aviation Medical Officer.The RAMOs are responsible for the selection and training of CAMEs, for reviewing the medical examination reports of pilots, flight engineers, and air traffic controllers, and for approving an appropriate medical category for aviation personnel.CAM does not issue licences, it issues Medical Certificates MCs.Licensing is a responsibility of Transport Canada, General Aviation.As a CAME, you may now renew MCs, for the full validity period, of licensed aviation personnel for renewal medical examinations only.Initial medical reports, category upgrades and removal or addition of restrictions to a MC must be sent to the RAMO for assessment.Figure 1 Transport Canada Regions.Licensing. All pilots, flight engineers, and air traffic controllers must be licensed by Transport Canada, General Aviation Branch.After completing such requirements as flight training, written examinations, and flight tests, an applicant is granted a licence by the department.Licences do not have a validity period, but must be validated by a current MC which has a limited duration.There are four medical categories shown on the medical certificate, each of which validates a different type of licence.The types, the required medical categories and the validity periods of the licences are shown in the Medical Examination Requirements Table.Figure 2. Civil Aviation Medical Examiners CAMEs.CAMEs are appointed on the basis of need, by the RAMO or AMO on behalf of the Minister of Transport.Interested physicians apply to the CAM office in their region and are interviewed by the RAMO prior to appointment.If accepted as a designated CAME, they must await the receipt of the official letter of appointment before performing any aviation medical examinations.The letter of appointment will be sent together with a full CAME authority package, including this Handbook, a CAME numbered stamp and a wall certificate.All CAMEs who are newly appointed will be required toattend a training seminar at the earliest opportunity, and then no less than once every four years.Aviation medical examinations may only be carried out by a CAME.In the case of pilots residing overseas, the examination may be carried out by a medical examiner approved by the licensing authority of a contracting state of the International Civil Aviation Organization ICAO.Appointment of CAMEs in areas outside Canada is at the discretionof the Senior Consultant, Operations, Policy and Standards, of Civil Aviation Medicine Branch or the Director of Civil Aviation Medicine.All CAME appointments are valid for a period of four years, renewable upon the recommendation of the RAMO.Re appointment will depend on the quality and timeliness of reports, demonstrated continuing interest in aviation medicine, and feedback from the aviation community.There must also be a continuing requirement for services in the CAMEs designated geographic area.Termination of Appointments.It is rare for a CAME appointment to be terminated.If there are significant problems with the quality of the medical information being submitted, the RAMO will contact the CAME and take whatever remedial action is necessary to assist in solving the problem.Appointments may be terminated for any of the following reasons.Frequent or continual low quality professional performance.Failure to provide reasonably prompt service.Unethical conduct.Loss or suspension of medical licence.Prolonged inability to provide service due to ill health or disability.Change of geographic location.
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