|Primary Legislation:||Civil Aviation Act s27G(1)|
|Secondary Legislation:||CAR Part 67.57, 67.67, 67.103, 67.105 and 67.107|
|Use by:||Medical Examiner conducting examination and Medical Examiner conducting the assessment.|
The Act states that the Director may issue General Directions in relation to:
General Directions (GDs) are items of legislation and as such must be adhered to. A brief description of some of the GDs is offered below:
This GD prescribes the timing of routine examinations. An important feature of this GD is the series of tables that detail the examination requirements needed to issue a certificate and includes examples. Here are some examples.
A 43 years old applicant applies for the first time for a Class 2 certificate.
The requirements are those for an initial general medical examination as demonstrated in the first line of the table 'Class 2 medical certificate'.
Thus the applicant will need to undergo, as per the first medical examination requirements:
12 lead ECG, Cardio-vascular risk estimation - only if note 1 applies, blood lipids estimation and blood sugar estimation, a chest X-ray - only if note 2 applies, Spirometry, Audiometry - refer to note 3, and Colour vision testing.
The same applicant presents again at age 45 for a subsequent examination for re-issue of his Class 2 medical certificate.
One needs to look at the relevant age. This is the current age of 45 plus the age(s) in between the age of 43 (when he had his last examination) and the current age of 45. In this instance the ‘in between age’ is 44.
Thus the applicant needs: 12-lead ECG, Cardio-vascular risk estimation, blood lipids estimation and blood sugar estimation and Audiometry – refer to note 3.
An applicant aged 65 presents for a subsequent Class 1 examination. His last examination was at age 64. The examinations required under the GD 'timetable for routine examinations” are:
The examinations required under the current age of 65: Nil.
If the last examination had instead occurred at age 63, there would be an age in between the current age of 65 and the age at the time of the last examination. The examinations required at age 64 would have to be completed.
Note: The previous Medical Assessment Report (MAR) should indicate the date of the last routine examination undertaken. The ME should check this previous MAR to ensure that the compulsory investigations had been carried out when due.
This GD prescribes how to conduct, interpret and report a number of examinations as well as their validity periods. MEs should become familiar with this GD, which is by and large self-explanatory.
These GDs prescribe which examination(s) or investigation(s) are to be conducted in relation to certain medical conditions and give directions in regard to the assessment of these conditions.
There are currently no clinical GDs.
This GD describes changes in medical condition that do not need reporting to the Director – refer to Change in medical condition / suspension process for explanation on 'change in medical condition' reporting obligations.
The GDs prescribe: