Part 67: Appendix A – Medical Examiner Competencies

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Competencies required to be demonstrated for issue of medical examiner certificate

To be eligible for the issue of a medical examiner certificate, an applicant must, in addition to satisfying other general requirements, demonstrate competence in performing the functions of a medical examiner. The functions are established in the Civil Aviation Act 2023. There are four generic competence categories: identification, assessment, management, and audit/review.

Notes:

For the holders of Medical Examiner 2 Certificates, the competencies relate to the conduct of examinations for the purpose of issuing a Class 2 medical certificate.
For the holders of Medical Examiner 1 Certificates, the competencies relate to the conduct of examinations for the purpose of issuing a Class 1, 2 or 3 medical certificate.
The competencies are set at 3 levels as follows:
- awareness - theoretical knowledge of the subject only
- practised - actual practical experience such that the person could operate under supervision
- expert - the person can operate without supervision and could supervise others.

The table below describes each competency and lists the competency level required of the holders of Medical Examiner 1 Certificates and Medical Examiner 2 Certificates.

Description of Competencies	Level of Competency for	Level of Competency for
Identification	ME 1	ME 2
1 Apply clinical skills to accurately diagnose and evaluate conditions and situations that have the potential to interact adversely with the aviation environment by utilising: Clinical history taking: Physical and mental examination: Further investigations or consultant reviews (whether performed or arranged by medical examiner): Diagnostic skills: Liaison with colleagues, other health professionals, and other organisations.	Expert	Expert
2 Identify aspects of an applicant’s medical condition or situation that may cause the applicant to interact adversely with the aviation environment.	Expert	Practised
3 Identify the competing or conflicting interests inherent in regulatory medical practice.	Practised	Practised
4 Access additional information, such as journals, scientific research, internet resources, colleagues, and specialist advisors, to support the assessment of an applicant’s suitability and safety to operate in an aviation environment.	Practised	Practised
Assessment
5 Employ evidence-based medical principles and processes in determining and analysing the suitability and safety of an applicant to operate within the aviation environment.	Expert	Practised
6 Employ evidence-based medical principles and processes in determining and analysing the suitability and safety of an applicant to operate within the aviation environment.	Practised	Practised
7 Critically analyse and utilise additional information, such as journals, scientific research, internet resources, colleagues, and specialist advisors, to support the assessment of an applicant’s suitability and safety to operate in an aviation environment.	Practised	Practised
Management
8 Assessing the risk related to an applicant operating in the aviation environment by applying the necessary standards, methodologies, and processes.	Expert	Expert
9 Manage conflicting or competing interests in a manner that does not compromise aviation safety or the quality of clinical decision-making.	Expert	Practised
10 Effectively communicate: Risk assessment determinations and considerations to applicants, the CAA, colleagues, and other organisations Information concerning the relevant legislation and regulations to applicants With colleagues, consultants, and others as necessary for the purposes of obtaining additional information, advice, and guidance concerning regulatory risk management decisions.	Expert	Expert
11 Manage practice administration and record keeping systems so that: Regulatory risk assessment and risk management decisions and actions are reliably and thoroughly documented Regulatory risk assessment and risk management decisions can be effectively and unambiguously communicated Regulatory risk assessment and risk management decisions and actions are easily retrievable over time.	Expert	Expert
Review / audit
12 Be a constructive participant in monitoring, review, and audit activities through: Taking an active involvement in review processes Appreciating and accepting review findings and outcomes Implementing review recommendations.	Practised	Practised

Subpart F