APPENDIX A

Requirements for Certification of Medical Examiners, Centers and Evaluators

183.aa.1 Medical evaluators

(a) Establishment: The ECASA will include within its authority one or more physicians experienced in the practice of aviation medicine. Such physicians shall either form part of the authority, or be duly empowered to act on behalf of the authority. In either case they shall be known as the medical evaluators.

(b) Medical confidentiality: Medical confidentiality shall be respected at all times. The authority will ensure that all oral or written reports and electronically stored information on medical matters of license holders/applicants are made available to a medical evaluator, in order to be used by the authority for completion of a medical assessment. The applicant shall have access to all such documentation in accordance with national law.

183.aa.3 Validity of medical evaluator authorization

Medical evaluators will be designated and authorized, or renewed, at the discretion of the authority for a period not exceeding 1 year.

183.aa.5 Authorized medical examiners (AMEs)

(a) Designation: The authority will designate and authorize medical examiners (AMEs), within its national boundaries, qualified and licensed in the practice of medicine. Physicians resident in foreign states wishing to become AMEs for the purpose of the Egyptian personnel licensing medical examinations may apply to the ECASA for an AME special authorization, such AMEs shall be restricted to carrying out standard periodic revalidation/renewal assessments and shall report to and be supervised by the authority of the ECASA.

(b) Number and location of examiners: The authority will determine the number and location of examiners it requires, taking account of the number and geographic distribution of its pilot population.

(c) Access to documentation: An AME, responsible for coordinating assessment results and signing reports, shall be allowed access to any prior aero medical documentation related to such examinations as that AME is to carry out.

183.aa.7 Training

AMEs shall be qualified and licensed in the practice of medicine and shall have received training in aviation medicine in an Approved Training Organization . They shall have practical knowledge and experience of the conditions in which the holders of licenses and ratings carry out their duties.

(a) Basic training in aviation medicine:

(1) Basic training for physicians responsible for the medical selection and surveillance of class 2 licensed personnel shall consist of a minimum of 60-hours of lectures including practical work (examination techniques);

(2) A final examination shall conclude the basic training course. A certificate will be awarded to the successful candidate; and

(3) Possession of a certificate of basic training in aviation medicine constitutes no legal right to be approved as an AME for class 2 examinations.

(b) Advanced training in aviation medicine:

(1) Advanced training in aviation medicine for physicians responsible for the medical examination and assessment and surveillance of class 1 licensed personnel should consist of a minimum of 120-hours of lectures (60 additional hours to basic training) and practical work, training attachments and visits to aero medical centers, clinics, research, ATS, simulator, airport and industrial facilities. Training attachments and visits may be spread over three years. Basic training in aviation medicine shall be a compulsory entry requirement;

(2) A final examination shall conclude this advanced training course in aviation medicine and a certificate shall be awarded to the successful candidate; and

(3) Possession of a certificate of advanced training in aviation medicine constitutes no legal right to be approved as an AME for class 1 or class 2 examinations by the ECASA.

(c) Refresher training in aviation medicine: During the period of authorization an AME is required to attend a minimum of 20 hours of approved refresher training. A minimum of 6 hours must be under the direct supervision of an AME.

(d) Standardized curriculum for AME training is outlined in appendix C.

(e) Authorization: An AME will be authorized for a period not exceeding three years. Authorization to perform medical examinations may be for class 1 or class 2 or both at the discretion of the authority. To maintain proficiency and retain authorization an AME should complete at least ten aero medical examinations each year. For re-authorization the AME shall have completed an adequate number of aero medical examinations to the satisfaction of the ECASA and shall also have undertaken relevant training during the period of authorization. Authorization is invalid after the AME reaches 70 years of age.

(f) Transitional arrangements: Authorized medical examiners (AMEs) appointed prior to 1 July 2000 will be required to attend training in the requirements and documentation of aviation medicine.

(g) Approval of an aviation medical center:

To authorize a medical center as an approved medical center (AMC) to conduct medical examinations on civil aviation personnel for the purpose of issuing licenses, an AMC shall be:

(1) Engaged in clinical aviation medicine and related activities;

(2) Headed by an authorized medical examiner (AME), responsible for coordinating assessment results and signing reports and certificates, and shall have on staff physicians with advanced training and experience in aviation medicine; and

(3) Equipped with medico-technical facilities for extensive aeromedical examinations.