183.ac.1 In relation to the above curriculum, the following
reference material is utilized
(a)
ICAO
Annex 1, as amended.
(b)
ICAO
Annex 13, as amended.
(c)
ICAO
Manual of Civil Aviation Medicine (Doc 8984) ICAO Manual of Aircraft Accident
Investigation (Doc 6920)
(d)
A
standard textbook in aviation medicine
The following
program could be conducted in one week at a very intensive pace. On several occasions, it has been used as a
two-week training program.
(a) Introduction; course organization and curriculum:
(1) Human factors in the aviation system; responsibility of the designated medical examiner in air safety;
(2) Aviation
medicine: history and evolution;
(3) International
and national regulations: Chicago Convention - Annex 1; and
(4) ICAO Manual
of Civil Aviation Medicine: origin, objectives and contents.
(b)Medical requirements:
Basic principles in the assessment
of fitness for aviation duties:
(1) General medical requirements;
(2) Physical and mental requirements for licenses;
(3) Visual requirements for licenses;
(4) Color perception requirements for licenses;
(5) Hearing requirements for licenses;
(6) Aviation physiology; basic principles;
(7) Operational and environmental conditions;
(8) Barometric pressure; hypoxia: hypobaria;
decompression, pressurization;
(9) Accelerations; basic principles: effects on
human beings; and
(10) Respiratory system; Annex I requirements; assessment of applicants with respiratory problems; lung infections; tuberculosis; post-surgical conditions; asthma and its treatment.
(c) Cardiovascular system; basic principles of
cardiovascular physiology:
(1)
Relation to aviation duties: risk of sudden
incapacitation;
(2)
Examination procedures: laboratory and special
examinations;
(3)
Specific cardiovascular conditions: hypertension and
its treatment;
(4)
Ischemic heart disease: ECG findings;
(5)
Angina pectoris;
(6)
Assessment of satisfactory recovery from myocardial
infarction;
(7)
Cardiomyopathies: pericarditis; rheumatic heart
disease;
(8)
Arrhythmias; conduction defects; and
(9)
Congenital heart disease: post-surgical conditions.
(d) Digestive system; basic principles:
(1) Abdominal pain;
gastrointestinal and biliary post surgical conditions;
(2) Gastritis;
uncomplicated peptic ulcer and its treatment; complications: recurrence,
bleeding and perforations;
(3) Biliary tract
disorders;
(4) Pancreatitis;
(5) Irritable
colon; and
(6) Hernias.
(e) Endocrine diseases; hyperthyroidism;
hypothyroidism:
(1) Pituitary Disease: anterior pituitary; growth hormone. Posterior pituitary: diabetes insipidus; Addison's Disease: phaeochromocytoma;
(2) Diabetes mellitus: basic principles; definitions; aetiology; symptomatology;
(3) Diagnostic criteria;
(4) Glucose tolerance tests;
(5) Classification;
(6) Anti-diabetic therapy;
(7) Operational aspects in aviation;
(8) Licensing considerations; and
(9) Satisfactory control criteria for aviation duties.
(f) Hematology;
polycythaemia; anaemias, leukaemias; lymphomas:
(1) Platelet
disorders;
(2) Haemoglobinopathies;
geographical distribution; classification; sickling conditions; and
(3) Assessment of
medical fitness for aviation duties.
(g) Urinary
system; basic principles; risk of sudden incapacitation; urine findings;
haematuria; albuminoidal:
(1) Nephritis;
pyelonephritis; obstructive uropathies; and
(2) Tuberculosis. Lithia sis: single episode; recurrence;
post-surgical conditions.
(h) Gynecology-obstetrics;
basic principles; performance of aviation duties:
(1) Risk of sudden incapacitation;
(2) Menstrual disorders;
(3) Pregnancy and aviation duties;
and
(4) Abortion.
(i) Mental fitness and neurological disorders:
(1) Assessment
of mental fitness for aviation duties;
(2) Normal
mental development; psychological testing of intelligence and personality;
(3) Psychiatric
disorders in aviation personnel: neurosis; personality disorders; psychosis;
organic mental illness;
(4) Diseases of
the nervous system; inflammation; intoxication; vascular diseases; tumors; head
trauma; post-traumatic states; disturbance of consciousness; epilepsy; and
(5) Electro-encephalography in aviation medicine.
(j) Tropical
diseases; basic principles; general sanitation; diseases transmitted by
vectors; food and water-borne diseases; parasitic diseases. Hygiene and sanitation in relation to
aviation; prevention of spread of diseases; disinfections of aircraft;
vaccination; general health principles; food poisoning; incapacitation;
catering services; food, water.
(h) Oto-rhino-laryngology;
the external ear; the tympanic membrane; the middle ear. Post-surgical conditions. The vestibular
system; hearing assessment; audiometric; nose and Para-nasal sinuses;
pathological conditions; special testing on the ENT system.
(i) Ophthalmology;
examination techniques; visual acuity assessment; visual aids; visual fields;
ocular muscle balance; assessment of pathological eye conditions; glaucoma;
color vision.
(j) Cockpit crew
fatigue; flight duty time; flight time limitation; circadian rhythms. General health status; basic principles;
operational and environmental conditions.
(k) On-duty
incapacitation; Sudden; subtle; complete; partial; medical aspects; operational
aspects.
(l) Flexibility,
waivers; Consideration of knowledge, skill and experience; trained versus
untrained crews; medical flight test.
(m) Accident
investigation and prevention; The human factors aspect; the role of the medical
examiner; identification of the victims; determination of the causes,
circumstances and events.
(n)
Hazards of medication and drugs in aviation medicine.
(o)
General course revision; appraisal and evaluation.