ATCO.MED.C.001  Privileges

Regulation (EU) 2015/340

(a) In accordance with this Part, the privileges of an AME are to revalidate and renew class 3 medical certificates, and to conduct the relevant aero-medical examinations and assessments.

(b) The scope of the privileges of the AME, and any condition thereof, shall be specified in the certificate.

(c) Holders of an AME certificate shall not undertake aero-medical examinations and assessments in a Member State other than the Member State that issued their AME certificate, unless they have:

(1) been granted access by the host Member State to exercise their professional activities as a specialised doctor;

(2) informed the competent authority of the host Member State of their intention to conduct aero-medical examinations and assessments and to issue medical certificates within the scope of their privileges as AME; and

(3) received a briefing from the competent authority of the host Member State.

ATCO.MED.C.005  Application

Regulation (EU) 2015/340

(a) The application for an AME certificate shall be submitted in accordance with the procedure established by the competent authority.

(b) Applicants for an AME certificate shall provide the competent authority with:

(1) personal details and professional address;

(2) documentation demonstrating that they comply with the requirements established in ATCO.MED.C.010, including the certificate of completion of the training courses in aviation medicine appropriate to the privileges they apply for;

(3) a written declaration that the AME will issue medical certificates on the basis of the requirements of this Part.

(c) When the AME undertakes aero-medical examinations in more than one location, they shall provide the competent authority with relevant information regarding all practice locations and practice facilities.

ATCO.MED.C.010  Requirements for the issue of an AME certificate

Regulation (EU) 2015/340

Applicants for an AME certificate with the privileges for the revalidation and renewal of class 3 medical certificates shall:

(a) be fully qualified and licensed for the practice of medicine and hold a Certificate of Completion, or have evidence of, specialist medical training;

(b) have successfully completed basic and advanced training courses in aviation medicine, including specific modules for the aero-medical assessment of air traffic controllers and the specific environment in air traffic control;

(c) demonstrate to the competent authority that they:

(1) have adequate facilities, procedures, documentation and functioning equipment suitable for aero-medical examinations; and

(2) have in place the necessary procedures and conditions to ensure medical confidentiality.

ATCO.MED.C.015  Training courses in aviation medicine

Regulation (EU) 2015/340

(a) Training courses in aviation medicine shall be approved by the competent authority of the Member State where the training provider has its principal place of business. The training provider shall demonstrate that the course syllabus contains the learning objectives to acquire the necessary competencies and that the persons in charge of providing the training have adequate knowledge and experience.

(b) Except in the case of refresher training, the courses shall be concluded by a written examination on the subjects included in the course content.

(c) The training provider shall issue a certificate of completion to the applicants when they have obtained a pass in the examination.

BASIC TRAINING COURSE

(a) Basic training course for AMEs

The basic training course for AMEs should consist of 60 hours of theoretical and practical training, including specific examination techniques.

(b) The learning objectives to acquire the necessary competences should include theoretical knowledge, risk management and decision-making principles in the following subjects. Demonstrations and practical skills should also be included, where appropriate.

(1) Introduction to aviation medicine;

(2) Basic aeronautical knowledge;

(3) Aviation physiology;

(4) Cardiovascular system;

(5) Respiratory system;

(6) Digestive system;

(7) Metabolic and endocrine system;

(8) Haematology;

(9) Genitourinary system;

(10) Obstetrics and gynaecology;

(11) Musculoskeletal system;

(12) Psychiatry;

(13) Psychology;

(14) Neurology;

(15) Visual system and colour vision;

(16) Otorhinolaryngology;

(17) Oncology;

(18) Incidents and accidents, escape and survival;

(19) Legislation, rules and regulations;

(20) Medication and air traffic control.

ADVANCED TRAINING COURSE

(a) The advanced training course for AMEs should consist of another 60 hours of theoretical and practical training, including specific examination techniques.

(b) The syllabus for the advanced training course should concentrate on the specific air traffic control environment, and demonstrations and practical skills should be included, where appropriate. The course should cover at least the following subjects:

(1) Air traffic control working environment;

(2) Ophthalmology, including demonstration and practical training;

(3) Otorhinolaryngology, including demonstration and practical training;

(4) Clinical medicine;

(5) Cardiovascular system;

(6) Neurology;

(7) Psychiatry;

(8) Oncology;

(9) Metabolic and endocrine systems;

(10) Human factors in aviation with a specific focus on the air traffic control environment;

(11) Problematic use of substances.

(c) Practical training at an AeMC should be under the guidance and supervision of the Head of the AeMC.

(d) After the successful completion of the practical training, a report of demonstrated competence should be issued.

ATCO.MED.C.020  Changes to the AME certificate

Regulation (EU) 2015/340

(a) AMEs shall notify the competent authority of the following circumstances which could affect their certificate:

(1) the AME is subject to disciplinary proceedings or investigation by a medical regulatory body;

(2) there are any changes to the conditions on which the certificate was granted, including the content of the statements provided with the application;

(3) the requirements for the issue of an AME certificate are no longer met;

(4) there is a change to the aero-medical examiner's practice location(s) or correspondence address.

(b) Failure to inform the competent authority shall result in the suspension or revocation of the privileges of the AME certificate, on the basis of the decision of the competent authority that suspends or revokes the certificate.

ATCO.MED.C.025  Validity of AME certificates

Regulation (EU) 2015/340

An AME certificate shall be issued for a period not exceeding 3 years. It shall be revalidated provided the holder:

(a) continues to fulfil the general conditions required for medical practice and maintains registration as a medical practitioner;

(b) has undertaken refresher training in aviation medicine and in the working environments of air traffic controllers within the last 3 years;

(c) has performed at least 10 aero-medical examinations every year. This number of examinations may only be reduced by the competent authority in duly justified circumstances;

(d) remains in compliance with the terms of their AME certificate; and

(e) exercises the AME privileges in accordance with this Part.

REFRESHER TRAINING IN AVIATION MEDICINE

(a) During the period of authorisation certification, an AME should attend 20 hours of refresher training, including training with regard to the environment of air traffic control.

(b) A proportionate number of refresher training hours should be provided by, or conducted under the direct supervision of, the competent authority or the medical assessor.

(c) Attendance at scientific meetings and congresses and air traffic control observation may be credited by the competent authority for a specified number of hours against the training obligations of the AME, provided the medical assessor has assessed it in advance as being relevant for crediting purposes.

REFRESHER TRAINING IN AVIATION MEDICINE

Scientific meetings or congresses that may be credited by the competent authority:

(a) European Conference of Aerospace Medicine;

(b) International Academy of Aviation and Space Medicine annual congresses;

(c) Aerospace Medical Association annual scientific meetings; and

(d) Other scientific meetings.