![]() These examinations are not only performed on pilots but also on ATC's (Air Traffic Controllers) ASI's (Aviation Safety Inspectors), who may or may not also be pilots. HIMS exams and monitoring is weighted more heavily towards history and examination monitoring for sobriety, mental health, drug screening, and correlating reports such as, but not limited to, psychiatric, neuropsychological, pilot performance, flight instructor, AA, NA peer-pilots, and chief pilot. The HIMS (Human Intervention and Motivational Study) is a joint program between the FAA and aviation industry for initial evaluation usually followed by ongoing monitoring wherein there may have been issues with potential concerns about mental health or chemical dependency. AME's perform FAA Medical exams focusing on exam findings and take a medical history focused on things that may be considered aero-medically significant. A FIRST or SECOND automatically defaults to a SECOND or THIRD after the valid timeframe of the FIRST or SECOND. The requirements and valid timeframe of the medical examination are dependent on the class of medical licensure, the airman's age, and Special Issuances (SI) or special circumstances. These physicians are trained with an emphasis on examining and evaluating the medical entities that can cause "sudden incapacitation in flight and/or cause an interruption in the smooth flow of or threat to the safety of our nation's airspace." FAA flight physicals fall into three different classes, intuitively designated FIRST, SECOND, and THIRD, which are commonly printed/typed in all capital letters. An FAA (Federal Aviation Administration) flight physical is a physical examination for "fitness of flight" performed by a physician who is FAA-trained, designated, and certified as an AME (Aviation Medical Examiner), of which there are approximately 2500 in the US.
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