title: Aeromedical Hazard Comparison of FAA Medically Certified Third-Class and Medically Uncertified Pilots.
abstract: BACKGROUND
  Since 2004, in the United States, light sport aircraft (LSA) and some aircraft with standard airworthiness certificates can be operated for recreational purposes with a valid state driver's license rather than a Federal Aviation Administration (FAA)-issued aeromedical certificate. There have been recent efforts to allow operation of much larger, heavier, faster, and more complex aircraft without requiring a medical certificate. The primary objective of this research was to compare hazards to flight safety identified in fatally injured pilots required to possess a valid FAA third-class medical certificate to hazards in fatally injured pilots who were not required to possess a valid medical certificate.
  
  
  METHODS
  A search of all fatal U.S. aircraft accidents in the FAA Medical ANalysis and TRAcking (MANTRA) registry between January 1, 2011, and April 30, 2014, identified 1084 individuals. A review of accident pilots' medical, autopsy, and toxicological data was conducted. After applying exclusion criteria, 467 pilots remained, including 403 medically certified and 64 medically uncertified pilots.
  
  
  RESULTS
  A significant difference was found in a surrogate measure for risk between medically certified and uncertified pilots (25% vs. 59%). This difference remained significant after adjustment for age. No significant difference was found in the proportions of hazards identified on toxicological review.
  
  
  CONCLUSIONS
  The results of this study suggest that the risk of an adverse medical event is reduced in pilots required to possess a valid medical certificate. Ricaurte EM, Mills WD, DeJohn CA, Laverde-Lopez MC, Porras-Sanchez DF. Aeromedical hazard comparison of FAA medically certified third-class and medically uncertified pilots. Aerosp Med Hum Perform. 2016; 87(7):618-621.
authors: Civil Aerospace Medical Institute, Oklahoma City, OK, USA.
authors: Eduard M
authors: EM
authors: Ricaurte
authors: William D
authors: WD
authors: Mills
authors: Charles A
authors: CA
authors: DeJohn
authors: Maria C
authors: MC
authors: Laverde-Lopez
authors: Daniel F
authors: DF
authors: Porras-Sanchez
mesh_terms: D000060:Accidents, Aviation / Q000401:mortality / Q000706:statistics & numerical data*; D001359:Aviation / Q000592:standards*; D002568:Certification / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D012307:Risk Factors; D014481:United States / Q000453:epidemiology