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AMC & GM to Part ATCO.MED - EASA

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Opinion No 11/2013 2 Dec 2013<br />

<strong>GM</strong>1 <strong>ATCO</strong>.<strong>MED</strong>.B.080 O<strong>to</strong>rhinolaryngology<br />

HEARING<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

Speech discrimination test: discriminating speech against other noise including other<br />

sources of verbal communication and ambient noise in the working environment, but not<br />

against engine noise.<br />

Functional hearing test: the objective of this test is <strong>to</strong> evaluate the controller’s ability <strong>to</strong><br />

hear the full range of communications that occur in an operational environment and not<br />

just through a headset or speaker.<br />

Prosthetic aid: the functional hearing test <strong>to</strong> be carried out with the prosthetic aid in use<br />

is <strong>to</strong> ensure that the individual is able <strong>to</strong> perform the functions of his/her licence and that<br />

the equipment is not adversely affected by interference from headsets or other fac<strong>to</strong>rs.<br />

Pure-<strong>to</strong>ne audiometry: testing at frequencies at or above 4000 Hz will aid the early<br />

diagnosis of acoustic neuroma, noise induced hearing loss (NIH), and other disorders of<br />

hearing. <strong>Part</strong>icular attention should be paid in cases where there is a significant<br />

difference between thresholds of the left and right ear.<br />

<strong>AMC</strong>1 <strong>ATCO</strong>.<strong>MED</strong>.B.085 Derma<strong>to</strong>logy<br />

(a)<br />

(b)<br />

(c)<br />

(d)<br />

Referral <strong>to</strong> the licensing authority should be made if doubt exists about the fitness of an<br />

applicant with eczema (exogenous and endogenous), severe psoriasis, chronic infections,<br />

drug induced, or bullous eruptions or urticaria.<br />

Systemic effects of radiation or pharmacological treatment for a derma<strong>to</strong>logical condition<br />

should be evaluated before a fit assessment can be considered.<br />

An applicant with a skin condition that causes pain, discomfort, irritation or itching may<br />

only be assessed as fit if the condition can be controlled and does not interfere with the<br />

safe exercise of the of the privileges of the licence.<br />

In cases where a derma<strong>to</strong>logical condition is associated with a systemic illness, full<br />

consideration should be given <strong>to</strong> the underlying illness before a fit assessment may be<br />

considered.<br />

<strong>AMC</strong>1 <strong>ATCO</strong>.<strong>MED</strong>.B.090 Oncology<br />

(a)<br />

Applicants who have been diagnosed with malignant disease may be assessed as fit<br />

provided:<br />

(1) after primary treatment there is no evidence of residual malignant disease likely <strong>to</strong><br />

jeopardise flight safety;<br />

(2) time appropriate <strong>to</strong> the type of tumour has elapsed since the end of primary<br />

treatment;<br />

(3) the risk of incapacitation from a recurrence or metastasis is sufficiently low;<br />

(4) there is no evidence of short or long-term sequelae from treatment. Special<br />

attention should be paid <strong>to</strong> applicants who have received anthracycline<br />

chemotherapy;<br />

(5) satisfac<strong>to</strong>ry oncology follow-up reports are provided <strong>to</strong> the licensing authority.<br />

Page 26 of 29

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