**Executive Summary**
This document, Civil Aviation Requirements, Section 7, Series 'C', Part IV, Issue I, effective forthwith, details the requirements for empanelment of medical examiners by the Directorate General of Civil Aviation (DGCA) for conducting Class 2 medical examinations. It outlines the qualification criteria for medical examiners, requirements for their medical facilities, the empanelment process, approval procedures, and the conduct of medical examinations. The document also provides guidance on the extension of approval and includes several appendices providing relevant forms and statistical data.
**Key Points / Main Content**
* **Qualifications for Medical Examiners:**
* Must possess an MBBS degree.
* Must have completed two weeks of training in Aviation Medicine at IAM, IAF Bangalore.
* Must be registered with the Medical Council of India/State Medical Council.
* **Medical Facility Requirements:**
* Must have the requisite infrastructure and facility to conduct medical exams, including location, IT, and medical equipment.
* Must have an office with telephone, internet, and fax.
* Must have a place to conduct medical examinations and fill up necessary forms.
* The facility may be owned or rented by the examiner.
* Must have a female attendant present during medical exams of all female candidates.
* **Empanelment Process:**
* Information regarding empanelment will be available on the DGCA website's "Public Notices" section.
* Applicants must apply on plain paper to the "Director Medical Services (Civil Aviation), Directorate General of Civil Aviation."
* The envelope must be superscribed "Application for Class 2 Medical Examiner." Email/Fax applications will not be accepted.
* **Approval and Extension:**
* Empanelment is for three years and may be extended for another three years subject to re-assessment.
* To extend approval, examiners must apply to DGCA after two and a half years.
* Examiners must have attended at least one physical and two e-workshops conducted by DGCA in the last 3 years.
* **Conduct of Class 2 Medical Examination:**
* Applicants must contact the medical examiner for an appointment.
* Applicants must carry a copy of the previous medical assessment issued by DGCA.
* The examiner must ensure the proper filling of forms CA-34/34A/35.
* The examiner may collect reasonable charges for specialist consultations and administration.
* Investigations must be done at NABL/NABH accredited labs or DGCA-approved Air Force Medical Centers.
* The examiner must dispatch forms CA-34/34A/35, investigation reports, and opinions to the Medical Cell, DGCA.
* The examiner must maintain medical records for three years.
* The examiner must submit monthly summaries of conducted medical examinations.
* **General Guidelines:**
* Examiners must ensure that applicants with Class 1 medical assessments do not undergo Class 2 examinations unless approved by DGCA.
* Examiners can consult with DMS/JDMS on administrative/professional aspects.
* The DGCA may audit medical examiners and their facilities.
**Impact Analysis**
**Stakeholder: DGCA**
* **Impact:** Ensures standardized Class 2 medical examinations through qualified and approved medical examiners.
* **Action Required:** Maintain the DGCA website with updated forms and requirements, conduct empanelment processes, perform audits of medical examiners, and administer workshops for examiners.
**Stakeholder: Medical Examiners**
* **Impact:** Sets clear guidelines for empanelment, required qualifications, and operational standards for conducting medical examinations.
* **Action Required:** Ensure qualifications are met, comply with infrastructure requirements, apply for empanelment as per guidelines, follow examination conduct procedures, and maintain required records.
**Stakeholder: Flight Crew Applicants**
* **Impact:** Standardizes the process by which they get their medical assessment done.
* **Action Required:** Find empaneled medical examiners, make appointments, carry previous medical records, actively partake in medical examination as per guidelines, and adhere to DGCA requirements.
Key Entities Referenced
Aircraft Rules, 1937: The central regulatory framework for aviation in India. Rules 39B and 133A are referenced.
Directorate General of Civil Aviation (DGCA): The Indian governmental regulatory body for civil aviation. This CAR specifies the role of the DGCA in empanelment, oversight, and approval.
Civil Aviation Requirements (CAR): Regulatory documents issued by the DGCA related to aviation safety, standards, and procedures. This particular CAR focuses on empanelment of medical examiners.
GOVERNMENT OF INDIA
OFFICE OF DIRECTOR GENERAL OF CIVIL AVIATION
TECHNICAL CENTRE, OPP SAFDARJANG AIRPORT, NEW DELHI
CIVIL AVIATION REQUIREMENTS
SECTION- 7, FLIGHT CREW STANDARDS
SERIES ‘C’, PART IV
ISSUE I, __________
EFFECTIVE: FORTHWITH
Subject: Empanelment of Medical Examiner for Conduct of Class 2
Medical Examination.
1. INTRODUCTION
1.1 Rule 39B of the Aircraft Rules, 1937 regarding medical standards of
flight crew stipulates that no license or rating required for any of the
personnel of the aircraft shall be issued or renewed unless the
applicant undergoes a medical examination with an approved
medical authority and satisfies the medical standards as notified by
Director General. Further, CAR Section 7 Series C Part I specifies
the approved medical authorities who can conduct the medical
examinations.
1.2 This CAR deals with requirements for empanelment of medical
examiners by DGCA for conducting Class 2 Initial & Renewal
medical examination.
1.3 This CAR is issued under the provisions of Rules 133A of the Aircraft
Rules,1937.
2. REQUIREMENTS FOR MEDICAL EXAMINERS
2.1 The medical examiner shall meet the following qualification
requirements:-
(i) MBBSCIVIL AVIATION REQUIREMENTS SECTION 7
SERIES C PART IV ______________
(ii) Two weeks training in Aviation Medicine at IAM, IAF
Bangalore
(iii) Shall be registered with Medical Council of India/State
Medical Council.
(iv) Shall have the requisite infrastructure and facility to conduct
the medical exam (location, place, timings, IT, medical
eqpt). Certain reputed consultants in ENT, Ophthalmology,
Cardiology, Psychiatry may be co-opted by the examiner.
Similarly, diagnostic facilities may also be co-opted. In case
of Labs, they must be NABL accredited.
(v) He/ She must submit NOC from his/her Employer.
(vi) It will be the responsibility of the examiner to facilitate the
medical exam in the least possible time and with minimum
inconvenience to the aircrew.
3. MEDICAL FACILITY
3.1 The medical facility shall have an office for the medical examiner
having a telephone connection with internet and fax (for the purpose
of according appointments/interactions with aircrew/DGCA).
3.2 The facility shall have place for conduct of medical examination and
filling up of necessary forms.
3.3 The medical facility may be either owned or taken on rent by medical
examiner.
Note: In case the medical examiner is using the medical facility of a
renowned hospital then NOC from the hospital permitting to use of
their facility for conduct of medical examination during the period of
empanelment shall be submitted to DGCA.
3.4 Class 2 medical examiner may choose to conduct the entire medical
examination by him/herself or co-opt other specialists/
hospitals/institutes for ENT/Ophthalmology/ECG/Laboratory tests.
3.5 The responsibility of all medical examination conducted shall be on
the Class 2 medical examiner who is required to ensure that the
medical examinations are done comprehensively and comply with
ethical standards. Hence he/she should make the co-optedCIVIL AVIATION REQUIREMENTS SECTION 7
SERIES C PART IV ______________
specialists aware of the significance of aviation medical examination
and its implications. Details of the co-opted specialists shall have to
be disclosed by the medical examiner.
3.6 The medical facility should have availability of a female attendant
who needs to be present during medical examination of all female
candidates.
4. EMPANELMENT PROCESS
4.1 Information regarding empanelment shall be made available in the
‘Public Notices’ section of the DGCA website (http://dgca.nic.in).
The notification would be published every year based on the
requirement.
4.2 In response to the notification , persons desirous of being
empanelled as Class 2 medical examiners by DGCA for conducting
Class 2 Initial and Renewal medical examination shall apply on plain
paper to ‘Director Medical Services (Civil Aviation), Directorate
General of Civil Aviation, Medical cell, Opposite Safdarjung Airport,
New Delhi-110003’.
4.3 The envelope shall be superscribed ‘Application for Class 2 Medical
Examiner’. Application by Email/Fax shall not be accepted.
Applicants should ensure that all requirements mentioned in para 2
have been fulfilled.
4.4 Experience of 01 week training in Aviation Medicine will be
considered only for Class 2 medical examiners who were
empanelled before September 2018.
5 PROFESSIONAL INTERVIEW
5.1 Applicants fulfilling qualifications and experience requirements
specified in paragraph 2 above, shall be called for a professional
interview for empanelment as Class 2 medical examiners by a
DGCA Board consisting of a DGCA officer, one representative from
O/o DGMS (Air) and DMS (CA).
5.2 Applicants shall be expected to have adequate awareness of
provisions regulating the Class 2 Initial & Renewal medicals including
knowledge of relevant CARs, AIC including ICAO Standards and
Recommended Practices.CIVIL AVIATION REQUIREMENTS SECTION 7
SERIES C PART IV ______________
5.3 Applicants are expected to make their own travel arrangements for
attending the interview.
6. APPROVAL
6.1 On completion of successful interview. Class 2 medical examiners
are empanelled for a period of 3 years which may be extended for a
further period of three years at a time, subject to re-assessment.
7. EXTENSION OF APPROVAL
7.1 Class 2 medical examiners may apply for extension to DGCA after
completion of two and half years.
7.2 For extension, the Class 2 medical examiner should have attended
atleast one physical & two e-workshops conducted by DGCA in the
last 3 years to update their knowledge regarding Aviation Medicine
and policies/guidelines of DGCA on medical matters. There should
be no case of proficiency related matter or professional misconduct
against the medical examiner.
7.3 The application for extension shall be assessed by DMS (CA).
Based on the fulfilment of criteria as mentioned in para 7.2 and
recommendations of DMS (CA), approval for extension of
empanelment will be accorded by DGCA.
8. CONDUCT OF CLASS 2 MEDICAL EXAMINATION
8.1 Guidance material. The Class 2 medical examiner shall be briefed
about availability of guidance and reference material along with
forms CA 34/34A/35 on DGCA website. A copy of forms CA
34/34A/35 is placed as Appendix A, B & C respectively.
8.2 The following steps will be followed by the Class 2 medical
examiners for conduct of Class 2 Initial/Renewal medical
examination:-
8.2.1 Accord of appointment. Based on the contact details of the medical
examiner on the DGCA website, the applicant shall contact the
medical examiner by phone/email. The medical examiner shall grant
an appointment after verifying that the medical examination is not
due at IAM/AFCME/MEC (E) by virtue of a specific annotation on
CA-35/Medical Assessment issued by DGCA.CIVIL AVIATION REQUIREMENTS SECTION 7
SERIES C PART IV ______________
8.2.2 Pilot Medical Record (PMR) from DGCA. The PMR shall not be
dispatched for medical examination conducted by Class 2 medical
examiners. The applicant must carry a copy of the previous medical
assessment issued by DGCA.
8.2.3 Documentation. The filling up of forms CA-34/34A/35 by the
applicant shall be in presence of the Class 2 medical examiner with
a specific reference to history and consequences of withholding
relevant information. The identity of the flight crew must be positively
established at all points including during conduct of investigations.
8.2.4 Fee. The Class 2 medical examiner may collect reasonable charges
for specialist consultation(s), administrative and postage/handling
charges.
8.2.5 Investigations. The mandatory investigations required for renewal of
medical are already specified. Additional test may be requested
based on finding at clinical examination. Tests will be done at any
NABL/NABH accredited laboratory/institution and at DGCA
approved Air Force Medical Centres. The laboratory/centre will
always establish the identity of the applicants and endorse the
same. The Class 2 medical examiner shall give a request for
investigation to the applicant. The applicant in turn would get the
investigations done at the laboratory/centre after paying fee for the
same to the laboratory/centre. The reports would be sent to the
Class 2 medical examiner which will be duly endorsed on forms CA
34/34A by him/her.
8.2.6 Eye & ENT check. The Class 2 medical examiner may conduct the
medical examination themselves or get it done by a co-opted referral
service by a reputed specialist.
8.2.7 General Medical Examination & filling of necessary forms CA-
34/34A/35. This has to be by the Class 2 medical examiner. A copy
of CA-35 is to be handed over to the applicant. The applicant should
be clearly apprised that the form CA 35 issued by him is only
provisional. The final medical assessment will be issued by DGCA
only.
8.2.8 Dispatch of CA-34/34A/35 to DGCA. The completed form CA
34/34A & 35 along with all investigation reports and opinion in
original are to be dispatched to Medical Cell, DGCA by fastestCIVIL AVIATION REQUIREMENTS SECTION 7
SERIES C PART IV ______________
means and records maintained. The envelope shall not be folded
and shall be superscribed ‘Class 2 Medical Examination Report’.
8.2.9 Medical Record. A copy of the forms CA 34/34A & 35 and
investigation reports shall be maintained by the Class 2 medical
examiner in hard and/or soft copy for a period of three years. Class
2 medical examiners must ensure confidentiality of medical
documents.
8.2.10 Reports and returns. A monthly summary of medical examination
conducted shall be forwarded to DMS (CA) in the format provided
by the DGCA on a monthly basis. A copy of the format is placed at
Appendix D.
8.2.11 Unfit cases & and incomplete medical examination. The form CA
34/34A and 35 of cases who are declared unfit or where the
medical examination is not completed are also to be forwarded to
DGCA with recommendations. Cases of unfitness shall be intimated
to/discussed with Medical Cell at DGCA on priority. Review for
fitness after a recommended period of unfitness shall be done at
AFCME/IAM/MEC (East)/DGCA only.
9. GENERAL
9.1 Medical Examiners should ensure that applicant holding a Class 1
Medical Assessment cannot undergo a Class 2 medical
examination, unless approved by DGCA.
9.2 Reference material for the conduct of medical examination are
Handbook for DGCA Empanelled Medical Examiners/Examination
Centres, Procedure & Training Manual, Civil Aviation Requirements
(CAR) Section 7 Series C Part I, Aeronautical Information Circulars
and ICAO handbook (latest edition) of Civil Aviation Medicine.
These are available on DGCA website (http://dgca.nic.in).
9.3 Class 2 examiners may carry out tele-consultation on
administrative/professional aspects with DMS/JDMS between 1100
and 1730h, on 011-24610629 or through e-mail doctor.dgca@nic.in.
9.4 DGCA may carry out audit of medical examiners including record
maintenance and inspection of medical facility.CIVIL AVIATION REQUIREMENTS SECTION 7
SERIES C PART IV ______________
9.5 Professional disputes arising during the conduct of medical
examination by Class 2 medical examiners shall be resolved as per
DGCA policy.
9.6 A Class 2 medical examiner empanelment may be withdrawn by
DGCA temporarily or permanently depending on nature of
professional misconduct/proficiency related issues. Such decisions
would be vetted at DGCA.
(B S Bhullar)
Director General Civil AviationCIVIL AVIATION REQUIREMENTS SECTION 7
SERIES C PART IV ______________
Appendix A – CA Form 34 (Re-revised)
Appendix B – CA Form 34A (Re-revised)
Appendix C - CA Form 35(Revised)
Appendix D
Appendix D
MONTH WISE STATISTICAL DATA - YEAR
NAME OF THE MEDICAL EXAMINER:
S No Month Class I Class II Temporary Total
Unfit
01 January
02 February
03 March
04 April
05 May
06 June
07 July
08 August
09 September
10 October
11 November
12 December