1. version
Wednesday May 3rd 2055

2. A pilot flying under the BasicMed rule must:
possess a valid driver’s license;
consent to a National Driver Register check;
have held a medical certificate that was valid at any time after July 15, 2006;
have not had the most recently held medical certificate revoked, suspended, or withdrawn;
have not had the most recent application for airman medical certification completed and denied;
have taken a BasicMed online medical education course within the past 24 calendar months;
have completed a comprehensive medical examination with any state-licensed physician within the past 48 months;
have been found eligible for special issuance of a medical certificate for certain specified mental health, neurological, or cardiovascular conditions, when applicable; and
not fly for compensation or hire.

3. Sequence Welcome Changes Medical Exam, Physicians and SIs
Self-Assessments
Medical Education Course
Aircraft
Paperwork

4. Welcome Exits Restrooms Emergency Evacuation Phones on stun Breaks
Thank you Carpenters!
Presentation Note: Here’s where you can discuss venue logistics, acknowledge sponsors, and deliver other information you want your audience to know in the beginning.
You can add slides after this one to fit your situation.
(Next Slide)

5. The National FAA Safety Team Presents
BasicMed
FAASTeam Audience
Dick Fechter
May 4th 2017
2014/ (I) PP Original Author: John Linsenmeyer, AFS-800 March 2017 POC; K. Clover AFS-850 Operations Lead Office revised by J Steuernagle 27 March 2017.
Presentation Note: This is the title slide for BasicMed
Presentation notes (stage direction and presentation suggestions) will be preceded by a Bold header: the notes themselves will be in Italic fonts.
Program control instructions will be in bold fonts and look like this: (Click) for building information within a slide; or this: (Next Slide) for slide advance.
Some slides may contain background information that supports the concepts presented in the program.
Background information will always appear last and will be preceded by a bold Background: identification.
We have included a script of suggested dialog with each slide. Presenters may read the script or modify it to suit their own presentation style.
The production team hope you and your audience will enjoy the show. Break a leg!
(Next Slide)
Modified by Dick Fechter using internet & magazines

6. Who am I? Started Flying 1963 Military flying career EAA
Program Director
Newsletter Editor
Web Master
IMC Club Coordinator (on hold)
SE MN GA AT Member
CFII
FAA Safety Rep

7. FAA Safety Reps line up Seminars
Mayo AME’s did not want to do this seminar.
Olmsted Clinic’s AME did not want to do it either.
So here I am.
Not a BasicMed expert -- but I’ve stayed in a Holiday Inn Express before.

9. Links from 44RF.com to: This PowerPoint Presentation
BasicMed Physician’s Guide (by AOPA)
Documents on Basic Med
BasicMed Comprehensive Medical Examination Checklist
AOPA’s Medical Self-Assessment (on-line course)
FAA BasicMed Website
14 CFR 68 (BasicMed)
Advisory Circular (AC) 68-1 (.pdf)
Understand Impairment Risk (FAA)
Pilots and Medications (FAA)
BasicMed AME Presentation (.pdf) (FAA)
More……………..

10. Links from 44RF.com to AOPA:
Webinar – Excellent YouTube video on BasicMed.
Fit To Fly Pilot Resources website.
Demonstrating Compliance with BasicMed.
Pilots see BasicMed as a “Big Deal”
Treating BasicMed Patients (pdf for physicians)

11. My Personal Story
Oct 2014 – Found out I had a non incapacitating GIST Tumor and medication side effects weren’t a problem. But grounded anyway.
Oct 2015 – Finally got my SI.
Mar 2016 – Another tumor and grounded again. Removed tumor and started different medication.
July 2016 – Got another SI good to Dec 31, 2016.
Nov – Sent in all paperwork to renew SI.
Feb. 15th 2017 – Finally got medical with SI.
Mar. 22nd 2017 – Got DVT – Grounded myself.
May 5nd 2017 – BasicMed?

12. Finding a Doctor for BasicMed
Mayo AME’s are not giving BasicMed physicals – BUT, Dr. Cowl (a Mayo AME) has lined up several Mayo physicians who will.
OMC doctors are not doing BasicMed physicals for now.
Rochester Clinic said they would.
Medical liability insurance companies are not covering this – yet.

13. Window of inopportunity

14. Sequence Changes Welcome Medical Exam, Physicians and SIs
Self-Assessments
Medical Education Course
Aircraft
Paperwork

15. The biggest beneficiaries of the new rule will be pilots flying on Special-Issuance Medicals. (Flying Magazine April 2017)

16. New It’s a new medical certification alternative for private pilots.
New (FAR) 14 CFR—Part 68

17. Not Changed 3rd Class Sport Pilot Aircraft and Pilot Insurance?
14 CFR (b) – “…. a person shall not act as pilot in command, or in any other capacity as a required pilot flight crewmember, while that person knows or has reason to know of any medical condition that would make the person unable to operate the aircraft in a safe manner.”
14 CFR – “The use of any medication that adversely effects the pilot’s faculties in anyway contrary to safety.”

18. Restrictions and AllowancesNo
Compensation or Hire (except CFIs)
Outside the USA
Yes
VFR, IFR
Day, Night –
Charity flights
flying incidental to pilot’s business

19. CFIs and Safety Pilots:
BasicMed pilots must be the PIC.
BasicMed only applies to PIC.
You can’t be a Safety Pilot unless you are also acting as PIC.
Both pilots can be using BasicMed.
BasicMed CFIs must be PIC unless the other pilot can be PIC.

20. Applies To: Only PIC’s CFI’s Private Student Recreational Charitable
Nonprofit
Community event flights
Search and location flights

21. Using both BasicMed & 3rd Class
If 3rd class is suspend, denied or revoked your BasicMed is also suspend, denied or revoked.

22. Certificate Considerations
If 3rd class is suspend, denied or revoked your BasicMed is also suspend, denied or revoked.
If an airman has both a third-class medical certificate and met all the requirements for BasicMed, they must decide which rule they will fly under for each flight
No switching mid-flight
A third-class medical examination and certificate cannot be substituted for the comprehensive medical examination by a state licensed physician for BasicMed requirements

23. Advantages Less expensive - If over 40 or SI holder
Less problematic - If 3rd Class is denied, revoked or suspended
Make your health decisions with your personal doctor.
Hopefully stem the decline in GA activity

24. Take the free Online Course. Go Fly
Steps to BasicMed
Get a Medical Exam
From a state-licensed physician
Using the new “Comprehensive Medical Examination Checklist – CMEC
Initial and then every 48 Months
Take the free Online Course.
Initial and then every 24 Months
Go Fly
There are 2 Requirements you’ll need to fulfill in order to use BasicMed. The first of these is to get a physical examination from any state-licensed physician. It makes the most sense to go to your regular physician who knows your medical history.
You’ll need to print a BasicMed checklist for your physician to complete. Checklists will be available at the BasicMed website on the slide and from BasicMed course providers. More about them in the next slide.
Finally – Keep your completed checklist in a safe place. Although you don’t have to have it in your possession in order to fly under BasicMed; you can’t operate if you lose it.
If you lose your checklist, you can’t operate under BasicMed.
(Next Slide)
Presentation Note: As of 24 March, the physician’s checklist and course provider list were not posted on the BasicMed website. Please check the website to confirm their presence before referring your audience to the resource.

25. Sequence Medical Exam, Physicians and SIs Welcome Changes
Self-Assessments
Medical Education Course
Aircraft
Paperwork

26. Before Applying for BasicMed??
A valid U.S. driver's license with Picture ID.
Your most recent application - not denied.
Your most recent medical - not revoked, suspended, or withdrawn.
An FAA medical that was valid at any time after July 14, even with most SI’s.
Unrestricted Medical Certificate? See AC 68-1, para

27. Certain Medical Conditions
3 conditions require a one-time only special issuance (SI) medical. Then it’s up to your doctor.
Pilots with these must certify that they are under the care of a doctor once every two years.
Mental: 4
Neurology: 3
Cardiac: 4

28. One Time SI – Mental Personality Disorder Psychosis Bipolar Disorder
Substance Dependence

29. One Time SI – Neurology Epilepsy
Disturbance of Consciousness without Satisfactory Medical Explanation of Cause
Transient Loss of Control of Nervous System Functions without Satisfactory Medical Explanation of Cause.

30. One Time SI – Cardiac Myocardial Infarction
Coronary Artery Disease Requiring Treatment
Cardiac Valve Replacement
Heart Replacement

31. One-Time SI – Follow-up
If you acquire one of these problems after you start BasicMed, you will have to see an AME and get an SI before flying.
After that one-time AME/FAA check, you only have to do special tests your own doctor orders – not what the FAA ordered before.
If you have/had other SI’s and meet BasicMed requirements – no special action required.

32. Medical Exam Form (8700-2) 8700-2 found on FAA BasicMed website
Download and print FAA Form
Fill out your part. Similar to old Class 3 form.
Take to your doctor for completion.
Keep your completed somewhere safe.
Required every 48 months after first exam.

33. Small Changes on Your Form
Question on alcohol related motor vehicle actions, other non-traffic convictions:
Arrest and convictions is now only convictions
No medical history sent to FAA
Medications outlawed by the FAA are now up to you and your physician

34. Doctor Requirements
State licensed – different states have different definitions here.
A “physician’s Extender” can do the exam, but the state licensed physician must sign the form.
Discuss your medical conditions with you.
Determine if you need additional tests.
Discuss possible adverse side effects of your medications.

35. Physician must: Perform examination on all items on the checklist.
Discuss all items on the checklist and any medications that could interfere with operating aircraft or motor vehicle .
Certify: “not aware of any medical condition that, as presently treated, could interfere with the individual’s ability to safely operate an aircraft.”
If one doctor won’t sign it, try a different doctor.

36. Pilot Must Sign Statement…..
“I understand that I cannot act as pilot in command, or any other capacity as a required flight crew member, if I know or have reason to know of any medical condition that would make me unable to operate the aircraft in a safe manner.”
If the pilot has been diagnosed with any medical condition that may impact the ability of the individual to fly, he/she also gives certification that he/she is under the care and treatment of a physician.

37. After Checklist is signed by pilot and physician
Retain it in a safe place – like in your logbook so it can be made available “on request.”
Can be paper or electronic
You do not need to carry this certificate with you while flying

38. AME Role in BasicMed
Aviation Medical Examiner (AME) designation is completely separate from BasicMed
The decision of an AME to participate in BasicMed as the “state licensed physician” is an individual choice
This work would be outside of the AME Designation, and instead would be part of the physician’s non-AME practice

39. Assess your fitness before every flight
Is there any medical deficiency (see 14 CFR 61.53) that makes me unsafe for flying?
Am I clear of the effects of prescription and over-the- counter drugs?
Do I have any risk factor for sudden incapacitation? -Heart Attack, Stroke, etc.
Is there any degradation of sensory capacity? -Sight, hearing
Do I pass the I’M SAFE checklist?
Regardless of what medical certification you fly under, you’ll need to assess your fitness before each flight. We recommend Flight Risk Assessment Tools such as the “I’m SAFE” Checklist.
(Next Slide)

40. I’M SAFE Checklist
Illness
Medication
Stress
Alcohol
Fatigue
Eating

41. Medical Self-Assessment
You’ve screwed this up if you fly and knew…………..
Or have reason to know of a medical condition that would make you unsafe to fly
You are taking medication or receiving treatment for a medical condition that would make you unsafe to fly

42. Potential Physician Concerns
Have not heard of BasicMed yet.
Don’t understand BasicMed yet.
Billing system/code not set up yet.
Liability insurance

43. Sequence Medical Education Course Welcome Changes
Medical Exam, Physicians and SIs
Self-Assessments
Medical Education Course
Aircraft
Paperwork

44. Online Course BasicMed medical education course
After Medical Exam
Initial then every 24 months
Probably about 1 hour long
20 question Quiz at the end, but you can keep taking it until you pass
Not easy to pass – pay attention during training!
You will get a “Course completion certificate” to be kept handy
The second thing you’ll need to do is to pass a free online BasicMed course. You’ll need to have completed a course in the previous 24 calendar months.
The BasicMed website will list all approved course providers.
Note that you’ll have to provide your physician’s information, attest to your health and consent to a National Driver Registry check.
Also note that you’ll have to provide your medical examination certificate number.
(Next Slide)

45. What’s Covered? Ref: 14 CFR- part 68.3 (a)
Medical regs & self-assessments (FAR 61.53)
ID potential medical issues
Risk mitigation or fitness to fly
Impacts of Medications
Medical exams and consultations

46. I missed………..
Fatigue may be the result of too many late nights or could mean something else. If you also experience headaches, memory lapses, repetitive snoring, or the urge to nap frequently it may be time to be screened for:
Stroke risk factors
Obstructive sleep apnea
Insomnia and depression
Emotional stability

47. I missed………..
Which of the following health screening recommendations are the same for every age regardless of other risk factors?
Vision
Physical Exam
Diabetes
Dental Exam

48. Information sent to FAA
Name – Yours and Physician’s
Address – Yours and Physician’s
Phone # - Yours and physician’s
Physician’s State medical license number
Date of exam
Attest to your health
Consent to a National Driver Registry check.
Plus a few “I certify that…………” checkboxes

49. What’s Next after you complete the online course?
AOPA then sends the pilot a .pdf “Course Completion Certificate”
Kept handy in case the FAA wants to see it.
(in logbook or electronic format)
You do not need to carry this certificate with you while flying.

50. Sequence Aircraft Welcome Changes Medical Exam, Physicians and SIs
Self-Assessments
Medical Education Course
Aircraft
Paperwork

51. BasicMed Aircraft
Any aircraft authorized under federal law to carry not more than 6 occupants
Maximum certificated takeoff weight of not more than 6,000 pounds
There are some limitations associated with operating under BasicMed. Aircraft must be authorized to carry six or fewer occupants. This does not mean you can fly a 7-seat airplane with 5 passengers or that you can remove seats in order to qualify. Your aircraft must not have a Max TO Weight in excess of 6,000 pounds.
And be careful with pressurized aircraft. You can fly a six-seat pressurized aircraft but, as we’ll see in the next slide, you may not be able to realize its’ full performance potential.
(Next Slide)

52. “Aircraft” Definition
Aircraft: A device that is used or intended to be used for flight in the air.
For BasicMed that’s about any category or Class under 6,000 pounds and 6 seats ….
Can be about anything that flies
Certified and Experimental.
Single and Multi
Land and Sea
Fixed and retractable
Helicopter and Gyro
Etc.

53. Almost like 3rd Class – Except:
Pilot Controlled
< 250 Knots IAS
< FL 180
Aircraft Controlled
6 Seats
6 People total
6000 Pounds

54. Maximum 6 Seats Rule
This is driven by the A/C type certification – not the number of seats installed. (Watch out for some Cherokee 6’s).
You can’t fly with more than 5 passengers either.

55. 6000 Pound Rule That’s the Maximum Certified Takeoff Weight.
You can’t just load or unload until you weigh less than 6000 pounds.

56. 6-Seat and/or 6000# Rule
Amended Type Certificate?

57. Sequence Paperwork Welcome Changes Medical Exam, Physicians and SIs
Self-Assessments
Medical Education Course
Aircraft
Paperwork

58. Have these with you Driver’s License / Photo ID Pilot’s License Valid
Current
Comply with any Limitations (glasses, day time only, etc.)
Issued by a state, territory or possession of the U.S.
Authorize FAA to check registrar.
Can’t use a U.S. Passport as a Drivers License substitute
Pilot’s License

59. Keep Handy (with logbook?)
Either paper or electronic (accurate representation)
Signed medical checklist.
Certificate of Completion after online exam.
Proof of current Flight Review
Not required, but you might want to keep your old Class 3 medical with the above. (

60. Where can I go to learn more?
BasicMed Resources:
44RF.com
Section and new Part 68
Advisory Circular 68-1
AOPA
Here’s where you can go to learn more about BasicMed.
(Next Slide)

61. Impacts?
AME Population?
Light Sport Industry?
Grow General Aviation?

62. Proficiency and Peace of Mind
Fly regularly with your CFI
Perfect Practice
Document in WINGS
There’s nothing like the feeling you get when you know you’re playing your A game and in order to do that you need a good coach (Click)
So fly regularly with a CFI who will challenge you to review what you know, explore new horizons, and to always do your best. Of course you’ll have to dedicate time and money to your proficiency program but it’s well worth it for the peace of mind that comes with confidence. (Click)
Vince Lombardi, the famous football coach said, “Practice does not make perfect. Only perfect practice makes perfect.” For pilots that means flying with precision. On course, on altitude, on speed all the time. (Click)
And be sure to document your achievement in the Wings Proficiency Program. It’s a great way to stay on top of your game and keep you flight review current.
(Next Slide)

63. Young Eagles Volunteers Needed
EAA100.org
May 13th to noon
Rochester Airport SE of Signature
Contact:
Dave Nelson –
Dick Fechter –
Ground volunteers with an aviation background would be very helpful

64. SE MN GA Picnic/Party May 13th, Noon-??
NW end of T-Hangar area at KRST
All GA pilots, their friends and relitives
Food items supplied by EAA, RST, Signature
BYOB, maybe a chair
No gate pass? Push the main gate intercom button and ask them to call for an escort from the party.

65. Thank you for attending
You are vital members of our GA safety community
Your presence here shows that you are vital members of our General Aviation Safety Community. The high standards you keep and the examples you set are a great credit to you and to GA.
Thank you for attending.
(Next Slide)

66. Where and How to keep them….
You only need to keep a copy of your Comprehensive Medical Examination Checklist and your medical education course completion certificate. You can store these in your logbook, or you can store them electronically in any format, as long as you can produce an accurate representation of these documents at the request of the FAA. You don’t have to carry these documents while flying under BasicMed

67. CFIs and Safety Pilots
BasicMed only applies to the pilot in command (PIC)
Safety pilots can use BasicMed only if they’re acting as PIC
You can act as CFI under BasicMed
Even if the student doesn’t have a medical
You can’t act as CFI if you’re giving instruction to a person using a view-limiting device, unless you are acting as PIC
Person under the hood can “Log” PIC time.
The statute only addresses Pilot in Command so you can’t operate as second in command or as a safety pilot under BasicMed.
You may act as CFI in VMC or IMC even if your student doesn’t have a medical but only if you are the Pilot in Command.
This also means you can’t fly under BasicMed if you are required crew but not PIC (i.e. second-in-command.)
(Next Slide)

68. Aircraft Restrictions
Authorized under Federal Law (TC, Amended TC, STC) to carry not more than 6 occupants. Can’t take out a 7th seat to make it legal.

69. Doctor Signs (continued)
I certify that I discussed all items on this checklist with the individual during my examination, discussed any medications the individual is taking that could interfere with their ability to safely operate an aircraft or motor vehicle, and performed an examination that included all of the items on this checklist. I am not aware of any medical condition, as presently treated, could interfere with the individual’s ability to safely operate an aircraft.
If one doctor won’t sign it, try a different doctor

70. Comprehensive Medical Examination Checklist
Here’s what the last page of the BasicMed checklist looks like. The rest of it looks very similar to an application for airman medical certificate.
(Next Slide)

71. FAA Extension, Safety, and Security Act (FESSA) 2016 and BasicMed
This is a Flight Standards rule that is an alternative to 3rd Class medical certification to fly certain small aircraft (14 CFR Part 68).
14 CFR Part 67 has not changed and 3rd class medical certification is not going away.
Short Title – BasicMed.