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demonstrate that they can….. ”)
2. Context
Some States have well-established training programmes in place, which will meet the competencies set out in
this document. Other States may be seeking to establish training programmes which meet ICAO requirements
and this competency framework will provide the foundation for creating such programmes. In addition,
programmes may be established to train medical examiners for a variety of different States. This framework
provides direction as to the generic training applicable to all States, as well as those aspects which will need
to be provided for, or on behalf of, each individual State to meet their specific requirements.
Amongst the various performance criteria and evidence and assessment guides are many items which will
vary depending on the State in which the examiner is working. These context-specific items are shown in
italics. If training is delivered for a future examiner who will work for a specific Licensing Authority, e.g. a
Licensing Authority other than that in which the training is being provided, it will be necessary for the
information relevant to these items to be provided to the future DME by that Licensing Authority. For
example, the medical form to be completed by an applicant may vary from one Licensing Authority to
another, as may the administration process after its completion.
This could occur in two ways – either the training organization will access the relevant up-to-date training
requirements from the Licensing Authority and provide these to the student(s) as part of the training course,
or the examiner will receive extra training from the Licensing Authority separate from the training course. In
the absence of requirements to the contrary, the training provider may wish to train in accordance with normal
practice for the State in which training takes place, in order to illustrate one acceptable method.
3. Foundation knowledge
ICAO Preliminary Unedited Version — May 2010 V-1-10
The draft competency framework is based on the need to train for skills required by the medical examiner in
order to undertake a medical assessment of a licence applicant. In addition to the competency-based
framework, foundation knowledge is essential for a medical examiner. It is up to the States/training providers
to determine whether such foundation knowledge can be acquired as an integral part of a competency-based
training programme for medical examiners or through a separate training programme acceptable to the
Licensing Authority. This foundation knowledge includes aspects of aviation physiology, knowledge of
clinical aviation medicine as it pertains to conditions of relevance for aviation, and aspects of regulatory
medicine (such as ICAO terms, and relevant Standards and Recommended Practices). Included in this section
is an item on the critical analysis of evidence such as specialist reports – which is important since the writers
may be in the role of advocate for their patient, or they may express opinions as to fitness for flying which are
not based on a sound understanding of the flying role and environment. Also included is an item on the
concepts of risk management (including risk assessment through evaluating likelihood and consequence, and
application of risk mitigation strategies) and how they can be applied to aeromedical decisions.
Appendix A outlines suggested minimum contents for this foundation knowledge.
Notes on specific aspects of the competency framework
The competency units and elements, performance criteria, and evidence/assessment guide items, are listed
here with explanation of key items. Context-specific items are in italics.
1. FACILITATE COMMUNICATION
1.1 Initiate the interaction and agree the terms
This unit is largely procedural but an important competency for the examiner to demonstrate. As each State
will have its own procedures, these elements are context-specific.
1.1.1 Identify applicant
1.1.1.1 Explain the importance of positive identification
1.1.1.2 List the licensing authority’s requirements for identification of applicants
1.1.1.3 Describe the process by which an applicant is identified
1.1.2 Have appropriate forms completed (including any declarations and consents)
1.1.2.1 Describe how to access the current versions of all available forms
1.1.2.2 Explain how to select the appropriate forms for the given applicant
1.1.2.3 List any aspects of the forms requiring particular explanation to applicants
1.1.2.4 Describe process for checking the completion of the forms (including declarations and
consents)
1.1.2.5 Describe the actions in the event of improperly completed forms (including declarations and
consents)
1.1.2.6 Explain the consequences of false declaration
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Manual of Civil Aviation Medicine 2(150)
