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PODCAST

Mayo Clinic Clear Approach

Mayo Clinic Aerospace Medicine

Mayo Clinic Clear Approach tackles medical topics important to commercial aviators, recreational pilots, or just folks interested in things that fly. Current topics from the Federal Aviation Administration (FAA), National Transportation Safety Board (NTSB), and aviation trends are explored in a serious but sometimes humorous way. Mayo Clinic Clear Approach focuses on a perspective from "the other side of the gurney." Let us navigate the storms of aeromedical certification, medical issues that may

health & fitness medicine

All Episodes

23:12

Wheeze Bad -- A Short Primer on Certification with...

Mayo Clinic Clear Approach ·

2025/10/31

Send us a text On this episode, we interview Dr. Wigdan Farah, a pulmonologist in Mayo Clinic's Division of Pulmonary & Critical Care Medicine to discuss several respiratory conditions seen commonly in pilots seeking medical certification -- then review aeromedical implications and requirements.

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23:07

Legal Beagles - Aeromedical Certification from the...

Mayo Clinic Clear Approach ·

2025/10/17

Send us a text On this episode, we ask a few questions of an aviation attorney as it pertains to aeromedical certification. How worried do pilots need to be about falsification on on a medical application -- intended or unintended? What is the liability for using BasicMed as an alternative to aeromedical certification? What are the most common cases for which pilots contact an aviation attorney?

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15:59

Government shutdown? What now? Let's talk Skin Cancer

Mayo Clinic Clear Approach ·

2025/10/03

Send us a text On this episode, we review any potential changes in flight physical reviews on the basis of the government shutdown. In addition, with the outstanding weather this fall in the upper Midwest, we review ultraviolet radiation effects as it pertains to skin cancer and how that can affect aeromedical certification.

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16:55

FAA Updates from the Civil Aviation Medical...

Mayo Clinic Clear Approach ·

2025/09/26

Send us a text On this episode, we discuss items learned at the Civil Aviation Medical Association meeting (CAMA) in Spokane, Washington along with a few updates from the FAA communicated on the recent AME Grand Rounds held virtually this past week.

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14:07

Will Low Platelet Counts Prevent Issuing a Medical...

Mayo Clinic Clear Approach ·

2025/09/05

Send us a text A certain portion of pilots develop low platelet counts, otherwise known as thrombocytopenia. On this episode, we look at how platelets work in the body, what happens if there are not enough platelets, and why the FAA even cares. Having a good plan in place with your AME to deal with this condition is important when considering aeromedical certification.

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21:21

Atrial Fibrillation: A Fluttering Heart and...

Mayo Clinic Clear Approach ·

2025/08/29

Send us a text Atrial fibrillation is one of the most common forms of heart arrhythmia that require Special Issuance Authorization from the FAA. On this episode, we review what testing is required and how difficult the challenge is to obtain a medical waiver for the condition.

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19:59

Head Trauma and the Pilot: Boo boo on the Noggin' to...

Mayo Clinic Clear Approach ·

2025/08/22

Send us a text Falls, crashes, and other events resulting in head trauma are never planned but can have significant consequences for a pilot's ability to maintain a medical certificate. On this episode, we review the various levels of severity of head trauma as defined by the FAA and navigate direct paths to aeromedical certification.

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23:20

Searching for the "Cog" in the Wheels of the Mind:...

Mayo Clinic Clear Approach ·

2025/08/08

Send us a text On this episode, we visit with an FAA-trained neuropsychologist -- an expert in the field of testing cognitive ability -- often required as part of medical certification in pilots with conditions such as depression, ADHD, prior drug or alcohol disorders, and past head trauma. We ask what to do, and what not to do as part of these testing sessions, often cloaked in anonymity.

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24:12

Alphabet Soup of Aeromedical Certification Acronyms

Mayo Clinic Clear Approach ·

2025/08/01

Send us a text Many times in the process of obtaining an aviation medical certificate, pilots come across acronyms and terms typically unfamiliar to most people. On this episode, we decipher some of those terms so you can impress friends and family at the hangar or pilot domicile.

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11:26

EAA's AirVenture Highlights and Hosting an FAA AME...

Mayo Clinic Clear Approach ·

2025/07/25

Send us a text On this episode, the podcast returns Mitch and Clay from extended vacations to review highlights from one of the largest aviation events in the country held in Oshkosh, Wisconsin -- along with outlining the framework for an upcoming AME refresher seminar to be held by the FAA Education Division on the Mayo Clinic campus.

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17:30

What Happens When an AME is the Patient/Pilot?

Mayo Clinic Clear Approach ·

2025/06/27

Send us a text Ever wonder what an AME feels like when they have to undergo the scrutiny of a flight physical themselves? On this episode, we reflect on life from the "other side of the gurney" and how to best prepare for undergoing a flight physical before showing up.

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12:47

Dark Pee? Think Hep C! Navigating FAA Certification...

Mayo Clinic Clear Approach ·

2025/06/20

Send us a text Hepatitis C is a viral infection of the liver that often involves no specific symptoms -- until it is too late. On this episode, we cover a pathway to FAA medical certification in pilots who contract this sneaky virus.

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29:25

Leading for the Future of Aerospace Medicine

Mayo Clinic Clear Approach ·

2025/05/30

Send us a text On this episode, we visit with soon-to-be retired Executive Director of the Aerospace Medical Association, Jeff Sventek. His insights from more than 30 years in the United States Air Force along with 15 additional years guiding the leading specialty organization for Aerospace Medicine culminate with the annual Scientific Meeting scheduled in Atlanta the first week of June. We will get a sneak peak of the meeting and ask about his vision for the future of the special...

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24:59

Cheating on the FAA Medical Application Form 8500-8...

Mayo Clinic Clear Approach ·

2025/05/16

Send us a text On this episode, we discuss a pilot who was charged with making false statements on the FAA medical application form and what implications that might have including possible jail time or fines. How does one balance the need to be complete with that of unnecessary worry about missing a non-relevant medical visit?

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14:53

Spring Brings Pollen and a Push for Supercharging ATC...

Mayo Clinic Clear Approach ·

2025/05/09

Send us a text On this episode, we review the recently announced FAA strategy for hiring more air traffic controllers -- all while addressing the first pollen burst of the year and how pilots can navigate using antihistamines and other medications without jeopardizing their medical certificate.

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20:53

The FAA is Listening: Do You Know About the "3Es?"

Mayo Clinic Clear Approach ·

2025/05/02

Send us a text At the latest AME Grand Rounds, medical examiners heard updates from the FAA regarding a recent listening session in which a variety of aviation-related organizations provided insight into how the FAA's medical divisions could improve -- and they're listening. On this episode, we review the updates from the latest information session provided to AMEs by the agency, plus meet one of the Mayo Clinic fellows in training within the Aerospace Medicine program.

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13:24

FAA Certification for the "Baby Brother of Diabetes"...

Mayo Clinic Clear Approach ·

2025/04/25

Send us a text Although a very common condition, the presence of glucose intolerance or what the FAA calls "pre-diabetes" can result in medical certification -- and in some cases, does not even require Special Issuance Authorization. What are the newer drugs allowed and what is required to obtain or keep your medical certificate?

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12:52

HIMS -- Not just a Pronoun!

Mayo Clinic Clear Approach ·

2025/04/18

Send us a text The Human Intervention and Motivational Study, also known as the HIMS Program is an occupational substance abuse treatment program dedicated to helping all pilots return to the cockpit or flight deck. HIMS-trained AMEs, neuropsychologists, and psychiatrists in conjunction with employers, union representatives, and other support organizations work together to evaluate and support pilots with substance disorders or dependence, or other mental health conditions. On this episode, w...

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20:18

"I passed out and I have no idea what happened." Now...

Mayo Clinic Clear Approach ·

2025/04/04

Send us a text Episodes of syncope or loss of consciousness can result from something as simple as a brief fainting episode -- up to the level of a severe head injury. How it's documented and the testing required for FAA purposes can be critical. On this episode, we discuss the aeromedical implications of syncope and stand down times depending on the various severity of head injuries as well as a less common condition known as transient global amnesia (TGA). What testing is required and...

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17:01

Scanning the Heart with CT imaging: Good idea for...

Mayo Clinic Clear Approach ·

2025/03/31

Send us a text On this episode we review the technology of coronary artery CT scanning and CT angiography. Although used as an effective screening tool for certain individuals, is this imaging something that pilots should pursue? What happens if an elevated coronary calcium score is identified? Will a pilot still be able to retain their medical certificate, and how much additional testing might be required?

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