Basic Med medical exam same as Flight Physical exam?

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Basic Med medical exam same as Flight Physical exam?

Posted by Anthony Garrett on Jan 11, 2018 7:48 pm

I have read about the Basic Med "certificate" and have just finished a CFI Refersher course that covered Basic Med.  
That left me thinking that the Basic Med Medical exam was less comprehensive than the Flight Physical exam.  I have talked to two physicians about the Basic Med medical exam. Both say the Basic Med Medical exam and the Flight Physical exam are identical for them. They charge the same for both and they cannot be included with my normal annual wellness exam.  So the Basic Med "certificate" appears to be similar to a Flight Physical Certificate that last 4 years but has some aircraft restrictions..  You cannot offically "fail" the Basic Med Medical exam. The Doc just does not sign the form.
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Re: Basic Med medical exam same as Flight Physical exam?

Posted by Ferdinand Mack on Jan 12, 2018 2:50 pm

Hi Anthony,

Your analysis is correct but I'll take a moment to use some different language to explain the same details. The BasicMed exam was modeled identically from the standard FAA medical certificate (Part 67) medical exam as far as what body systems, areas, and functions are addressed. However, there is no specified pass/fail criteria with BasicMed- as you said, the doctor can simply decide not to sign the form, much like not "passing" a flight review. So it would be accurate to say that the exam is equivalent, but the pass/fail criteria, or lack thereof as far as specifications in the case of BasicMed, is different. The key differentiator is that your treating physician can perform the exam and sign the form, as opposed to using an AME who may not be familiar with you, in the case of a Part 67 medical certificate. 

-Ferdi
Pilot Information Center
AOPA

Re: Basic Med medical exam same as Flight Physical exam?

Posted by Ronald Levy on Jan 12, 2018 9:17 pm

There are also significant limitations to your flying privileges with BasicMed versus a regular medical certificate, especially if you hold Commercial Pilot and Flight Instructor certificates, which your recent completion of a CFI refresher course suggests.  Those restrictions include more than just what aircraft you are permitted to fly.  These include acting as a safety pilot (unless also acting as PIC) and flying on business.  Make sure you understand all those ramifications before you go with BasicMed for yourself or teach this material to your students.