Who is responsible for the final decision regarding the issuance of a medical certificate?

The primary responsibility for the final decision regarding the issuance of a medical certificate lies with the Aviation Medical Examiner (AME). The AME evaluates the applicant's medical history, performs physical examinations, and determines if the individual meets the medical standards set forth by the Federal Aviation Administration (FAA).

The AME's role is crucial because they are trained to assess the medical conditions and potential risks associated with aviation. They must ensure that pilots are medically fit to operate an aircraft safely, considering both physical and mental health aspects. If an applicant has a condition that could impair their ability to fly, the AME will take that into account and make a judgment based on FAA regulations.

While the FAA sets the standards and guidelines for medical certification, the AME acts in accordance with those regulations during the examination process and ultimately holds the responsibility for granting or denying a medical certificate to an applicant based on their findings. This emphasizes the AME's pivotal role in ensuring aviation safety through proper medical fitness evaluations.