Introduction: Assessment of fitness for flight constitutes one of the core tasks of aeromedical professionals. The value of such evaluations depends on the decision to be based on complete medical information, valid risk methodology, and genuine flight safety indicators. To achieve these goals, the aeromedical practitioner should ensure an evidence-based approach.
Methods: This article describes a pragmatic and evidence-based methodology for aeromedical fitness assessments, grounded on already validated principles within scientific epistemology and evidence-based clinical medicine.
Results: The aeromedical assessment should integrate both individual variables of the particular applicant, deductive reasoning by relevant experts, and the best available scientific evidence. Each of these three pillars includes a set of specific aspects based on knowledge of precision medicine, flight environment, risk methodology, statistics, metacognition, and scientific method.
Discussion: Despite evidence-based approach being the benchmark, the aeromedical practitioner should be aware of limitations and potential pitfalls. The conclusion should be based on both functional performance and future risk of medical incapacitation using a transparent and objective risk matrix. Saehle T. Evidence-based aeromedical assessments. Aerosp Med Hum Perform. 2025; 96(1):71-77.
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Introduction: Assessment of fitness for flight constitutes one of the core tasks of aeromedical professionals. The value of such evaluations depends on the decision to be based on complete medical information, valid risk methodology, and genuine flight safety indicators. To achieve these goals, the aeromedical practitioner should ensure an evidence-based approach.
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Israel Defense Forces, Medical Corps, Kiryat Ono, Israel; The Institute of Endocrinology, Diabetes and Metabolism, Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel; Sheba Medical Center, Tel Hashomer, Ramat Gan, Israel.
Ann Intern Med
December 2024
Aeromedical Consultation Service, U.S. Air Force School of Aerospace Medicine, Wright-Patterson Air Force Base, Ohio; Wright State University Boonshoft School of Medicine, Dayton, Ohio; and Uniformed Services University F. Edward Hebert School of Medicine, Bethesda, Maryland (A.W.F.).
Description: Headache medicine and therapeutics evidence have been rapidly expanding and evolving since the 2020 U.S. Department of Veterans Affairs (VA) and U.
View Article and Find Full Text PDFAerosp Med Hum Perform
October 2024
J Med Libr Assoc
April 2024
Branch Chief, Franzello Aeromedical Library, United States School of Aerospace Medicine, Wright-Patterson Air Force Base, OH.
Background: Academic libraries play a significant role in the student learning process. However, student needs and preferences as well as new paradigms of learning are driving libraries to transition from quiet book repositories to places of collaboration and open information. This descriptive, mixed methods case presentation explores the transition of one library, the United States Air Force School of Aerospace Medicine Franzello Aeromedical Library, in three key areas: collection, capability, and facility.
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