14/01/2026
Aviation and air travel have evolved significantly since the inception of powered and space flight. Evolving aviation medical standards have grown with the industry to support pilots, aircrews, flight engineers, air traffic controllers, astronauts and space tourists.
ICAO has set aviation standards, and the ICAO regulations are the basis that national regulators around the world have built their structures on. Thanks to harmonization of standards, international air travel is efficient and the benchmark of safety in the travel industry.
Depending on where and for whom pilots fly, they need to meet the licensing and aeromedical requirements of the state that their operators are registered in.
I am sitting at a restaurant at Miami airport today writing this essay. The number of crews flying in and out of MIA (or any international hub) is staggering. The number of licensing authorities assuring compliance with regulations and maintaining flight safety is huge. South, Central and North America, Europe, Africa, Australia, New Zealand, Asia and China are all represented.
Today I am enroute to Savanna, Georgia, where Aeromedical Center Salzburg has partnered with Roth Aeromedical Services to provide European Aviation Security Agency (EASA) aeromedical certification services in the continental United States.
The genesis of this project involved the cooperation of major aviation corporate entities, the Austrian regulatory authority, Austro Control, friends and partners in the aviation industry, as well as the contribution of the faculty of the Austrian Association of Aviation Medicine and the European School of Aviation Medicine to train and certify the AMEs, support staff and administrators.
Aviation works well because all involved understand the interdependency of the system and offer mutual support. The military term wingmanship is very apt and our US project would not have been possible without the support of our avi and avimed wingmen from around the world. This is good wingmanship at its finest.
Tomorrow we will perform the first EASA avimed exams in the United States under the structure of an EASA member accredited aeromedical center.
My partners, staff and avi med wingmen at Aeromedical Center Salzburg, Roth Aeromedical Services, Austro Control and EASA have all provided invaluable support to bring this project to fruition.
I am humbled by the contributions all have made and look forward supporting our pilots and air crews in Europe and now also in Savannah, Georgia in the US.
Thank you!
Doc Tom