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The history of medical standards in civil aviation dates back to just after World War I when the International Commission on Air Navigation (ICAN) was established following the Paris Air Convention of 1919.This organization was set up to establish rules and regulations for the safe conduct of civil aviation.A copy of these guidelines is available in this Handbook.In your role as a Civil Aviation Medical Examiner (CAME), you are usually the only person who physically examines the pilot or ATC and makes a recommendation for medical certification.Aviation medical examinations may only be carried out by a CAME.In the case of pilots residing overseas, the examination may be carried out by a medical examiner approved by the licensing authority of a contracting state of the International Civil Aviation Organization (ICAO).The types, the required medical categories and the validity periods of the licences are shown in the Medical Examination Requirements Table.(Figure 2) CAMEs are appointed on the basis of need, by the RAMO or AMO on behalf of the Minister of Transport.

The RAMOs are responsible for the selection and training of CAMEs, for reviewing the medical examination reports of pilots, flight engineers, and air traffic controllers, and for approving an appropriate medical category for aviation personnel.The medical handbook part of this document is not a text on aviation medicine, it is merely an introduction to the subject and covers the basic facts that you must have to understand the medical problems associated with flight.It will help you deal with many of the questions you may be asked and hopefully will encourage you to further study the subject.Licences do not have a validity period, but must be validated by a current MC which has a limited duration.There are four medical categories shown on the medical certificate, each of which validates a different type of licence.The mission is to ensure aircrew and air traffic controllers are medically fit, to close gaps in scientific knowledge of Canadian aviation medicine, to promote health and safety in the field of aviation and to prevent aircraft accidents due to medically related human factors.There are currently four Regional offices across Canada located in Montreal, Toronto, Edmonton, and Vancouver.The address is: Civil Aviation Medicine (CAM) Branch is one of several branches of the Directorate General of Civil Aviation in Transport Canada.The Director of Civil Aviation Medicine reports to the Director General of Civil Aviation.CAM Headquarters is located in the Transport Canada Building, 330 Sparks Street, Tower "C", Place de Ville, Ottawa, K1A 0N8.The mandate of CAM is to provide medical advice and assistance in setting out physical standards for Civil Aviation personnel; to advise in all problems connected with the health of travellers by air.

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