Mayo Clinic Aerospace Medicine

Mayo Clinic Clear Approach

Health EN ↓ 105 episodes

Mayo Clinic Clear Approach tackles medical topics important to commercial aviators, recreational pilots, or just folks interested in things that fly. Current topics from the Federal Aviation Administration (FAA), National Transportation Safety Board (NTSB), and aviation trends are explored in a serious but sometimes humorous way. Mayo Clinic Clear Approach focuses on a perspective from "the other side of the gurney." Let us navigate the storms of aeromedical certification, medical issues that may affect pilots, and share experiences with and from other pilots to break through life's sometimes...

Author

Mayo Clinic Aerospace Medicine

Category

Health

Latest episode

Jul 3, 2026

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Episodes

FAA Updates on Achy Breaky Hearts 03.07.2026

Send us Fan Mail On this episode, we discuss some of the updates from the latest FAA AME Grand Rounds as it pertains to various heart conditions that might affect you as a pilot.

News for Snoozin' and Cruisin' 12.06.2026

Send us Fan Mail On this episode, we review FAA updates on streamlining the process of documenting adequate use of CPAP for obstructive sleep apnea as well as clarifications from the FAA on using a counselor, psychotherapist, or psychiatrist for obtaining appropriate mental health care.

Time to Quit Smoking -- And Not Lose Your Medical 29.05.2026

Send us Fan Mail On this episode, we review some of the highlights of the recent Aerospace Medical Association meeting in Denver, and then cover FAA updates on acceptable medications for efforts at smoking cessation.

The HIMS Program and Benefits to Pilots and Families 15.05.2026

Send us Fan Mail On this episode, we review what exactly the HIMS program is, what is required to obtain FAA Special Issuance Authorization when a pilot deals with substance abuse and/or dependence, and provide updates from the latest advanced HIMS training course. 

Hormone Replacement and Osteoproosis for Pilots 01.05.2026

Send us Fan Mail On this addition, we provide updates recently announced by the FAA regarding hormone replacement therapy as well as medications for treatment of osteoporosis, common conditions found in female pilots.

Maybe Not Too Spicy: FAA Medical Updates for Acid Reflux to Polycystic Ovarian Syndrome 17.04.2026

Send us Fan Mail On this episode, we review the latest FAA updates on a variety of conditions including gastroesophageal reflux disease (GERD), retinal dystrophies, and the CACI qualification for polycystic ovarian syndrome.

Go With the Flow: Updates on drones and clots 27.03.2026

Send us Fan Mail On this episode, we discuss the amazing advancements in the world of drone technology -- the fastest growing sector in the aviation space.  In addition, we review thromboembolic disease, the medical term for clots either in the lung or in an extremity that can be life-threatening, and potentially jeopardize your medical certificate.  What is required for Special Issuance Authoriza...

Restructuring for the Future and Updating GI Conditions 13.03.2026

Send us Fan Mail On this episode, we return from a mid-winter hiatus back to the studio with a new practice location as part of a Mayo Clinic rebuild of the entire downtown campus. Plus, restructuring at the FAA, and a review of current updates regarding  liver disease, including steatohepatitis, cirrhosis, esophageal varices, and liver transplantation.

Holiday Happiness in the "Land of Misfit Toys" 19.12.2025

Send us Fan Mail Many pilots who have visited the Mayo Clinic Section of Transportation Medicine had early Christmas presents this year when they received their medical certificates.  On this episode, we review some of those cases and update listeners on the newest FAA aeromedical certification changes released this month.

Discover a "Secret Resource" to Speed Up Your Aeromedical Certification 21.11.2025

Send us Fan Mail As the holiday season approaches, one gift to pilots is the AME Guide available from the FAA on line as an insider resource to aviators preparing for their flight physicals. Think of preparation for a flight physical as a pre-flight inspection of yourself. Medical conditions never seem to strike at convenient times, so having an online, free, and accessible guide to understanding...

Seeing Through Glaucoma 14.11.2025

Send us Fan Mail On this episode, we review glaucoma, one of the most common causes of visual acuity loss in older adults and gradually affects visual field of pilots if not detected early. That early detection is a key factor in preventing its effects.  What about aeromedical certification implications? Is there CACI criteria available for glaucoma? Is a pilot able to hold a medical certificate w...

Certification After Sudden Cardiac Death Episodes or with Brugada Pattern on ECG 07.11.2025

Send us Fan Mail On this episode, we access a world expert on complex cardiac arrhythmias that can result in sudden cardiac death.  Can a pilot resuscitated on the flight deck or in the field actually get back to flight duty?  What trends are being seen in the FAA cardiology panel when it comes to consideration of these conditions?  Why is it important to perform detailed research and provide data...

Wheeze Bad -- A Short Primer on Certification with Respiratory Issues 31.10.2025

Send us Fan Mail On this episode, we interview Dr. Wigdan Farah, a pulmonologist in Mayo Clinic's Division of Pulmonary & Critical Care Medicine to discuss several respiratory conditions seen commonly in pilots seeking medical certification -- then review aeromedical implications and requirements.

Legal Beagles - Aeromedical Certification from the Perspective of an Aviation Attorney 17.10.2025

Send us Fan Mail On this episode, we ask a few questions of an aviation attorney as it pertains to aeromedical certification.  How worried do pilots need to be about falsification on on a medical application -- intended or unintended?  What is the liability for using BasicMed as an alternative to aeromedical certification? What are the most common cases for which pilots contact an aviation attorne...

Government shutdown? What now? Let's talk Skin Cancer 03.10.2025

Send us Fan Mail On this episode, we review any potential changes in flight physical reviews on the basis of the government shutdown.  In addition, with the outstanding weather this fall in the upper Midwest, we review ultraviolet radiation effects as it pertains to skin cancer and how that can affect aeromedical certification.

FAA Updates from the Civil Aviation Medical Association meeting and AME Grand Rounds 26.09.2025

Send us Fan Mail On this episode, we discuss items learned at the Civil Aviation Medical Association meeting (CAMA) in Spokane, Washington along with a few updates from the FAA communicated on the recent AME Grand Rounds held virtually this past week.

Will Low Platelet Counts Prevent Issuing a Medical Certificate? 05.09.2025

Send us Fan Mail A certain portion of pilots develop low platelet counts, otherwise known as thrombocytopenia.  On this episode, we look at how platelets work in the body, what happens if there are not enough platelets, and why the FAA even cares.  Having a good plan in place with your AME to deal with this condition is important when considering aeromedical certification.

Atrial Fibrillation: A Fluttering Heart and Aeromedical Implications 29.08.2025

Send us Fan Mail Atrial fibrillation is one of the most common forms of heart arrhythmia that require Special Issuance Authorization from the FAA.  On this episode, we review what testing is required and how difficult the challenge is to obtain a medical waiver for the condition.

Head Trauma and the Pilot: Boo boo on the Noggin' to Skull Fractures and Brain Bleeds 22.08.2025

Send us Fan Mail Falls, crashes, and other events resulting in head trauma are never planned but can have significant consequences for a pilot's ability to maintain a medical certificate.  On this episode, we review the various levels of severity of head trauma as defined by the FAA and navigate direct paths to aeromedical certification.

Searching for the "Cog" in the Wheels of the Mind: Neuropsychology Testing in Pilots 08.08.2025

Send us Fan Mail On this episode, we visit with an FAA-trained neuropsychologist -- an expert in the field of testing cognitive ability -- often required as part of medical certification in pilots with conditions such as depression, ADHD, prior drug or alcohol disorders, and past head trauma. We ask what to do, and what not to do as part of these testing sessions, often cloaked in anonymity.

Alphabet Soup of Aeromedical Certification Acronyms 01.08.2025

Send us Fan Mail Many times in the process of obtaining an aviation medical certificate, pilots come across acronyms and terms typically unfamiliar to most people. On this episode, we decipher some of those terms so you can impress friends and family at the hangar or pilot domicile.

EAA's AirVenture Highlights and Hosting an FAA AME Refresher Seminar 25.07.2025

Send us Fan Mail On this episode, the podcast returns Mitch and Clay from extended vacations to review highlights from one of the largest aviation events in the country held in Oshkosh, Wisconsin -- along with outlining the framework for an upcoming AME refresher seminar to be held by the FAA Education Division on the Mayo Clinic campus.

What Happens When an AME is the Patient/Pilot? 27.06.2025

Send us Fan Mail Ever wonder what an AME feels like when they have to undergo the scrutiny of a flight physical themselves?  On this episode, we reflect on life from the "other side of the gurney" and how to best prepare for undergoing a flight physical before showing up. 

Dark Pee? Think Hep C! Navigating FAA Certification with Hepatitis 20.06.2025

Send us Fan Mail Hepatitis C is a viral infection of the liver that often involves no specific symptoms --  until it is too late.  On this episode, we cover a pathway to FAA medical certification in pilots who contract this sneaky virus.

Leading for the Future of Aerospace Medicine 30.05.2025

Send us Fan Mail On this episode, we visit with soon-to-be retired Executive Director of the Aerospace Medical Association, Jeff Sventek.  His insights from more than 30 years in the United States Air Force along with 15 additional years guiding the leading specialty organization for Aerospace Medicine culminate with the annual Scientific Meeting scheduled in Atlanta the first week of June.  We wi...

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