9 Medical Self-Certification Airman medical certificates are not required for pilots of gliders, motorgliders, and hot air balloons (nor for ultralights, which are unregulated). There has long been a tradition in the soaring community that glider pilots may "self-certify" their medical qualification. This terminology, "self-certification" may be based on discussions between the DOT and SSA, but there has been no such process required by the FAR's, either before or since 1997, when Part 67, Medical Standards and Certification, was last changed. Here's our legal status: 1. No medical certification is required for pilots of gliders or hot air balloons, either "self" or "official." 2. The concerns of the public, Congress, the DOT, and the FAA regarding pilot health can be summed up simply: - The main requirement regarding illness is that the pilot not have any condition that carries a risk of sudden in-flight incapacitation. The basic requirement concerning physical capacity is that the pilot be able to safely manipulate the controls, and have the vision, hearing, intellectual capacity, and judgment to operate the craft with proper skill. 3. Pilots are required to use good judgment at all times regarding whether their present health interferes with safety: FAR 61.53 Prohibition on operations during medical deficiency. (b) Operations that do not require a medical certificate. For operations provided for in Section 61.23(b) [Operations not requiring a medical certificate] of this part, a person shall not act as pilot in command, or in any other capacity as a required pilot flight crewmember, while that person knows or has reason to know of any medical condition that would make the person unable to operate the aircraft in a safe manner. 4. There is no record of the DOT ever having taken an enforcement action against the pilot of a glider or hot air balloon for flying with a medical deficiency. 5. There is no record of any litigation against a pilot who had a crash or other accident in which the health or physical incapacitation of the pilot was an issue. We conclude that soaring and hot-air balloon pilots have done a satisfactory job of recognizing their health limitations. And we can conclude that pilots of these types of aircraft need not be anxious about the possibility of a health-related legal problem. In any event, the burden of proof is on the "enforcer." Glider Pilot Physiology: Clues You Can Use Daniel L. Johnson, MD, FACP (C) 1998, 1999, 2000 Reproduction permitted with attribution.