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by James M. Blum, MD

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Aviation, Aviation Medicine, Fitness for Flight, Medicine  /  October 13, 2023

Being a HIMS AME: Supporting Pilots and Aviation Safety

by James M. Blum, MD

So a lot has changed since my last post. In the past year, I’ve become a commercially certificated pilot and trained to become an Aviation Medical Examiner (AME). I also completed additional training to work with pilots that have neurological, psychiatric, and substance abuse diagnoses in addition to being selected by the FAA as a Senior AME. This designation allows me to complete first class medical exams for Airline Transport Pilots (ATPs). The item I get the most questions about in the new role is what it’s like being an AME for pilots that have substance abuse issues. Here’s a few of my thoughts:

The aviation industry relies on stringent measures to ensure the safety of passengers, crew, and everyone on the ground. One essential component of aviation safety is the HIMS (Human Intervention Motivation Study) program, which plays a crucial role in addressing and supporting pilots facing substance abuse issues.

Understanding the HIMS Program

Before we explore the role of a HIMS AME, it’s essential to understand the HIMS program’s broader context. The HIMS program is a collaborative effort involving airlines, pilot unions, and the Federal Aviation Administration (FAA). It’s designed to help pilots who are struggling with substance abuse problems to seek treatment and return to flying safely.

The Role of a HIMS AME

A HIMS AME is a specially trained Aviation Medical Examiner who plays a pivotal role in the HIMS program. Their responsibilities include:

1. Evaluation and Assessment

HIMS AMEs are trained to evaluate and assess pilots who have voluntarily entered the HIMS program. This assessment helps determine the appropriate course of action and treatment plan for each pilot, considering their unique circumstances.

2. Treatment Guidance

HIMS AMEs work closely with other healthcare professionals to guide pilots through the treatment process. This may include substance abuse counseling, therapy, and rehabilitation. Their expertise ensures that the treatment plan aligns with FAA regulations.

3. Monitoring and Compliance

Throughout a pilot’s recovery journey, a HIMS AME monitors their progress to ensure compliance with treatment plans. They also assess the pilot’s readiness to return to flying and coordinate with the FAA to facilitate their return.

The Significance of HIMS AMEs

HIMS AMEs contribute significantly to aviation safety and pilot wellness in several ways:

1. Early Intervention

HIMS AMEs provide early intervention for pilots struggling with substance abuse issues. This timely support helps address problems before they escalate and become a more significant safety concern.

2. Comprehensive Care

By working closely with other healthcare professionals, HIMS AMEs ensure pilots receive comprehensive care tailored to their specific needs. This holistic approach increases the chances of a successful recovery.

3. Returning Safe Pilots to the Skies

The overwhelming majority of pilots in the HIMS program who successfully complete their treatment and monitoring return to flying with renewed competence and a commitment to sobriety. The fact the FAA allows pilots to return to the sky should encourage pilots with substance issues the confidence to come forward and get treatment. This not only supports their personal well-being but also contributes to aviation safety by minimizing the risk of accidents related to substance abuse.

Conclusion

Being a HIMS AME is remarkably rewarding. In addition to playing a critical role in the world of aviation safety, they offer a method to allow pilots to return to the sky and maintain their livelihood. Their dedication and expertise are instrumental in maintaining the high safety standards of pilots, the aviation industry, benefiting passengers, crews, and communities worldwide.

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