Medical requirements for pilots wishing to be rated on the A320

To obtain your Airbus A320 Type Rating, it’s not just about simulator hours and theoretical knowledge. You’ll also need to prove that your health meets commercial aviation standards. In this guide, we’ll cover the official medical requirements, common tests you’ll face, and practical tips to help you pass them smoothly.

 

Class 1 medical certificate: the legal basis

 

To qualify for the Airbus A320 Type Rating, one essential requirement is holding a valid Class 1 Medical Certificate. This certificate confirms that the pilot meets the medical standards necessary to operate multi-crew commercial aircraft like the Airbus A320.

 

Which Authorities Require a Class 1 Medical Certificate?

The world’s leading aviation authorities require this certificate to authorize the operation of commercial aircraft:

 

  • EASA (Europe): Under the regulations of Part-MED, the certificate is valid for 12 months if the pilot is under 40 years old, and 6 months if 40 or older.

 

  • FAA (United States): The FAA’s 1st Class Medical Certificate is valid for 12 months for pilots under 40, and 6 months for those aged 40 or above.

 

  • DGAC (Mexico, Chile, Argentina): According to RAC and LATAM MED standards, the certificate remains valid for 12 months if the pilot is under 40, and 6 months if 40 or older.

 

The Airbus A320 Type Rating cannot be issued or renewed if the Class 1 Medical Certificate has expired. This means that even if a pilot has successfully completed both the theoretical and practical training, they will not be allowed to operate the A320 without a valid medical certificate.

 

Recommendation for Pilots

 

If you’re planning to begin your training for the Airbus A320 Type Rating, make sure your Class 1 Medical Certificate remains valid throughout the entire process. This will help you avoid delays and ensure you can complete your training without any setbacks.

 

Compulsory medical examinations


To obtain or renew a Class 1 Medical Certificate, essential for the Airbus A320 Type Rating, pilots must undergo a series of medical examinations at an authorized Aeromedical Center (AMC). These checks ensure the pilot meets the health standards set by aviation authorities such as EASA, FAA, or DGAC.

 

The medical assessment covers several key areas of a pilot’s health:

 

  • Cardiology: A resting electrocardiogram (ECG) is required, and from age 40 onward, a stress test is also mandatory. The goal is to rule out clinically significant arrhythmias, with a required blood pressure of 140/90 mmHg or lower.
  • Vision: Visual acuity must be at least 6/9 (20/30) in each eye and 6/6 (20/20) with both eyes combined. Optical correction is allowed up to ±5 diopters and up to 2 diopters of astigmatism.
  • Color Perception: Tests such as Ishihara, HRR, or an anomaloscope are used to confirm normal red-green color vision.
  • Hearing: An audiogram is performed to ensure there is no significant hearing loss. The acceptable threshold is 35 dB at frequencies between 500 and 2,000 Hz.
  • Respiratory System: A spirometry test is included, and a chest X-ray may be required. Normal lung function is expected, with no signs of severe COPD.
  • Metabolism: Blood tests check glucose levels, lipids, and thyroid function. Acceptable values include an HbA1c below 6.5% and total cholesterol within healthy ranges.
  • Neurology: Reflexes and coordination are assessed. If there is a medical history, an EEG may be requested. Diagnoses such as epilepsy or seizure disorders are disqualifying.
  • Mental Health: A clinical interview is conducted, and in some cases, psychometric testing. Serious mental health disorders (SMD) and any signs of substance abuse are grounds for disqualification.
 


Conditions requiring further assessment

While many pilots meet the standard medical requirements for obtaining a Class 1 Medical Certificate, certain health conditions, though not automatically disqualifying, require further medical evaluation to determine a pilot’s fitness. This is especially important for those pursuing the Airbus A320 Type Rating, as all medical conditions must be well-managed and properly documented.

 

  • Refractive Surgery (LASIK or PRK): Pilots who have undergone refractive surgery may still be deemed fit, provided that 3 to 6 months have passed since the procedure and there are no side effects such as halos, glare, or visual fluctuations. Corrected vision must meet the required standards.
  • Controlled Type 2 Diabetes: Type 2 diabetes is not necessarily a barrier to flying. If managed through diet or oral medication, the pilot may be certified, as long as an up-to-date report from an endocrinologist confirms good metabolic control and no complications.
  • Treated Hypertension: Pilots with high blood pressure can be considered fit if the condition is well-controlled with treatment and there is no evidence of organ damage (e.g., kidney, heart, or brain involvement). Regular medical follow-up and clinical documentation are required.
  • Long COVID: In cases of post-COVID syndrome or long COVID, a pulmonologist’s report is needed to certify full respiratory recovery. A normal stress test is also required to rule out any physical limitations that could impact flight safety.

 

Renewals and continuous monitoring

Maintaining a valid Class 1 Medical Certificate is essential to keep your Airbus A320 Type Rating active and continue flying without interruptions. Aeromedical certification isn’t just a one-time check, it involves ongoing medical monitoring to ensure long-term operational safety.

 

  • Schedule Your Renewal in Advance: The certificate is valid for 12 months if you’re under 40, and 6 months if you’re 40 or older. To avoid expiration, it’s recommended to schedule your renewal at least 45 days in advance. This gives you enough time to resolve any issues that may arise.

  • Report Any Health Changes: If you’ve experienced any injury, illness, or medical procedure since your last exam, you must provide updated reports from the relevant specialists during your renewal. This allows the aviation medical examiner to confirm you’re still fit to fly safely.

  • Notify Relevant Medical Conditions: Under European regulations (Part-MED AMC I MED.A.020), you’re required to inform your Aviation Authority if you develop any medical condition that could impact flight safety. This includes physical or mental illnesses, use of incompatible medications, or any significant change in your health status.

 

Tips on how to pass the examination without surprises

 

Passing the Class 1 Medical Exam smoothly is essential for progressing in your Airbus A320 pilot training. While many test results depend on your general health, there are several steps you can take to prepare and avoid results being affected by external factors:

 

  • Prepare for Your ECG: The electrocardiogram (ECG) is one of the most sensitive tests. To avoid false positives due to mild arrhythmias or elevated heart rate, avoid consuming stimulants like caffeine or energy drinks before the exam.
  • Bring Your Visual Correction and Updated Prescription: If you wear glasses or contact lenses, make sure to bring them along with your current optical prescription. This allows the examiner to verify that your vision correction meets the required standards.
  • If You Take Regular Medication, Bring a Prescription and Medical Report: If you’re undergoing medical treatment, it’s crucial to bring your prescription and an updated report from your doctor. This helps the examiner assess whether the medication is compatible with flying and whether your condition is well-managed.
 
  • Fast and Eat Light Before Blood Tests: For blood work, it’s recommended to fast for at least 8 hours. Also, reduce your intake of saturated fats and sugars during the week before the exam to avoid abnormal cholesterol, glucose, or triglyceride levels.
  • Get a Good Night’s Sleep: Poor sleep can affect your blood pressure and heart rate, potentially altering ECG or blood pressure results. Make sure to sleep at least 7–8 hours the night before your check-up.

 

Costs and times

 

The Class 1 Medical Exam required to obtain or renew the Airbus A320 Type Rating, varies in cost and duration depending on the region and whether it’s an initial assessment or a renewal.

 


How much does it cost?

 

Europe: The initial medical exam typically costs between €200 and €350, depending on the country and the aeromedical center. Renewals are more affordable, averaging around €150.

Latin America: Prices range from $120 to $250 USD, with variations based on the country and whether it’s an initial evaluation or a renewal.

 

How long does it last?

 

Initial Evaluation: Usually takes 3 to 4 hours, as it includes a full check-up with all required medical tests.

Renewal: Faster, typically lasting 1.5 to 2 hours, provided there are no new medical conditions that require further evaluation.

 

What happens if you don’t ‘fit’ the first time?

 

Receiving a “not fit” result in your Class 1 Medical Exam can be stressful, especially if you’re in the process of obtaining your A320 Type Rating. However, it doesn’t always mean the end of your journey. There are several possible outcomes and alternatives that allow you to continue after an initial unfavorable evaluation.

 

Possible decisions by the examiner:

 

  • Fit with Limitations: In some cases, the examiner may issue a “fit with restrictions” certificate, such as an OML (Only with Medical Limitation), which may require mandatory use of corrective lenses during flight.
  • Request for Additional Tests: If there are doubts or inconclusive results, the examiner may request further studies, such as an echocardiogram, a stress test, or a specialist evaluation.
  • Temporarily Unfit: If a medical condition is detected that requires treatment or monitoring, a “temporarily unfit” result may be issued. In this case, the pilot can reapply once the necessary medical reports are submitted or the treatment is completed.

 

What to do if you don’t qualify?

 

The most important step is to work closely with your AME (Aero Medical Examiner) and the relevant medical specialists. They will guide you through the necessary steps to resolve any issues and help you meet the medical requirements to fly the A320 again.

 

Conclusion

 

With a valid Class 1 Medical Certificate and a proactive approach to your health, there will be no medical barriers to obtaining your Airbus A320 Type Rating. Schedule your medical check-ups in advance, gather all necessary clinical documentation, and maintain healthy habits—your future in the cockpit depends as much on your physical condition as on your flying skills.

At Global Training Aviation, we support you every step of the way in earning your Type Rating. Our team is committed to your comprehensive pilot training, which includes helping you understand and meet all the medical requirements needed to fly safely and confidently.

 

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