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It explains the required comprehensive exam components, including document review, physical examination, agility testing, toxicological testing, medication review, and Medical Review Officer evaluation. It details when assessments are required for initial acceptance, licensing, renewals, and specific post-absence or condition-change circumstances, and summarizes the resulting fitness determinations and related costs and regulations.",{"@graph":69,"@context":126},[70,84,105],{"@type":71,"itemListElement":72},"BreadcrumbList",[73,77,79,82],{"item":74,"name":75,"@type":76,"position":8},"https://docshare.wps.com","Home","ListItem",{"item":78,"name":9,"@type":76,"position":14},"https://docshare.wps.com/document/",{"item":80,"name":35,"@type":76,"position":81},"https://docshare.wps.com/document/healthcare/",3,{"item":83,"name":65,"@type":76,"position":19},"https://docshare.wps.com/document/medical-assessment-and-fitness-determination-guide-version-4-medical-assessment-requirements-and-fitness-determinations/388991/",{"url":83,"name":65,"@type":85,"image":86,"author":91,"headline":65,"publisher":94,"fileFormat":97,"inLanguage":63,"description":67,"dateModified":98,"datePublished":99,"encodingFormat":97,"isAccessibleForFree":100,"interactionStatistic":101},"DigitalDocument",{"url":87,"@type":88,"width":89,"height":90},"https://docshare.wps.com/thumbnails/medical-assessment-and-fitness-determination-guide-version-4-medical-assessment-requirements-and-fitness-determinations/388991.png","ImageObject",300,407,{"name":92,"@type":93},"SundayMiles","Person",{"url":74,"name":95,"@type":96},"DocShare","Organization","application/pdf","2026-10-27","2026-09-25",true,{"@type":102,"interactionType":103,"userInteractionCount":52},"InteractionCounter",{"@type":104},"ViewAction",{"@type":106,"mainEntity":107},"FAQPage",[108,114,118,122],{"name":109,"@type":110,"acceptedAnswer":111},"What is included in a medical assessment for BOPC pilots and trainees?","Question",{"text":112,"@type":113},"A medical assessment includes a document review, a thorough physical examination, an agility test, a toxicological test, a review of prescribed medications, and an evaluation by the Medical Review Officer.","Answer",{"name":115,"@type":110,"acceptedAnswer":116},"How is the agility test designed and who conducts it?",{"text":117,"@type":113},"The agility test simulates the physical demands of piloting, including balance and multiple climb/lift components, plus heart rate recovery after activity. It is conducted by a qualified professional (such as a personal trainer or physiotherapist) under the direction of a BOPC-appointed examining physician.",{"name":119,"@type":110,"acceptedAnswer":120},"What fitness determinations can result from the assessment?",{"text":121,"@type":113},"After results are reviewed by the examining physician and the Medical Review Officer, the pilot or trainee may be determined Fit for Duty, Not Fit for Duty, or Fit for Duty for a specified period of time (less than one year).",{"name":123,"@type":110,"acceptedAnswer":124},"Who pays for the cost of the fitness determination and where are exams conducted?",{"text":125,"@type":113},"The cost is borne exclusively by the BOPC. Medical exams are conducted by appointment at UCSF Medical Center, Division of Occupational Medicine, with provided mail addresses, phone/fax contacts, and weekday hours.","https://schema.org",{"og:url":83,"og:type":128,"og:title":65,"og:site_name":95,"og:description":67},"article",{"robots":130,"canonical":83},"index,follow",{"doc_id":132,"site_id":62},388991,1790485025,{"code":4,"msg":5,"data":135},{"doc_id":132,"user_id":136,"nickname":92,"user_avatar":137,"doc_module":4,"category_id":34,"category_name":35,"doc_title":65,"doc_description":67,"doc_content":138,"file_id":139,"file_url":140,"file_type":141,"file_size":142,"view_count":52,"is_deleted":4,"is_public":8,"is_downloadable":8,"audit_status":8,"page_count":143,"language":144,"language_code":63,"site_id":62,"html_lang":63,"table_of_contents":145,"faqs":146,"seo_title":147,"seo_description":67,"update_tm":148,"read_time":149,"preview_page_count":4},1099529839202,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","January 1, 2015  \n(updated 4-25-2024)  \nTo: BOPC Licensed Pilots and Pilot Trainees  \nFrom: Allen Garfinkle, Executive Director  \nRe: Medical Assessment and Fitness Determination Guide  \n\n| Purpose | The purpose of this Medical Assessment and Fitness Determination Guide is to provide information regarding medical assessments and fitness determinations for BOPC licensed pilots and pilot trainees. |\n| --- | --- |\n| Background | The BOPC is required to ensure that pilots and pilot trainees are physically and mentally fit to perform their duties. To achieve this purpose, pilots and pilot trainees must periodically undergo fitness determinations by BOPC-appointed physicians pursuant to BOPC-prescribed standards.\u003Cbr>On April 1, 2014, new pilot and pilot trainee fitness regulations became effective that provide for certain requirements and procedures for pilot and pilot trainee medical assessments and fitness determinations.\u003Cbr>On May 9, 2014, the BOPC entered into a multi-year interagency agreement with the Regents of the University of California, San Francisco Campus for implementation of the new fitness regulations. |\n| What is a medical assessment? | A medical assessment consists of a comprehensive physical and medical exam, and at minimum includes:\u003Cbr>􀀹 a document review;\u003Cbr>􀀹 a thorough physical examination;\u003Cbr>􀀹 an agility test;\u003Cbr>􀀹 a toxicological test;\u003Cbr>􀀹 a review of prescribed medications; and\u003Cbr>􀀹 an evaluation by the Medical Review Officer. |\n| What is involved in the agility test? | An agility test is designed to simulate the physical demands of piloting and includes balance, pilot ladder circuit climb, stair climbing, floor to waist lifts, a single rope slide, and heart rate recovery after activity. The test will be conducted by a personal trainer, physiotherapist, occupational therapist or kinesiologist, under the direction of a BOPCappointed examining physician. (See attached “Components of Agility Testing.”)\u003Cbr>Agility tests are conducted biennially after the first testing.\u003Cbr>Agility tests will be conducted at the San Francisco Bar Pilots’ (SFBP) Pier 9 gym. Agility tests will be offered once or twice a month on Wednesdays. |\n| What is involved | A toxicological test involves testing for dangerous drugs, anti-depressants, anti- |\n\n\n| in the\u003Cbr>toxicological test? | psychotics, anti-convulsants, barbiturates, amphetamines, benzodiazepines, sedative hypnotics, and opiates contained in pain medication. |\n| --- | --- |\n| When are medical assessments required? | Medical assessments are completed upon:\u003Cbr>􀀹 acceptance of a position in the Pilot Trainee Training Program;\u003Cbr>􀀹 application for an original pilot license;\u003Cbr>􀀹 application for the renewal of a pilot license;\u003Cbr>􀀹 annually prior to the anniversary of a trainee’s admission into the Pilot Trainee Training Program.\u003Cbr>Additionally, a medical assessment may be required following certain circumstances such as:\u003Cbr>􀀹 upon the direction of a BOPC-appointed physician prior to returning a pilot or pilot trainee to duty after an absence from duty for medical reasons that continued for either 30 consecutive days or a total of 30 days in any 60-day period;\u003Cbr>􀀹 upon the direction of a BOPC-appointed physician following a referral by the BOPC or the BOPC Executive Director;\u003Cbr>􀀹 upon the direction of a BOPC-appointed physician following receipt of a notice from the pilot or pilot trainee of changes in his or her medication or medical condition; or,\u003Cbr>􀀹 following receipt of correspondence from the U.S. Coast Guard concerning a pilot’s medical condition.\u003Cbr>􀀹 Periodically during an extended medical disability leave that continues beyond 120-days. |\n| What determinations are made following a medical assessment? | Based upon the results of a medical assessment or other fitness determination by an examining physician and the Medical Review Officer, a pilot or pilot trainee examined will be determined to be one of the following:\u003Cbr>• Fit for Duty\u003Cbr>• Not Fit for Duty\u003Cbr>• Fit ","cbCaikwf5ahjtCNz","https://ap.wps.com/l/cbCaikwf5ahjtCNz","pdf",860086,17,"English","# Purpose\n# Background\n# Medical assessment components\n# Agility test requirements\n# Toxicological testing\n# When medical assessments are required\n# Fitness determinations after assessment\n# Medical treatment and responsibility\n# Costs and regulations\n# Where to go for medical exams\n## Appointment contact information\n# Who conducts the medical exam and agility test","[{\"question\":\"What is included in a medical assessment for BOPC pilots and trainees?\",\"answer\":\"A medical assessment includes a document review, a thorough physical examination, an agility test, a toxicological test, a review of prescribed medications, and an evaluation by the Medical Review Officer.\"},{\"question\":\"How is the agility test designed and who conducts it?\",\"answer\":\"The agility test simulates the physical demands of piloting, including balance and multiple climb/lift components, plus heart rate recovery after activity. It is conducted by a qualified professional (such as a personal trainer or physiotherapist) under the direction of a BOPC-appointed examining physician.\"},{\"question\":\"What fitness determinations can result from the assessment?\",\"answer\":\"After results are reviewed by the examining physician and the Medical Review Officer, the pilot or trainee may be determined Fit for Duty, Not Fit for Duty, or Fit for Duty for a specified period of time (less than one year).\"},{\"question\":\"Who pays for the cost of the fitness determination and where are exams conducted?\",\"answer\":\"The cost is borne exclusively by the BOPC. Medical exams are conducted by appointment at UCSF Medical Center, Division of Occupational Medicine, with provided mail addresses, phone/fax contacts, and weekday hours.\"}]","Medical Assessment and Fitness Determination Guide - Version 4 - Medical assessment requirements and fitness determinations | PDF",1790313495,43]