Abstract:Background Aircrew are subject to periodic medical examinations (PMEs) throughout their careers. These aim to ensure flight safety. Aims This paper discusses the history and rationale of screening air...Background Aircrew are subject to periodic medical examinations (PMEs) throughout their careers. These aim to ensure flight safety. Aims This paper discusses the history and rationale of screening aircrew. It then considers the ability of the PME to detect abnormalities and predict future in‐flight incapacitation. Conclusion We conclude that the current system is of limited value. Selected changes to the content and frequency of aircrew periodic medical examinations could be made without compromising flight safety.Read More