What is the best course of action for an aviation manager when a pilot requires a cardiac pacemaker and holds a first-class airman medical certificate?

The best course of action for an aviation manager in this scenario is to refer the pilot to an Aviation Medical Examiner (AME) to assess their eligibility. This step is crucial because an AME is specifically trained to evaluate the medical fitness of airmen, considering their medical history, the nature of their condition, and the implications it may have for flight safety.

The FAA has specific guidelines and regulations regarding medical conditions that may affect a pilot’s ability to operate an aircraft safely. A cardiac pacemaker is a significant medical consideration that necessitates a thorough evaluation by an AME. The AME will determine if the pilot meets the necessary medical standards for holding a first-class medical certificate, which is essential for operations in certain pilot capacities.

This approach ensures that the decision regarding the pilot’s fitness for duty is based on professional medical advice rather than assumptions or biases. It respects the regulatory framework while providing an opportunity for the pilot to demonstrate their capability to continue flying safely, depending on their medical assessment.