MOSAIC Rule Today?

Piperonca said:
(Ahem) the gentleman’s degree is in medicine, not english.
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You nailed it. I hold degrees in both Electrical Engineering and Medicine. Outside of this forum my communication skills have not been problematic. I agree that many people have a superior understanding of English grammar including possibly your local barista.
Half Fast said:
The problem isn't with your usage of "opinion," it's the use of "arbitrary."

ARBITRARY - adjective; based on random choice or personal whim, rather than any reason or system​

Certainly you should have an opinion on a medical matter, but even without a "concise set of standards of fitness" being handed to you, is your opinion really based upon random choice or personal whim? Or is it based upon your training and experience as a physician and what an examination tells you about the examinee's physical condition? If you were examining the person to participate in some other physical activity, like swimming or jogging, would you need a USG body to lay out standards for you in order for you to render a reasonable medical opinion?

IMHO, you should be rendering an informed opinion, not an arbitrary one.
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Ok then, what's an informed opinion and who gets to decide if a medical decision is valid? In the absence of well defined medical standards an attorney can argue that any non AME physician's opinion was arbitrary. I think many people here are missing the point. Basic Med gives the appearance of informed medical decision making but it does not. Any state licensed physician can make the determination if a person is medically fit to pilot an aircraft under Basic Med. That makes about as much sense as going to an Ophthalmologist to get your hip replaced. There is no requirement that the physician has a meaningful understanding of the effects of a wide variety of medical conditions on the physical or mental demands of piloting. If you want an informed opinion go to Dr. Bruce. If you go to any state licensed physician you may get a signature on the Basic Med form but the quality of that decision may be poor. The FAA has well developed medical standards. When it is unclear if a pilot meets those standards an AME can pick up the phone and get an informed opinion from a physician at a regional office or defer for a special issuance. You can argue those standards are too strict and the process is too onerous for the typical GA pilot and I would agree. I think the FAA should have created standards specifically for GA pilots and restricted Basic Med physicals to DOT registered physicians who administer CDL physicals.

There is a lot more arbitrariness in the practice of medicine than you might imagine.
 
GBear286 said:
I think the FAA should have created standards specifically for GA pilots and restricted Basic Med physicals to DOT registered physicians who administer CDL physicals.
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In point of fact, my PCP would not agree to a Basic Med Exam and instead, she suggested I see a Physician who does CDL Exams.
 
X3 Skier said:
In point of fact, my PCP would not agree to a Basic Med Exam and instead, she suggested I see a Physician who does CDL Exams.
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I’ll be making a decision soon about getting basic med or class 3 this fall. That’s one of the things that concerns me.
 
Dana said:
That's because he probably has an advanced degree in English Lit but barista is the only job he can get...
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Which leads to one of my favorite jokes. Ever wonder what's the difference between a scientist and an engineer?

A scientist asks, "Why does that work?"

An engineer asks, "How does that work?

A manager asks, "When will this work?"

An English Lit major asks, "Would you like that triple shot?"

Ron Wanttaja
 
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