A first-class FAA medical certificate is the one an airline captain needs to exercise airline transport pilot (ATP) pilot-in-command privileges. A second-class medical covers commercial flying and second-in-command airline duty. The practical difference for you comes down to three things: which flying you intend to do, how long the certificate stays valid for that flying, and the extra cardiac testing that comes with a first-class exam. If you are searching for the FDA’s Class I and Class II device categories, that is a different subject. This guide covers pilot medical certificates only.
TL; DR
- A first-class medical is required for pilot-in-command privileges of an ATP certificate. A second-class medical is required for commercial pilot privileges.
- Under 14 CFR 61.23, a first-class certificate used for ATP pilot-in-command duties lasts 12 calendar months if you are under 40 and 6 if you are 40 or older. Used for commercial privileges, it counts as second class and lasts 12 months.
- The first-class exam adds an electrocardiogram (EKG) at age 35 and annually after age 40. Second and third class do not require it.
- A higher class includes the privileges of the lower classes, so a first-class holder can also exercise second-class and third-class privileges.
- If your goal is the airlines, apply for the highest class you might need before you commit to tuition.
Sisukord
- What each class is designed for
- First class vs second class: side-by-side comparison
- How long each certificate lasts, and why it “steps down”
- What the exam involves
- Which class a student pilot should get
- When the medical does not go as planned
- Meie vaatenurk
- Plan your training around the right certificate
- KKK
- Allikad
What each class is designed for
The FAA sorts medical certificates by the kind of flying you do. Generally, a first-class certificate is designed for airline transport pilots, while a second-class certificate is designed for commercial pilots. Third class sits below both and covers student, recreational and private flying.
. FAA’s guide for Aviation Medical Examiners states that a second-class certificate is required for commercial pilots, flight engineers, flight navigators and air traffic control tower operators. In practice, this is the certificate of a pilot who is paid to fly but who is not acting as captain on a scheduled airline flight. Typical examples are:
- Flight instructors who are paid to teach in a training environment
- Pipeline patrol, aerial photography and survey pilots
- Charter and corporate pilots operating under commercial privileges
- Airline first officers exercising second-in-command privileges of an ATP certificate
A first-class certificate is the one you need to act as pilot in command of an airline operation that requires an ATP. It is the certificate every captain at a U.S. passenger airline holds, and the one a first officer will eventually need on the way to the left seat.
First class vs second class: side-by-side comparison
| tunnusjoon | First-class medical | Teise klassi meditsiiniline |
|---|---|---|
| Mõeldud | Lennutranspordi piloodid | Äripiloodid |
| Vajalik | Pilot-in-command privileges of an ATP certificate | Commercial pilot privileges, second-in-command airline duty |
| Validity for ATP pilot-in-command duties | 12 calendar months under 40, 6 months at 40 or older | Not valid for these duties |
| Validity for commercial (second-class) duties | 12 kalendrikuud | 12 kalendrikuud |
| EKG | At age 35, then annually after age 40 | Pole nõutud |
| Who may examine you | Designated senior Aviation Medical Examiners only | Any Aviation Medical Examiner (AME) |
| Standardid | 14 CFR osa 67 | 14 CFR osa 67 |
The validity figures come straight from 14 CFR 61.23. The EKG and examiner rules come from the FAA’s Navigating the Medical Flight Path avaldamist.
How long each certificate lasts, and why it “steps down”
This is the part that surprises most students. A medical certificate does not have one expiry date. Its validity depends on the privileges you are exercising and on your age on the date of the exam.
Take a first-class certificate issued to a 32-year-old applicant:
- For ATP pilot-in-command duties, it is good for 12 calendar months.
- After that, it still works as a second-class medical for commercial privileges through the end of the 12th calendar month.
- After that, it continues as a third-class medical. For a pilot under 40, third-class privileges last 60 calendar months; at 40 or older, 24.
For a pilot who is 40 or older at the exam, the first-class window for ATP pilot-in-command duties shortens to 6 calendar months. That is why airline captains over 40 are examined twice a year.
A second-class certificate follows the same logic with one level removed. It is valid for 12 calendar months for commercial privileges, and then steps down to third-class privileges for the periods above.
Two details matter in practice. First, the periods are calendar months: a certificate issued in mid-month stays valid through the last day of the relevant month. Second, the under-40 versus 40-or-older split is fixed by your age on the date of the exam, not by a later birthday. For a deeper walk-through of renewals, see our guide to piloodi tervisetõendi nõuded testide ja uuendamise jaoks.
What the exam involves
Both classes follow the same basic process. You start by creating a MedXPress account and submitting your application online, then take the confirmation number to your AME. We explain the form step by step in our MedXPress guide for student pilots.
At the appointment, the FAA says the examination includes vitals, vision and hearing tests, an EKG if required, and urine testing. The AME must personally review your medical history and perform the physical examination to determine whether you meet the standards in 14 CFR part 67.
The differences between classes are narrower than many applicants expect:
- Cardiac testing. A first-class exam requires an electrocardiogram at age 35 and annually after age 40. Second class does not.
- Eksamineerija. Only designated senior AMEs may perform first-class examinations. Before booking, confirm that the examiner you choose is authorized for the class you want.
- Standardid. Both classes are measured against part 67, and the first-class standards are the most demanding. Ask your examiner or review the AME guide for the detailed requirements of each class.
If you want a full picture of what first class involves, our page on the 1st class FAA medical certificate covers the process, and our overview of FAA tervisetõendi nõuded covers all three classes.
Which class a student pilot should get
The regulatory minimum is low. A student pilot must hold at least a third-class medical certificate, though any class will suffice. Legally, you can begin training with any class.
Strategically, the answer is different for someone who intends to become an airline pilot. The FAA’s own guidance says students planning to enter commercial aviation should apply for the highest class of medical certificate that might be necessary in their career. The reasoning is financial as much as medical:
- You find out early. A condition that disqualifies you from first class is far better discovered before you have spent your tuition, not after the commercial certificate is in hand.
- One exam covers everything. A pilot with a higher-class certificate has met the requirements for lower classes and may exercise the privileges those lower classes allow. A single first-class exam covers your private, instrument, commercial and instructor training.
- No repeat exams. You avoid taking a second, more demanding exam later when a regional airline asks for proof of eligibility.
A reasonable rule of thumb: if your plan ends at commercial or instructor flying, a second-class medical is the working certificate. If your plan ends at an airline cockpit, start with first class. Our guide for career pilots on the FAA medical certificate lays out the sequencing, and what medical certificate pilots need to train answers the most common starter questions.
When the medical does not go as planned
An imperfect result is not always the end of the road. If you may not meet a standard, the FAA advises that you research the AME guide in advance and bring the required documentation. If the examination is deferred, provide the requested records; if you are denied, you can appeal or ask about a possible Special Issuance.
A deferral simply means the AME sends your file to the FAA for further review. The FAA also notes that pilots who do not meet medical standards may still qualify under special issuance provisions or the exemption process. Students with a physical limitation may receive a certificate valid for student pilot privileges only. After meeting the requirements and demonstrating safe operation, they may receive a Statement of Demonstrated Ability (SODA).
If you have a diagnosis, a medication, or a past event that you think could matter, speak to an AME before you submit the MedXPress form, and do not leave anything out of the application. Our overview of first-class disqualifications helps you prepare questions for that conversation, and the FAA pilot medical requirements guide hõlmab laiemat protsessi.
Meie vaatenurk
We advise every student who tells us the airlines are the goal to obtain a first-class medical before the first paid lesson, and we say it for a reason that has nothing to do with paperwork. A flight training budget is a plan, and the medical is the one assumption in that plan that cannot be negotiated, financed or retaken at will.
The pilots who move fastest through a curriculum are rarely those with the most free time. They are the ones with no unresolved questions: a medical in hand, a schedule built around it, and a program that does not stall waiting for an examiner. That is the design principle behind our academy. We hold Self Examining Authority, which lets us conduct FAA checkrides in-house, and our Part 141 programs are structured so that a student with a clean medical can progress from private pilot toward ATP in as little as 111 hours of flight training.
A first-class medical is the first checkpoint of that discipline. Do it early, do it with the right examiner, and the rest of the program becomes a matter of execution.
Rainer
Plan your training around the right certificate
Once your medical is settled, the next question is how quickly and predictably you can turn it into a commercial certificate. Florida Flyers Flight Academy trains U.S. and international students, offers M1 visa support, and administers FAA checkrides in-house through its Self Examining Authority, which is designed to shorten the wait for practical exams.
If you want a cost structure you can plan around, our Fikseeritud hinnaga lennufirma lennukooliprogramm is listed at $85,900 one-off, and our USA lennufirma piloodi karjääriprogramm is listed at $49,950 one-off. You can also browse individual pilootide koolituskursused, from private pilot through instrument, multi-engine and CFI.
Ask our admissions team to confirm which program, and which medical class, fits your path before you enroll.
KKK
Can I train with a second-class medical and upgrade to first class later?
Yes. Any class is enough for a student pilot, and you can apply for a first-class certificate at any point. The risk is timing: if a disqualifying condition appears at the later exam, you will have invested in training first. That is why the FAA recommends students planning a commercial career apply for the highest class they may need.
Does a first-class medical let me fly as a commercial pilot?
Yes. A higher-class certificate includes the privileges of the lower classes. For commercial duties, a first-class certificate is treated as a second-class one, and it is valid for 12 calendar months for those duties under 14 CFR 61.23.
Why does my first-class medical expire sooner after age 40?
The regulation shortens the window for ATP pilot-in-command duties from 12 to 6 calendar months for pilots who are 40 or older at the exam. The certificate does not disappear. It steps down and remains valid for second-class and then third-class privileges for their own periods.
Does the second-class medical require an EKG?
No. According to the FAA, an EKG is required in a first-class exam at age 35 and annually after age 40, and it is not required for second or third class. Your examiner can still order tests if your history calls for them.
Are FDA Class I and Class II the same thing as these medicals?
No. FDA Class I, II and III describe the regulatory risk categories of medical devices. Pilot medical certificates are issued by the FAA under 14 CFR part 67 and are classed as first, second and third.
Allikad
- 14 CFR 61.23, Medical certificates: Requirement and duration (eCFR)
- FAA: When required, what class of medical certificate must a student pilot have?
- FAA Guide for Aviation Medical Examiners: Classes of medical certificates
- FAA: Navigating the Medical Flight Path
- FAA: How do I get a Medical Certificate and what to expect
- FAA AIP ENR 1.15: Medical Facts for Pilots
- Pilot’s Handbook of Aeronautical Knowledge, Chapter 17