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Why DGCA's new medical test rule has airlines, pilots worried
DGCA has mandated pilot medical tests at IAF centers

Why DGCA's new medical test rule has airlines, pilots worried

Jul 07, 2025
11:07 am

What's the story

The Directorate General of Civil Aviation (DGCA) has alarmed Indian airlines with a recent change in its rules for conducting medical tests on pilots. The regulator has now mandated that all commercial pilot medical examinations be conducted only at Indian Air Force (IAF) centers. This is a departure from the earlier provision that allowed such tests at private hospitals and empaneled medical examiners.

Reason for change

Decision taken after a major incident

The DGCA officials said the decision was taken after an airline co-pilot died of cardiac arrest after completing a flight. An investigation revealed that the pilot had pre-existing cardiac issues, which were unknown to the airline. The official said, "We felt that there was a change required for the process as there was suspicion that a few were falsifying records to pass their medicals."

Industry response

Airlines express concerns over new rule

Airline executives have expressed concerns over the new rule. They argue that the standards set for military pilots are much more stringent than those operating commercial flights. The limited resources at IAF also make this process time-consuming and could disrupt flight schedules due to the unavailability of pilots. An airline official said, "The air force does not have the mandate and cannot keep increasing its manpower and infrastructure requirements to meet civil aviation requirements."

Potential impact

Fears of potential pilot shortage

Airline executives fear that the high standards of the military could declare many pilots medically unfit, leading to a potential pilot shortage and increased insurance coverage for airlines. They also point out that India is the only country still relying on defense establishments for civil pilot medicals. The official added, "The philosophy and requirements in clearing the pilots for both civil and defense are very different."

Test requirements

Additional tests required for pilots

The DGCA rules also require additional tests like ultrasound, treadmill tests, and some biochemical tests for pilots in India. These are not required by many foreign regulators including the US Federal Aviation Administration (FAA) or the European Union Aviation Safety Agency. The Federation of Indian Pilots, which has over 5,000 pilots as its members, said military doctors often evaluate commercial pilots to the same demanding standards as military pilots, leading to additional tests.

Revision request

India will require more than 30,000 pilots

The Federation added that pilots are often evaluated to the same demanding standards as mission-ready fighter pilots. This leads to unnecessary secondary medical tests through external agencies that are often cumbersome and expensive. With India becoming the third-largest domestic aviation market globally, a pilot said "the assumption is that India will require more than 30,000 pilots over the next few years."He stressed revising this process at the earliest.