Aviation Medical Examiner (AME) & HIMS AME Services
Experience matters. Dr. Burress has over 20 years service as a Senior AME and evaluates airline transport pilots, general aviators, and air traffic controls on behalf of the FAA. Dr. Burress has almost 10 years service as a HIMS (Human Intervention Motivation Study) AME defined further below.
Aviation Medical Examiner Services
As a Senior AME, Dr. Burress is credentialed to perform pilot exams for all classes (I, II, III) as well as air traffic controllers (ATC). Dr. Burress maintains excellent rapports with the Regional Flight Surgeon (New England) and specific physicians and staff within the FAA.
HIMS Program Defined
The HIMS (Human Interventional Motivation Study) Program is a structured, risk mitigation pathway designed to support pilots with substance dependence or certain medical conditions, including those treated with approved antidepressants such as SSRIs.
HIMS is an industry-wide safety initiative in which airline management, pilots, healthcare professionals, and the FAA collaborate to preserve pilot careers while maintaining the highest standards of aviation safety. The program has expanded beyond substance dependence to include select mental health treatment pathways and complex medical cases within both commercial and general aviation.
Through carefully coordinated evaluation, treatment, monitoring, and ongoing surveillance testing, the program reduces the risk of relapse and supports a safe return to flight when appropriate.
More information is available at www.himsprogram.com.
The Role of the HIMS AME
We guide pilots through the FAA evaluation and Special Issuance process. The HIMS AME’s role includes:
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Coordinating required evaluations and specialist assessments
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Collecting and reviewing necessary medical documentation
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Assessing risk and compliance with FAA protocols
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Preparing a comprehensive summary for FAA review
The completed evaluation package is submitted to the FAA, which determines eligibility for Special Issuance certification.
Our approach is structured, confidential, and supportive, with a clear focus on safety, regulatory compliance, and career preservation.
Key Components of the HIMS Process
While requirements vary based on the individual case, a typical HIMS submission may include:
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Random Drug and Alcohol Testing
When applicable, pilots are enrolled in a structured random testing program, often involving approximately 14 tests over a 12-month period to document sobriety.
AA or Equivalent Recovery Participation
Following inpatient or outpatient treatment, pilots must comply with aftercare recommendations and demonstrate meaningful engagement in recovery, such as consistent meeting attendance and sponsor interaction.
Psychiatric Evaluation
For straightforward SSRI Special Issuance cases for general aviators, a treating psychiatrist may complete the required evaluation. For more complex cases or for Airline Transport Pilots, referral to a HIMS Psychiatrists will most likely be required.
Neuropsychological Testing
The FAA often requires formal neuropsychological evaluation to document cognitive status. Testing is typically conducted by a HIMS psychologist. Part of the HIMS AME consultation is to go over anticipated costs of what is being required by the FAA and to give options/assist with referrals.
Pilot Personal Statement
The personal statement is a critical component of the submission. The FAA medical team reviews it to assess insight, accountability, and understanding of the medical condition. Pilots should demonstrate:
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Awareness and acceptance of their condition
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Commitment to ongoing treatment
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Understanding of FAA safety concerns
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Clarification of any inconsistencies in the record
For uncomplicated SSRI cases, statements are often one to two pages. More complex cases may require more detailed narratives.
Treatment Records
Complete copies of all relevant treatment records must be gathered for review and submission.
Submission Package Preparation
An essential role of the HIMS AME is to help the pilot assemble a thorough and well-documented submission. Comprehensive disclosure is critical to achieving a successful assessment from the FAA. Providing complete and organized documentation strengthens credibility and reduces the likelihood of delays and/or subsequent additional requests by the FAA.
Adverse information disclosed later in the process can be more difficult to address. A transparent and structured approach is always recommended.
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For additional details, please refer to the FAA HIMS checklists:
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HIMS Drug & Alcohol Monitoring Initial Certification Checklist
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HIMS SSRI Special Issuance Checklist