Advertise on podcast: Mayo Clinic Clear Approach

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Mayo Clinic Clear Approach tackles medical topics important to commercial aviators, recreational pilots, or just folks interested in things that fly. Current topics from the Federal Aviation Administration (FAA), National Transportation Safety Board (NTSB), and aviation trends are explored in a serious but sometimes humorous way. Mayo Clinic Clear Approach focuses on a perspective from "the other side of the gurney." Let us navigate the storms of aeromedical certification, medical issues that may affect pilots, and share experiences with and from other pilots to break through life's sometimes stormy clouds and focus in on a clear approach.

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Check latest episodes from Mayo Clinic Clear Approach podcast

No Waivers Required for Pilots With Diabetes? It's Coming!

2026/10/02

Send us Fan Mail On this episode, we review the FAA proposal to drop the requirement for Special Issuance Authorization completely for well-controlled diabetic piloits with management of the condition using oral medication or dietary modification (non-insulin dependent diabetes) -- plus, we cover recent updates from the FAA on certain respiratory conditions such as cystic fibrosis, pulmonary artery hypertension, and pulmonary nodules.

FAA Updates on POTS plus Meeting With Juice

2026/09/18

Send us Fan Mail On this episode, we get to visit with Mayo Clinic's newest FAA Aviation Medical Examiner, Dr. Jacob Berry (call sign "Juice"). Plus, the latest updates from the new FAA disposition table for postural orthostatic tachycardia syndrome (POTS).

Updates from the FAA on Endocrine Abnormalities: You and Your Glands

2026/09/04

Send us Fan Mail On this episode, we provide updates from the FAA on aeromedical certification for various conditions that involve endocrine function within the body.

Updates from the Highest Perch of FAA Medical: Chat with Dr. Susan Northrup, Federal Air Surgeon

2026/08/21

Send us Fan Mail On this episode, we discuss topics from mental health initiatives to artificial intelligence being implemented at the FAA with Federal Air Surgeon Dr. Susan Northrup.

FAA Medical Kits, Disqualifying Drugs, and Misplaced Certificates

2026/08/07

Send us Fan Mail On this episode, we look at updates on medical kits for Part 121 carriers proposed by the FAA as well as a review of disqualifying medications and what to do if your medical certificate inadvertently goes through the washing machine. Plus, a special guest will help guide the podcast.

Uh oh! Does a DUI arrest or conviction end it all for a flying career?

2026/07/17

Send us Fan Mail On this episode of the podcast, we review the key materials needed to be collected by the pilot in order for a medical certificate to be issued by the FAA after an airman is arrested or convicted for driving under the influence of alcohol or other illicit substances. Will it end your career? Or, with some planning and preparation, can you leave your AME's office with a certificate?

FAA Updates on Achy Breaky Hearts

2026/07/03

Send us Fan Mail On this episode, we discuss some of the updates from the latest FAA AME Grand Rounds as it pertains to various heart conditions that might affect you as a pilot.

News for Snoozin' and Cruisin'

2026/06/12

Send us Fan Mail On this episode, we review FAA updates on streamlining the process of documenting adequate use of CPAP for obstructive sleep apnea as well as clarifications from the FAA on using a counselor, psychotherapist, or psychiatrist for obtaining appropriate mental health care.

Time to Quit Smoking -- And Not Lose Your Medical

2026/05/29

Send us Fan Mail On this episode, we review some of the highlights of the recent Aerospace Medical Association meeting in Denver, and then cover FAA updates on acceptable medications for efforts at smoking cessation.

The HIMS Program and Benefits to Pilots and Families

2026/05/15

Send us Fan Mail On this episode, we review what exactly the HIMS program is, what is required to obtain FAA Special Issuance Authorization when a pilot deals with substance abuse and/or dependence, and provide updates from the latest advanced HIMS training course.

Hormone Replacement and Osteoproosis for Pilots

2026/05/01

Send us Fan Mail On this addition, we provide updates recently announced by the FAA regarding hormone replacement therapy as well as medications for treatment of osteoporosis, common conditions found in female pilots.

Maybe Not Too Spicy: FAA Medical Updates for Acid Reflux to Polycystic Ovarian Syndrome

2026/04/17

Send us Fan Mail On this episode, we review the latest FAA updates on a variety of conditions including gastroesophageal reflux disease (GERD), retinal dystrophies, and the CACI qualification for polycystic ovarian syndrome.

Go With the Flow: Updates on drones and clots

2026/03/27

Send us Fan Mail On this episode, we discuss the amazing advancements in the world of drone technology -- the fastest growing sector in the aviation space. In addition, we review thromboembolic disease, the medical term for clots either in the lung or in an extremity that can be life-threatening, and potentially jeopardize your medical certificate. What is required for Special Issuance Authorization? Is there a stand down time? What do I need to report at my next flight physical if I encounter a pulmonary embolism or a deep venous thrombosis?

Restructuring for the Future and Updating GI Conditions

2026/03/13

Send us Fan Mail On this episode, we return from a mid-winter hiatus back to the studio with a new practice location as part of a Mayo Clinic rebuild of the entire downtown campus. Plus, restructuring at the FAA, and a review of current updates regarding liver disease, including steatohepatitis, cirrhosis, esophageal varices, and liver transplantation.

Holiday Happiness in the "Land of Misfit Toys"

2025/12/19

Send us Fan Mail Many pilots who have visited the Mayo Clinic Section of Transportation Medicine had early Christmas presents this year when they received their medical certificates. On this episode, we review some of those cases and update listeners on the newest FAA aeromedical certification changes released this month.