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AMEs are private physicians, not employees of the FAA, and are selected, trained, and authorized by local FAA offices. A pilot can go to any examiner from a list of designated doctors and undergo the examination at any time. New AMEs are designated based upon the local demand for aeromedical certification services. All AMEs may issue second-class or third-class certificates. Some AMEs are designated "Senior Aviation Medical Examiner", and may issue first-class certificates, which are required for pilots flying in air carrier operations. An AME may also issue combined medical/ Student Pilot Certificates . As of 2005 , the FAA had approximately 4,800 civilian AME's located in 9 regions, 410 international AMEs located in 91 countries, and 400 federal AMEs (military, U.S. Coast Guard, NASA, and other agencies). SEE ALSO
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