McLeod Syndrome in a Commercial Airline Pilot

BACKGROUND: The following case report describes the first known case of McLeod Syndrome in a commercial airline pilot. The case describes a 56-yr-old experienced pilot who showed a slow and subtle decline in cognitive function and muscle control in the cockpit. On further examination, the pilots erratic behavior and movement along with lab abnormalities pointed toward McLeod Syndrome. CASE REPORT: The pilot was recommended for evaluation by his fellow crewmembers due to his fidgetiness, clumsiness, and lack of focus during critical portions of flight. The pilot reported having a long-standing history of elevated CK levels. Further lab investigations revealed acanthocytes on blood smear while neurological evaluation detected chorea. The combination of clinical and laboratory features along with genetic test results were all consistent with McLeod Syndrome. DISCUSSION: The case highlights how subtle behavioral and motor coordination changes can be a warning sign for an underlying progressive neurological disorder that requires further workup and referral. Haas C, Levin D, Milone M, Vardiman-Ditmanson J, Mathers C. McLeod syndrome in a commercial airline pilot. Aerosp Med Hum Perform. 2021; 92(9):734737.

AIRLINE PILOT SITUATION AWARENESS: PRESENTING A CONCEPTUAL MODEL FOR META-COGNITION, REFLECTION AND EDUCATION

The dissertation research summarized here, utilized the Grounded Theory Method to develop a conceptual model of pilot situation awareness from 223 Aviation Safety Reporting System (ASRS) narratives. The application of Latent Semantic Analysis aided the theoretical sampling of ASRS reports. A multistage model was developed involving attention, perception, interpretation, decision making, and action in support of goal-driven behavior. Narrative report coding identified several categories of situation awareness elements that pilots direct their attention to in building and maintaining situation awareness. Internal to the aircraft, flight crews directed their attention to the aircraft’s flight state and automation state. They also directed their attention to the condition of the aircraft, the functioning of the crew, and the status of the cabin. External to the aircraft, flight crews directed their attention to airport conditions, air traffic control, terrain, traffic, and weather. Pilots were also aware of the passage of time. Twelve characteristics of situation awareness were identified from narrative report coding which were subsequently compared with existing theoretical perspectives of situation awareness.

SMS, Safety Culture, and the Four Pillars of Safety Applied to Airline Pilot Training

The history of airline safety includes both FAA economic and safety measures that have grown over the years. This article provides a timeline of airline safety trends from crew resource management to safety management systems. Industry challenges are identified to include operational constraints, training challenges, economic concerns, and human factors to indicate a necessary paradigm shift from reactionary strategies toward proactive measures required by a safety culture—reporting culture, just culture, flexible culture, and learning culture. A safety culture is the foundation for safety management systems (SMS) mandated by the FAA for airline operations, to include the four pillars of safety: safety policy, safety risk management, safety assurance, and safety promotion. This article will identify how to integrate SMS, safety culture, and the four pillars of safety into the airline pilot training environment with cost effective strategies to improve safety within an SMS framework supported by a safety culture.

An exploratory study about the Challenges with Pilot Training and Recruitment in Europe

Pilot training and recruitment is of fundamental importance for the aviation industry. Yet, a number of Commercial Pilot’s License (CPL) applicants trained by Approved Training Organizations (ATOs) fail their airline assessments. To provide some clarity on why this is happening, we conducted in-depth interviews with twelve industry professionals and a detailed documentary analysis was undertaken. We found that the main reasons are: (1) Lack of preparation or technical knowledge; (2) Poor communication skills; and (3) Poor display of teamwork and leadership. The paper suggests that regulation should be implemented for ATO’s to use screening processes on potential students to increase quality or Airline Pilot Standard Multi Crew-Cooperation (APS MCC) system, as an additional training system on top of what is being taught in ATOs. Regulations should further be linked with regular audits in place for smaller airlines to increase the effectiveness of their pilot assessments and recruitment processes in order to increase safety. Areas of further research as also identified.