What document do FOMTs use in combination with DAFMAN 48-123 to apply medical standards for retention, deployability, flying classes, and special operational duty for the USAF/USSF?

• A. Airman Medical Directory
• B. Health Status Directory
• C. Medical Standards Directory (MSD)
• D. Flight Standards Directory

Answer: (C)

The main idea is that medical fitness for aviation duties is implemented by pairing the general standards in DAFMAN 48-123 with a detailed, condition-by-condition reference that translates those standards into actionable criteria. The Medical Standards Directory provides those specific criteria, thresholds, waivers, and decision points that FOMTs use to determine retention, deployability, flying class, and eligibility for special operational duty. It tells you exactly what medical conditions and fitness levels qualify or disqualify someone, and when a waiver might be considered, enabling a consistent, documented assessment across aircrew. The other directories don’t offer that detailed, criterion-by-criterion guidance for medical fitness in aviation; they cover different areas or broader resources rather than the specific medical standards used for aviation readiness.