Donald A. Vance, MD in Bonita holds dual board certification in emergency medicine and family practice from a Sweetwater Road office that also serves as an FAA-designated Senior Aviation Medical Examiner site offering Class 1, 2, and 3 pilot flight physicals. A University of Arkansas for Medical Sciences graduate who trained at the Naval Aerospace Medicine Institute in Pensacola, the practice's FAA vision screening protocol assesses visual acuity, color perception, and peripheral field metrics, with corrective findings routing to EyeCare of Bonita for optometric follow-up before airman certificate reissuance. Scripps Mercy Hospital Chula Vista has listed the practice on its medical staff since 1973, and the emergency medicine scope — certified by the American Board of Emergency Medicine since 1984 — covers trauma stabilization, acute cardiac events, and critical care triage in the South Bay. The FACEP designation reflects fellowship standing in the American College of Emergency Physicians, and the cardiovascular assessment component of both FAA flight physicals and emergency medicine intersects with the diagnostic cardiology scope at Cardiovascular Institute of San Diego for EKG interpretation and stress testing referrals. The FAA Senior AME designation authorizes the highest tier of aeronautical medical certification, including first-class examinations for airline transport pilots that require resting electrocardiography, comprehensive metabolic panels, audiometry, and neurological assessment under 14 CFR Part 67 standards.