When the medical happens, and why to do it early
Medical fitness is checked at admission and again by the sponsoring company, not on exam day. That order catches families out: a student studies for a year, wins a rank, and then learns at the medical that the deck routes are closed. Book a check with an approved doctor before you commit to a route. It is the cheapest test in the whole journey.
Eyesight often decides deck versus engine. If your unaided vision is not 6/6 and 6/9, or the Ishihara test is not clear, ask the doctor about the engine route rather than giving up on the sea. Companies may apply their own standards for their fleet on top of the DG Shipping rules, so read the company’s notice too.