Mitchell A. Garber

Mitchell A. Garber, M.D., M.P.H., M.S.M.E

Senior Managing Consultant

Dr. Mitchell Garber is a physician and engineer with over 30 years of military and civilian experience in transportation accident investigation. He was the first and only full-time Medical Officer at the U.S. National Transportation Safety Board (NTSB), participated in well over 1000 investigations in all transportation modes, and has presented testimony to Congress regarding medical issues in transportation accidents. He specializes in the investigation of medical issues in transportation and other accidents, including the evaluation of pathology, toxicology, human performance, and biomechanics in accident investigation.

Dr. Garber has addressed a wide range of medical and human factors issues in all transportation modes, including physical standards, fatigue, perception, medication use, visual impairment, obstructive sleep apnea, substance dependence, injury analysis, egress and evacuation concerns, ergonomics, and the effects of pre-existing disease on transportation operator performance, among others.

Additional work specific to aviation has included investigations of hypoxia, spatial disorientation, and visual and vestibular illusions. He has often been called upon to evaluate the potential role of subtle cognitive impairment from a variety of causes in complex transportation accidents. Dr. Garber also has expertise in the optimization of ergonomics for customized office and industrial workstations. He has held a private pilot certification since 1996.

To learn more about our concierge office ergonomics service, click here.


  • Migraine Prophylaxis Using Novel Monoclonal Antibody Injections in a Commercial Pilot, Aerospace Medicine and Human Performance, January 2020
  • Postmortem Ethanol in the Setting of Ethanol-Containing Automotive Fuel, American Journal of Forensic Medicine and Pathology , March 2013
  • Obstructive Sleep Apnea: Concerning and Costly, Georgia Defense Lawyer, December 2013
  • Undisclosed Medical Conditions in the International Aviation Community: The Risks of Medical Certification Systems Based Upon Voluntary Self-Disclosure, Issues in Aviation Law and Policy, September 2012
  • The Role of Accident Investigation in Biomechanics Research, IRCOBI Conference Proceedings, International Research Council on the Biomechanics of Injury, September 2011
  • National Transportation Safety Board: Case Studies, Clinics in Occupational and Environmental Medicine, February 2002
  • Association of Postmortem Blood Hemoglobin A1C Levels with Diabetic Conditions in Aviation Accident Pilot Fatalities, Federal Aviation Administration, July 2001
  • Medical Guidelines for Space Passengers, as part of the Aerospace Medical Association Task Force on Space Travel, Aviation Space and Environmental Medicine, October 2001
  • Bone Loss During Simulated Weightlessness: A Biomechanical and Mineralization Study in the Rat Model, Aviation Space and Environmental Medicine, June 2000
  • A Primer on Aircraft Accident Investigation for the Aerospace Medicine Investigator, Aerospace Medical Association, January 2000
  • See CV for further publications

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