For tandem instructors, a periodic visit to their aviation medical examiners (AMEs) to renew their Federal Aviation Administration Third-Class Medical Certificates is a ritual that goes hand and hand with the privilege of taking tandem students on skydives.

During the 2019 summer board meeting, USPA adopted and implemented an updated PRO-rating program with new jump requirements, qualifying areas and distances (the old standard of 10 accuracy jumps into a 32-foot circle no longer applies) and types of qualifying canopies.