Southern
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Because there are a very limited number of flight surgeons reviewing them (like one per region). And they are the same flight surgeon dealing with everyone already in the agency. New hires take last priority over those already in so they only work on new hire cases when they have time.
How large is a region? I’m in the Houston area so not sure how large my region would be. You would think with the amount of demand there is for ATC’s they would have more flight surgeons to keep up with the demand. Or at least hire temps during a bid to keep up.