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Developing effective aircraft piloting skills takes years of training with qualified experts to meet and exceed flight certification requirements. Not everyone who desires to can reach those standards, and the challenge is even greater for those with physical disabilities who desire to learn to fly. While considered uncommon, there are opportunities that seek to modify aircraft and train physically impaired students to be pilots. However, little research has been done on whether there also needs to be modification in the approach of flight and ground instructors when training impaired students. The present study presents preliminary findings of a qualitative study designed to assess the need to adapt flight training for those with physical handicaps. The authors review plans for an expanded follow-up study and discuss additional issues in opening aviation to those with physical or other limitations.