Chapter 3 - Medical Assessments

A-MD-154-000/FP-000

A complete medical examination is necessary to assess the medical fitness of Canadian Armed Forces (CAF) personnel. This is particularly important when subsequent restrictions may limit members’ career options.

The CAF conducts individualized, risk-related periodic health assessments (PHAs) which are administered at regular intervals. The system is designed to accommodate the requirement to ensure that CAF personnel are medically fit for military duties. Therefore, in addition to reviewing overall health and planning preventive health care, the PHA is used to assess occupational fitness. This applies to cases where the occupation requires specific modifications to the standard PHA format (e.g., aircrew or divers) as well as cases where a specific medical condition may require assignment of Medical Employment Limitations (MELs).

This chapter deals with the conduct of standard PHAs as well as occupation-specific assessments, operational and training-related assessments and assessments required for duty outside of Canada (OUTCAN) and in isolated locations.

This chapter is divided into five parts covering the subjects detailed below.

Part I - Periodic Health Assessments

  1. Periodic Health Assessment (PHA)
  2. Aircrew
  3. Divers
  4. Submariners
  5. Flight Stewards / Flight Attendants
  6. Wet Pressurized Escape Training
  7. Frequency of Assessments, Periods of Validity and Extensions
  8. Temporary and Permanent Medical Categories
  9. Use of CAF Generic and Occupation Specific Task Statements

Part II - Occupational Requirements

  1. Enrolment /Re-enrolment
  2. Component Transfer
  3. Occupational Transfer
  4. Promotion
  5. Commissioning
  6. Imprisonment / Detention
  7. Release

Part III - Operational / Training Requirements

  1. Deployments / Post-deployment / Special Duty Areas (SDAs)
  2. Aeromedical Training
  3. Flight Stewards / Flight Attendants

Part IV - OUTCAN / Isolated Locations

  1. OUTCAN
  2. Postings to Isolated Locations

Part V - Communicating the Results of Medical Fitness Assessments

Part I - Periodic Health Assessments

  1. Periodic Health Assessment (PHA)
    1. CF H Svcs Gp Instruction 4000-01, Periodic Health Assessment
  2. Aircrew
    1. AMA Directive 100-01, Medical Standards for CF Aircrew
  3. Divers
    1. DAOD 8009-0, Canadian Forces Diving
    2. CF H Svcs Gp Instruction 4000-04, Shallow Water Divers Periodic Assessment and Medical Administration
  4. Submariners
    1. DAOD 5003-7, Service in Submarines
    2. CF H Svcs Gp Instruction 4030-71, Medical Fitness for Submarine Service and Wet Pressurized Escape Training
  5. Flight Stewards / Flight Attendants
    1. CF Mil Pers Instruction 02/04, Selection, Training And Employment Of Flight Stewards And Flight Attendants
  6. Wet Pressurized Escape Training
    1. CF H Svcs Gp Instruction 4030-71, Medical Fitness for Submarine Service and Wet Pressurized Escape Training
  7. Frequency of Assessments, Periods of Validity and Extensions
    1. QR&O 34.16, Medical Examination
    2. CF Mil Pers Instruction 11/04, Medical Fitness for Duty
    3. CF H Svcs Gp Instruction 4000-21, Periodic and Other Health Assessments – Periods of Validity
    4. CF H Svcs Gp Instruction 4000-01, Periodic Health Assessment
    5. CF H Svcs Gp Instruction 4000-03, Medical Fitness Assessment – Release Health Assessment
    6. 1 Cdn Air Div Orders, Vol 1, 1-243, Aircrew Medical Examinations – Periodicity and Extensions
  8. Temporary and Permanent Medical Categories
    1. CF H Svcs Gp Instruction 5020-07, Changes of Medical Category or Employment Limitations (In development)
  9. Use of CAF Generic and Occupation Specific Task Statements
    1. CF Mil Pers Instruction 11/04, Medical Fitness for Duty

Part II – Occupational Requirements

  1. Enrolment /Re-enrolment
    1. DAOD 5002-1, Enrolment
    2. CFAO 34-45 Medical Examinations and Care – Cadet Instructors and Cadets
    3. CANFORGEN 097/05 Change to Enrolment Medical Procedure
    4. CF H Svcs Gp Order 3300-08 Reserve Enrolment and Commissioning Plans
    5. CF H Svcs Gp Instruction 4000-13, Enrolment Medical Procedures
    6. CF H Svcs Gp Instruction 4000-19 Re-enrolment Medical Screening
  2. Component Transfer
    1. CF Mil Pers Instruction 03/08 Canadian Forces Component Transfer and Component Transfer Career Programs
    2. CF H Svcs Gp Order 3300-08 Reserve Enrolment and Commissioning Plan
  3. Occupational Transfer
    1. CFAO 11-12 Occupation Transfer of Non-Commissioned Members – Regular Force
    2. CF H Svcs Gp Order 3300-12 Reserve Occupation Transfer
  4. Promotion
    1. CFAO 11-6 Commissioning And Promotion Policy -Officers -Regular Force
    2. CFAO 49-4 Career Policy Non-Commissioned Members Regular Force
    3. CFAO 49-12 Promotion Policy -Officers -Primary Reserve
    4. CFAO 49-5 Career Policy - Non-Commissioned Member -- Primary Reserve
  5. Commissioning
    1. CFAO 9-70 Special Commissioning Plan
    2. CFAO 11-6 Commissioning And Promotion Policy -Officers -Regular Force
    3. CFAO 11-9 Commissioning From The Ranks Plan
    4. CFAO 11-14 Special Requirements Commissioning Plan
  6. Imprisonment / Detention
    1. CF H Svcs Gp Instruction 9000-37 (CFMO 27-10) Fitness for Imprisonment or Detention
  7. Release
    1. QR&O Chapter 15, Release
    2. CF H Svcs Gp Instruction 4000-03 Release Health Assessment
    3. CF H Svcs Gp Instruction 4000-17 Post-deployment Medical Screening Assessments
    4. CF H Svcs Gp Instruction 5020-72 Sick Leave Administration – Guidance to Health Care Providers

Part III - Operational / Training Requirements

  1. Deployments / Post-deployment / Special Duty Areas (SDAs)
    1. CANFORGEN 118/05 Screening and Re-integration for Canadian Forces
    2. CF H Svcs Gp Instruction 6020-03 UN Peacekeeping and Employment in Special Duty Areas – Declaration of injury or illness during service in a Special Duty Area
    3. CF H Svcs Gp Instruction 4000-17 Post-deployment Medical Screening Assessments
  2. Aeromedical Training
    1. 1 Cdn Air Div Orders, Vol 5, 5-301 Aeromedical Training
  3. Flight Stewards / Flight Attendants
    1. CF Mil Pers Instruction 02/04 Selection, Training And Employment Of Flight Stewards And Flight Attendants

Part IV – OUTCAN / Isolated Locations

  1. OUTCAN
    1. CFAO 20-50 Assignment To and From Posts Outside Canada
    2. CFAO 34-14 Medical Fitness – Duty Outside Canada/Isolated Units
    3. CF H Svcs Gp Instruction 5020-66, Screening for Outside of Canada Postings
    4. CANFORGEN 177/05 Screening Policy for Out of Canada (OUTCAN) and Isolated Unit Posting
  2. Postings to Isolated Locations
    1. CFAO 34-28 Dependants – Medical Screening (Isolated and Areas Outside Canada including the USA)
    2. CANFORGEN 177/05 Screening Policy for Out of Canada (OUTCAN) and Isolated Unit Posting
    3. CF H Svcs Gp Instruction 9000-36 (CFMO 27-09) Health Considerations For Dependants and Embassy/ Attaché Personnel
    4. CF H Svcs Gp Instruction 5020-34 Screening for Postings to Isolated Sites Within Canada
    5. CF H Svcs Gp Instruction 5020-41 Screening for Attached Posting to CFS Alert

Part V - Communicating Results of Medical Fitness Assessments

  1. Disclosure
    1. CF Mil Pers Instruction 11/04 Medical Fitness for Duty
    2. CANFORGEN 039/08 Disclosure of Medical/Social Work Info to Commanding Officers
    3. CANFORGEN 128/03 CDS Direction to the Chain of Command Regarding Medical Care Prescribed and Medical Employment Limitations Assigned by Medical Staff to CF Members
    4. CF H Svcs Gp Instruction 5020-20 Disclosure of Personal Health Information
    5. CF H Svcs Gp Instruction 5020-26 Unacceptable Use and Disclosure of Personal Health Information
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