AIR FORCE INSTRUCTION 44-157 PDF

This instruction implements Air Force Policy Directive , .. addressed in 59 MDWI , Infection Prevention and Control Program. (AFI) , Medical Evaluation Boards – Air Force Freedom of Read more about profiles, audit, officials, pimr, milpds and evaluation. Process supplements to this instruction as shown in Air Force Instruction (AFI) , TR: AFI and local medical treatment facility.

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It establishes procedures, requirements, recording, and medical standards for medical examinations given by the Air Force. It prescribes procedures and references the authority for retiring, discharging, or retaining members who, because of physical disability, are unfit to perform their duties.

This instruction applies to all applicants for military service, scholarship programs, and the Air Force Reserve. Active duty flight medicine offices will use the AFRC supplement to this instruction when managing unit assigned Reserve Members and will maintain a copy of the AFRC Supplement when Reserve units are located on the same base. This instruction is affected by the Privacy Act of Attachment 1 is a list of references and supporting information.

Maintain and dispose forcf all records created as a result of processes prescribed in this publication in accordance with AFMANRecords Disposition Schedule.

AFI22 Mayis supplemented as follows: This change instrhction new weight for ejection system standards. A bar indicates revision from the previous edition. Physical Examinations and Standards Instrudtion Term of Validity of Reports of Medical Forcr Medical Evaluation for Continued Military Service: Medical Standards for Appointment, Enlistment, and Induction: Space and Missile Operations Crew Duty: Medical Standards for Flying Duty: Medical Standards for Miscellaneous Categories.

Waiver of Medical Conditions.

C order of evaluation assignment

Purpose of This Chapter. Purpose of AF Form Establishing the Initial Physical Profile. Episodic Review of Physical Profile Serials Additional Uses of AF Form Medical Evaluation Board General Information. Medical Clearance for Joint Operations: Inactive Duty for Training: Scheduling Periodic Medical Examinations. Medical Evaluations to Determine Fitness for Duty: Failure to Complete Medical Requirements.

Evaluation of Head Injury. Allergic Disorders, History Of. Backache, Severe or Incapacitating, History Of. Diabetes, Family history of parent, sibling, or more than one grandpar Enuresis, or History of, in Late Childhood or Adolescence. Flatfoot, Symptomatic Finding or History of. Speech Disorders and Noticeable Communication Problems. Who Receives These Examinations. Medical standards and medical examination requirements ensure acquisition and retention of members who are medically acceptable for military life.

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These standards apply to: Military members and civilians ordered by proper Air Force authority to participate in frequent and regular aerial flights. Members of all components on extended active duty EAD not excluded by other directives.

Members not on EAD, but eligible under applicable instructions. There are various types of medical examinations: As long as all requirements are met, a medical examination may serve more than one purpose.

Entry into Flying or other special duty training. Termination of service when specified by this instruction. Annually or periodically, as required by this instruction.

AFI | Physical Evaluation Board Forum

A credentialed flight surgeon of any Service or government agency may perform medical examinations on Air Force flying personnel. When this occurs, forward the documents physical assessment, etc. All aircrew members examined by a U.

instructoin A credentialed medical officer or physician employed by the armed services regardless of active duty status, to include TRICARE providersas well as designated Air Force physician assistants, Air Force specialty code 42G4X or primary care nurse practitioners AFSC 46NXCunder the supervision of, and subject to review by a physician give all other medical examinations.

Physical examinations are normally accomplished at the following locations: Hospitalization of civilian applicants in military or government hospitals is authorized only when medical qualification for military service or flying training 444-157 be determined without hospital study.

Blood type and Rh factor. Confirm positive results with electrophoresis. Confirm repeatedly positive enzyme immunoassay by Western Blot. Pseudoisochromatic Plate Iinstruction testing to determine color vision perception. The above tests should be accomplished at the MEPS. If tests are not completed at MEPS, accomplish at the following locations: All other entrants at their entry point or first permanent duty station. Transmit reports of medical examination and supporting documents that contain sensitive foece data in sealed envelopes labeled “Sensitive Medical Information” and “To be opened by Medical Personnel only.

The outcome of PIMR should be a medically fit and ready force. Responsibility for ensuring a fit and healthy force is shared between commanders, primary care management PCM teams and the individual service members.

All have a role ensuring the success of this program. AFMC Secondly, PIMR provides a year-round systematic process to optimize the health and reliability of the human weapon system through prevention at every encounter. Establishes medical standards and examination 44-517. Ensures timely scheduling and appropriate completion of required examinations and consultations.

Ensures medical documents are filed in the health record. Appoints members of the Medical Evaluation Board.

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Consult AFI for further guidance. This information can be viewed at https: Ensures quality of medical examination process.

Ensures commanders are aware of the zir of the force 2. Identifies individuals for Medical Evaluation Board MEBif qualification for continued military service is questionable. See Attachment 10, note 8. These teams are extensions of the health care providers and are responsible for the delivery of preventive health services on a daily basis.

They ensure PHA including final review are accomplished in a timely manner and documented appropriately.

They continuously monitor IMR status for their enrollees as well as their occupational health, fitness, clinical preventive service requirements and any necessary medical follow-up. Advises all health care providers on physical standards. Periodically briefs the professional staff on related issues. Schedules individuals for required medical examinations. Properly records results of examinations. Performs appropriate ancillary examinations. Ensures the member is available for examination until processing is complete.

Responsible for ensuring personnel assigned to their unit complete their appropriate medical appointments to ensure a force that is fit and deployment ready. Meets scheduled medical appointments as directed. See Chapter 14 for additional guidance regarding ARC instruftion. Utilizes demand forecasting to ensure sufficient open appointments to complete PHA and other additional services, e.

In concert with assigned teams, utilizes population-based health principles to build healthy people, communities, and a fit and ready force. Added-AFMC Develops educational programs for staff concerning integrated health care processes and data management.

Added-AFMC Establishes links with utilization managers, case managers, and discharge planners, including contractors, to provide all aspects lnstruction services for patients who experience istruction to appropriate care.

At least three individuals are identified locally primary, secondary and alternate and trained on the use and application of the PIMR software. Reports of medical examination are considered administratively valid as follows: Within 24 months of date of entry on active or ARC duty.

Validity same as above. Entry into active duty in a non-rated status. When required, within 23 months from the date of application. Validity, within 24 months of taking oath of office. Medical history SF Form 93 must be verified as current within 12 months prior to start of training.