DEPARTMENTOFTHENAVY NATIONAL NAVAL MEDICAL CENTER 8901 WISCONSIN AVENUE BETHESDA MARYLAND

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1 DEPARTMENTOFTHENAVY NATIONAL NAVAL MEDICAL CENTER 8901 WISCONSIN AVENUE BETHESDA MARYLAND IN REPLY REFER TO Canc: Jan 12 NATNAVMEDCENNOTE AUG 11 NA'I'NAVMEDCENNOTICE Subj: GUIDELINES FOR 2011 CYCLE TWO PHYSICAL FITNESS ASSESSMENT (PFA) AND COMMAND FITNESS PROGRAM Ref: (a) OPNAVINST J (b) NAVADMIN 203/11 (c) NAVADMIN 191/08 (d) NAVADMIN 011/07 Encl: (1) Event Schedule and Details for the 2011 Cycle Two PFA 1. Purpose. To announce the guidelines and command-wide dates for the PFA and Command Fitness Program for 2011 Cycle Two. This notice is applicable to all active duty Navy Personnel assigned to the National Navy Medical Center (NNMC). 2. Responsibilities. The schedule for the PFA cycle and Command Fitness Program for 2011 Cycle Two is as follows: a. Phase I. Designation of Directorate and Departmental Fitness Leaders (DFLs), Physical Activity Risk Factor Questionnaire (PARFQ) Screening, Preventive Health Assessment (PHA). and Medical Waivers. (1) Each Directorate must designate in,writing one DFL by 25 August., Directorate DFLs will designate at least one departmental DFL per every 25 personnel; serve as the readinessl liaison for members' PHA appointments; provide guidance to the departmental DFLsj and attend weekly meetings with the Command F'itness Leader (CFL) to ensure personnel are informed about the requirements and issues concerning the upcoming 2011 Cycle Two PFA and Command Fitness Program. (2) DFLs must ensure all members in their department have completed their PARFQ, have, a current (completed yearly at birth month) PHA and any applicable Medical Waivers (make appointments if needed) before: participat.ing in the PFAj and assist the PFA office staff and the Directorate Fitness Leader during the 2011 Cycle Two PFA cycle.

2 (3)1 Each member must have a current PHA to participate in the PFA. If the member has not completed h i.ez he r birth month review in the last year, or it will expire before 31 December, a PHA must be completed at the HealtB, Readiness Department (building 7, 2 nd deck). (4)1 Each member must complete the PARFQ in the Physical Readiness Information Management System (PRIMS) website and print it off. If'a,member marks "yes" to any ques,tion on the Risk Factor Screening' with the exception of "tobacco user" he/she must have a medical appointment with his/her Primary Care Manager (PCM) prior to the scheduled date of the PFA. Members must bring their PARFQ and SF-600 to their PCM appointment to be cleared for Physical Readiness Test (PRT) participation or obtain a medical waiver. After the PCM appointment, the member must bring the completed forms to the PFA, office no Lat.e-rthan 9 November. (5)iMedical waiver. Any individual with a medical waiver is to submit a copy to the PFA office no later than 15 September. It is the Members responsibility to hand carry their medical waiver to, the PFA Office. No medical waiver will be accepted after 15 September unless there is an unexpected injury. All medical waivers are subject to the Commander's final approval and will be closely reviewed and evaluated; qualified members of the Authorized Medical Department, will be designated as cosigners. The PFA office will submit all medical waivers to the authorized cosigner for review and approval. (6)1 Body Composition Assessment (BCA) Medical Waivers. Members must address potential medical circumstances affecting accurate measurement prior to the Official BCA. After-the-fact BCA waivers arel not authorized. BCA waivers may be granted only if the member is in approved limited duty (LIMDU) status (ACC 105) for the medical condition prompting the BCA waiver request, and only under the following circumstances: (a)ibca waivers may be granted in the setting of an inability to obtain an accurate weight. (e.g., leg cast) or measurement (e.g., recent surgery on area directly involved with the measurements used to calculate BCA). (b)ibca waivers may also be granted due to a medical condition or medical therapy which has been newly diagnosed, worsened in severity, or increased in dosage in that 6 month period, which is known to result in weight gain. 2

3 (c) All BCA medical waivers will be issued on a NAVMED 6110/4 and will require two signatures: ~. The physician (military or civilian) recommending the waiver; and 2. Authorized Medical Department Representative (AMDR) physician. If the AMDR is the recommending physician, the AMDRs supervisor's signature is required. b. Phase II. Open scheduling for all PFA components. Effective 1 September 2011, the 2011 Cycle two PFA Schedule will open for both individual and group scheduling. (1) PFA date must be at least 4, but no more than 8 months since member's last PRT. (2) Tndividuals may schedule for: PRT either by phone at (301) or in person at the PFA office (building 11, 1st deck) requests will not be accepted. (3) Groups must be scheduled by the respective DFL, in person, at the PFA office, with the documented concurrence of his/her Department Head and a complete roster of those to be scheduled. c. Phase III. The 2011 Cycle two PFA will be conducted from 101October through 18 November Specific event dates, times, and locations are outlined in enclosure (1). Procedural conditions are listed below: (1) All members are required to wear the official Navy Physical Training Uniform (PTU) for the PRT. Members shall complete the BCA, in Navy PTU or Uniform of the day but if membe~ is not within height weight standards and member must, have a BCA completed they must be in the Navy PTU. The use of minimalist footwear "Vibram 5-Finger Shoes" during Command/Unit PT is not authorized. (2) The BCA must be performed no more than 10 days but no less than 24 hours, prior to scheduled PRT dat.e for members participating in the run or swim events. Members participating in the elliptical or cycle events must weigh-in no less than 24 hours prior to their scheduled test, and no more than 30 hours prior to (no exceptions). Each member must weigh-in unless he or she has been waived from completing the BCA. 3

4 (3) Members must have their Military ID and must report to the PRT event 15 minutes before the scheduled time to participate in the required brief and warm up. (4) If injury or illness during initial PRT impairs performance and the Commander determines it was not due to member"s failure to participate in an effective conditioning program, a medical waiver for event in which injury occurred and subsequent event(s) is authorized. A medical waiver is not authorized if the Commander determines illness or injury was due, to member's failure to participate in an effective conditioning program. (5) Individuals who fail the PRT may be allowed one "Bad Day" repeat. "Bad Day" exceptions for BCA are no longer authorized. An individual must request the PRT "Bad Day" by close of business the following workday ( Monday- Friday)!. The retest must be completed within 7 days of the initial PRT 1 failure and within the same PFA cycle for which the "Bad Day" was requested. (6} If t.he individual is approved for a "Bad Day " but does not participate in the retest, becomes "medically waived" before the retest, or transfers to another assignment before the retest, the initial test score is to be entered into PRIMS as the Official PFA. {7} The late PFA will be conducted November for the BCA and 16 and 18 November for the PRT. Refer to enclosure (1) for details. {8} N'avy personnel are not exempt from taking the PFA if they did not receive a PFA notification as long as they are medically cleared and acclimatized, per paragraph 6b(2) (b). d. Phase IV. Command Fitness Programs (I} Fitness Enhancement Program (FEP) will be conducted between the 2011 Cycle One and 2011 Cycle Two PFA cycles. This program is open to all NNMC Active Duty staff. (2} Ship Shape Weight Management Program Manager can be contacted at (301) (mandatory for all BCA failures and highly encouraged for those who are at or close to their maximum BCA). 4

5 3. Actions. The PFA will be administered per the policies and procedures outlines in references (a) through (c). Any member who is not medically waived and willingly decides to not complete the BCA or PRT will be subject to violation of Article 92 of the UCMJ (disobeying a lawful order). All unauthorized non-participation shall be designated as "UA" in PRIMS and Scored as a PFA Failure. Individuals will adhere to the guidelines set forth by reference (a) in regard to actions, responsibility, and accountability during this, PFA cycle. 4. Point of Contact. Questions regarding this notice can be directed to the CFL at (301) '0 or via James.Arnold@med.navy.mil. b~vv- _ c. W. CALLAHAN Chief of Staff Distribution: NNMC INTRANET' 5

6 EVENT SCHEDULE AND DETAILS FOR THE 2011 CYCLE TWO PFA SCHEDULING OF PFA: PFAs shall be 80mpleted a least 4 but not to exceed 8 months from preceding PRT. Contact the PFA office at (301) , or walk in Monday through Friday ( )between 1 September and 14 November to schedule your BCA and PRT. schedule requests will not be authorized. Scheduling will be on a first come first served basis, so the earlier you schedule, the more options you'll have. Body Composition Assessment (BCA): The BCA portion of the PFA will be scheduled Monday through Friday from 0700 through 1530, beginning on 10 October and ending 18 November. Physical Readiness Test (SWIM): Availability of a PRT swim option will be announced in a future NATNAVMEDCENNOTE. Individuals should plan for an alternative test option if a pool is not made avai lable,. Physical Readiness Test (RUN): The PRT run option will be scheduled Monday, Tuesday, Thursday, and Friday from and at the USUHS track, beginning 11 October and ending 11 November. Physical Readiness Test (MACHINES): The PRT with machine (bike/elliptical/treadmill) option will be scheduled every Wednesday from 0700 to 1530 beginning 12 October and ending on 9 November. Late PFA (RUN & MACHINES): For members who were on temporary additional duty, convalescent or emergency leave during the official PFA dates, the late PFA will be conducted November for the BCA. Machine testing will be 16 November, and the run will be conducted 18 November. All personnel wishing to participate must show Deputy Commander approved documentation as to their unavailabili,ty during the official dates. Members who choose to participate in the bike or elliptical event must weigh-in on 8 November (24 hours prior to event). Members choosing to participate in the treadmill, bike I' or elliptical events must call Command Fitness to schedule their time. Enclosure (1)