Profiles MAJ Paul Tumminello Clinical and Health Services Officer Contracting Officer’s Representative ARNG Office of the Chief Surgeon
References • AR 40-501 : Standards of Medical Fitness
OBJECTIVES • Profiles – how to read them • LODs – What to know • Q&A
MEDICAL - Tools • MRC 1 – Meets all Medical and Dental Readiness Requirements • MRC 2 – Medically ready within 72 hours. Deficiencies may include: • Immunizations, HIV or DNA testing, need Medical Warning Tags, eye equipment not ordered, Dental Readiness Class 2 • MRC 3A – Medically ready within 30 Days. Deficiencies may include Dental Readiness Class 3 (includes Temp Profiles < 30 days) • MRC 3B – Medical requirements will take more than 30 days to correct. Deficiencies may include: MND Y (TEMP Profile > 30 days OR PERM 3 Profile, not yet boarded) HIV POS, PREG, HOSP • MRC 4 – Medical Status is unknown. • Missing Periodic Health Assessment (PHA), Annual Dental Exam
What is a Profile? • DA Form 3349 • “The basic purpose of the physical profile serial is to provide an index to overall functional capacity.” • Focused on functional abilities • Divided into six functional areas designated P-U-L-H-E-S • Each graded with numerical designation of 1,2,3, or 4
Reading the Profile What is the disease or illness? What is the PULHES? Temporary or Permanent Restriction? Need for a Board? Can the Soldier perform basic “Soldier activities”?
Reading the Profile Can they do the PT Test? Do they need an alternate cardio event? Any specific restrictions?
Reading the Profile When? Comments from or for a commander Soldier’s information Name, SSN at minimum
Reading the Profile Continuation sheet if needed for more information (functional limitations and capabilities)
P-U-L-H-E-S • P—Physical capacity or stamina. • U—Upper extremities. • L—Lower extremities. • H—Hearing and ears. • E—Eyes. • S—Psychiatric.
P-U-L-H-E-S Ratings • 1 – Good to Go • 2 – A little broken, but still able to perform the duties of your MOS/AOC • 3– More broken, and probably not meeting the retention standards of Ch. 3 of AR 40-501 • Usually needs a board of some kind • 4 – REALLY broken, usually involving more than one anatomic system. Cannot perform MOS/AOC, automatic board • Seen more on the Active Duty side with hospitalized trauma/cancer patients **NONE of these codes mean you are AUTOMATICALLY kicked out of the Army!
LODs Line of Duty ; what you should know • AR Form 2173 • Reg is AR 600-8-4 • Determines eligibility for care and boards • Initiated by medical • Determined by G-1/Personnel