Duplications in Navy Recruit Medical Screening Should Be Eliminated

HRD-81-115: Published: Jun 24, 1981. Publicly Released: Jun 24, 1981.

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A review was undertaken of the military recruit medical screening and processing system from two perspectives, the physical examinations given to recruits at the Armed Forces Examining and Entrance Stations (AFEES) and the medical procedures performed when recruits report to their basic training centers.

In its review, GAO found that Navy and Marine Corps basic training centers are duplicating hearing tests and physical examinations that are performed at AFEES. GAO believes that substantial savings in personnel and recruit training costs could result if it were possible for the AFEES to perform the special program physical examinations in its entirety. GAO also found that, in addition to duplicating the AFEES hearing test at one training center, the Navy plans to puchase new equipment to expand this practice to all five training centers. Further, a San Diego Marine Corps Recruiting Depot provides extensive physical examinations for all its recruits. GAO believes that only those recruits who are found during initial medical screening to have special physical problems should be extensively examined. By doing so, the Marine Corps Depot could complete all recruit medical screening within 3 to 4 hours instead of the 7 hours that it now takes. The elimination of the duplicative processing procedures at the depot would allow recruits to return more quickly to training, and medical staff could be freed for other duties.

Recommendations for Executive Action

  1. Status: Closed

    Comments: Please call 202/512-6100 for additional information.

    Recommendation: The Surgeon General, Bureau of Medicine and Surgery, of the Department of the Navy should discontinue the duplicative portions of the medical screening process at the San Diego recruit depot.

    Agency Affected: Department of Defense: Department of the Navy: Bureau of Medicine and Surgery

  2. Status: Closed

    Comments: Please call 202/512-6100 for additional information.

    Recommendation: The Surgeon General, Bureau of Medicine and Surgery, of the Department of the Navy should officially recognize the AFEES' physical examinations as the only ones needed for entry into Naval service, including entry into special programs.

    Agency Affected: Department of Defense: Department of the Navy: Bureau of Medicine and Surgery

  3. Status: Closed

    Comments: Please call 202/512-6100 for additional information.

    Recommendation: The Surgeon General, Bureau of Medicine and Surgery, of the Department of the Navy should coordinate with Military Enlistment Processing Command officials to determine procedural modifications, if any, necessary to satisfy the Navy's requirements for special program physical examinations so they could be conducted at AFEES. If it is determined that the AFEES can perform the examination procedures necessary to satisfy the Navy's special program requirements, special program examinations now performed at the training centers should be discontinued.

    Agency Affected: Department of Defense: Department of the Navy: Bureau of Medicine and Surgery

  4. Status: Closed

    Comments: Please call 202/512-6100 for additional information.

    Recommendation: The Surgeon General Bureau of Medicine and Surgery, of the Department of the Navy should use the AFEES audiograms as reference audiograms for Naval recruits to the maximum extent practicable and cancel the Navy's plans to perform reference audiograms at recruit training centers as well as the ongoing program at the Naval Training Center, Great Lakes.

    Agency Affected: Department of Defense: Department of the Navy: Bureau of Medicine and Surgery

 

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