Medical Screening Manual

The individual sections and chapters of the Medical Screening Manual can be downloaded at no cost. The entire printed manual, complete with tabs, can be purchased through the FedEx DocStore.

Table of Contents

• Copyright Information (pdf)
• Preface (pdf)
• Table of Contents (pdf)
• List of Tables and Figures (pdf)
• Introduction (pdf)

Background Information

• Project Goals and Methodology (pdf)
• Pre-Employment Medical Screening and the Law (pdf)
• Patrol Officer Job Demands:  Their Implication for Medical Screening (pdf)
• General Guidelines for Using the Medical Screening Manual (pdf)

Medical Examination and Evaluation Protocols

Chapter I: Cardiovascular System

Cardiovascular System (pdf) - revised 2014

• Introduction-Cardiovascular System
• Implications for Job Performance- Cardiovascular System
• Medical Examination and Evaluation Guidelines-Cardiovascular System
• Evaluation of Common Clinical Syndromes-Cardiovascular System
  • Congenital
  • Valvular
  • Cardiomyopathy
  • Hypertension
  • Coronary Artery Disease (CAD)
  • Arrhythmias
• References-Cardiovascular System

Chapter II: Dermatology

Dermatology (pdf)

• Conditions of Concern
• Implications for Job Performance-Dermatology
• General Screening Recommendations
• Evaluation of Common Clinical Syndromes-Dermatology
• References-Dermatology

Chapter III: Endocrine System

Endocrine System (pdf) - revised 2004

• Implications for Job Performance-Endocrine System
• General Screening Recommendations
• Diabetes Mellitus
• Parathyroid Disorders
• Hyper and Hypothyroidism
• Adrenal Disorders
• References-Endocrine System

Chapter IV: Gastrointestinal

Gastrointestinal (pdf) - revised 2001

• Implications for Job Performance-Gastrointestinal
• Hernias
• Hemorrhoids
• Ulcerative Colitis
• Irritable Bowel Syndrome
• Peptic Ulcers
• Hepatitis
• References-Gastrointestinal

Chapter V: Hematology

Hematology (pdf) - revised 2015

• Introduction-Hematology
• Implications for Job Performance-Hematology
• Medical Examination Guidelines and Evaluation Criteria
• Common Clinical Syndromes
  • Anemia
  • Bleeding and Clotting Disorders
• References-Hematology

Chapter VI: Oncology

Oncology (pdf) - revised 2001

• Implications for Job Performance-Oncology
• General Screening Recommendations
• Evaluation of a Candidate with a History of Tumor or Malignancy
• References-Oncology

Chapter VII: Infectious Diseases

Infectious Diseases (pdf)

• Implications for Job Performance-Infectious Diseases
• General Screening Recommendations
• HIV
• Chronic Viral Hepatitis
• Tuberculosis
• References-Infectious Diseases

Chapter VIII: Musculoskeletal

Musculoskeletal (pdf) - revised 2015

• Implications for Job Performance-Musculoskeletal
• General Screening Recommendations
• Cervical Pain, Radiculopathy, and Neck Surgery
• Lumbar Pain, Radiculopathy, and Spine Surgery
• Spinal Deformity (Scoliosis)
• Spondylolisthesis
• Miscellaneous Lumbar Spine Conditions
• Meniscal Injuries
• Loose Body in the Knee
• Patellofemoral Problems
• Anterior Cruciate Ligament Instability
• Collateral Ligament Instability
• Shin Splints [Medial Tibial Stress Syndrome (MTSS)]
• Ankle Instability
• Iliotibial Band Syndrome
• Acromioclavicular (AC) Joint Separation
• Anterior Shoulder Subluxation and Dislocation
• Rotator Cuff Disease
• Finger Amputations/Arthrosis
• Carpal Tunnel Syndrome
• Retained Orthopedic Hardware
• References-Musculoskeletal

Chapter IX: Neurology

Neurology (pdf) - revised 2001

• Implications for Job Performance-Neurology
• General Screening Recommendations
• Cranial Defect
• History of Seizure
• Head Trauma Without History of Seizure
• Primary Headache Disorders
• References-Neurology

Chapter X: Respiratory System

Respiratory System (pdf) - revised 2014

• Introduction-Respiratory System
• Implications for Job Performance-Respiratory System
• Medical Examination and Evaluation Guidelines-Respiratory System
• Evaluation of Common Clinical Syndromes-Respiratory System
  • Obstructive Respiratory Disease
  • Restrictive Respiratory Disease
  • Obstructive Sleep Apnea (OSA)
  • Miscellaneous Conditions
• References-Respiratory System

Chapter XI: Vision Guidelines

Vision Guidelines (pdf) - revised 2020

• Pre-Employment Vision Screening and the Law
• Implications for Job Performance-Vision Guidelines
• General Screening Recommendations
• Evaluation of Common Clinical Syndromes-Vision Guidelines
  • Far Acuity Deficiency
    • Spectacles
    • Contact lenses
    • Orthokeratology
• Refractive Surgical Procedures
  • LASIK, PRK and LASEK
  • Intrastromal Corneal Rings (ICR)
  • Phakic Intraocular Lenses
  • Radial Keratotomy
• Color Vision Deficiency
• Other Visual Functions
  • Visual Field Deficiency
  • Binocular Fusion Deficiency
  • Contrast Sensitivity
• Summary of Vision Guidelines
• References-Vision Guidelines

Chapter XII: Hearing Guidelines

Hearing Guidelines (pdf) - revised 2001

• Importance of Hearing to Patrol Officers
• Implications for the Pre-Placement Screening of Peace Officers
• General Screening Recommendations
• Abnormal Audiogram
• Use of Hearing Aids
• Retrocochlear Conditions
• References-Hearing Guidelines

Appendix A: Medication-Related Impairment

Medication-Related Impairment (pdf)

Appendix B: Participating Medical Specialists

Participating Medical Specialists (pdf)

Appendix C: Medical History Statement

Medical History Statement (2-252) (pdf)

Appendix D: Medical Examination Report

Medical Examination Report (2-253) (doc)

Medical Suitability Declaration

Medical Suitability Declaration (2-363) (pdf)