On Medical Waivers III

 

On Medical Waivers

Q:   In regards to medical waivers, how often are they granted? When WP does request a medical waiver from DODMERB, is it generally for a prospect that they really want as a cadet? Are they typically granted for things like nearsightedness?

A:   Medical Waivers: At every training sessions I have attended for USMA admissions, we have been cautioned that specific guidance regarding medical waivers is a matter best left to the professionals. I have learned that truthfully, you can never say never, and never say always, as each case is reviewed individually, and each has its own nuances.

In general, however, if, during its review, DODMERB discovers a disqualifying condition, DODMERB discontinues its review and seeks guidance from USMA whether USMA wants to pursue a waiver. The Regional Commander reviews the candidate file from all other perspectives, and IF it is determined that, aside from the medical condition, the candidate would otherwise be admissible, (in other words, strong candidate file) - will request that a waiver be requested. If USMA Directorate of Admissions seeks a waiver, then DODMERB continues its review of the file to determine whether there are any other disqualifying conditions, and at the same time forwards the file to USMA for medical review. Based on this second medical review and any information gleaned during the subsequent review of the rest of the candidate file, USMA, acting through DODMERB, will request additional tests be performed, paperwork submitted, explanations made, etc.

The candidate is then informed what, if any additional information is requested - and upon supplying that information, the review process continues again. How many waivers are granted? As many as needed - it's not a number game - hypothetically, the entire class could be comprised of candidates, who, for one reason or another, required additional medical testing, etc... This is why the Regional Commanders stress the need for timely submission of all candidate paperwork... If they have a file in early March that is devoid of information (for example, only two letters of recommendation are in, essays are not yet filed, etc) compared to the file wherein everything is in, and the candidate is academically qualified and has passed the PAE, guess which candidate file is more likely to have an otherwise admissible candidate....

The numbers and reasons for medical waivers granted could potentially by limitless - and no two files are the same. The medical condition you noted was nearsightedness. There is nothing "typical" about each candidates ability to see - how nearsighted is the candidate? Is it correctable to 20/20 with glasses? Are there other ocular conditions underlying the nearsightedness?

Accordingly, and while not meaning to sound flip - the candidate's job is to ensure that all other aspects of his/her file would otherwise support his/her admissibility - and then follow the instructions by DODMERB to the letter.... At the point of reviewing medical files and processing the waiver, DODMERB is acting as the clearinghouse for all academies, ROTC programs, etc. Your job is to act as promptly as possible with supplying any additional requested information and taking any additional tests - and then wait - and pray.

A:   The granting or non-granting of medical waivers give West Point's Directorate of Admission (DAD) through the Regional Commander (the admissions officer assigned to one of the geographic areas) the opportunity to objectively reject an applicant who, in the Regional Commander's opinion, will not be a strong candidate for admission. The granting of a medical waiver is completely discretionary. It is therefore very important that an applicant complete his/her file as soon as possible to enable the Regional Commander to adequately assess the candidate.

A:   As an admissions representative, I was given some very good advice several years ago, and this advice is as relevant now as then - even moreso, IMHO. Advice: When it comes to medical waivers, never say never, and never say always. EVERY applicant's experiences with DODMERB will be different - some breeze through the process, others have conditions that require further explanation, additional testing or whatnot, and some candidates are initially disqualified pursuant to the review conducted by DODMERB and then have that initial determination either overturned (rebuttable conditions) or waived by USMA (some non rebuttable conditions). Some, unfortunately, remain disqualified, or actually are disqualified on more than one circumstance.

That said, at this stage in the admissions process, parents need not know all the intricacies of the DODMERB process - it's a huge bureaucracy and yes, while the process has been streamlined, it nonetheless remains a bureaucracy .... Reviews are initially conducted by the folks at DODMERB, and if they determine that a disqualifying condition exists, they cease their review of the rest of the file, and send it up to USMA Directorate of Admissions to determine whether USMA will even seek a waiver. IF USMA DAD determines that the candidate is, absent any medical condition, likely to be a strong enough candidate to obtain an appointment, they will put in for a waiver, and the *sometimes very* long waiver process begins. DODMERB then continues its review of the file, and will also call for additional testing as required. At this point, DODMERB and the Docs at Keller Army Hospital work hand in hand. DODMERB remains the contact point for the candidate - and sometimes is just the information gathering entity for USMA. There are multiple levels of review, all of which *could* produce a thumbs up at any time... and all of which take time.

Yes, there are levels of review - and yes, candidates should not lose hope. Bottom line is, however, even when a waiver is granted - there has been a determination that the candidate is commissionable - that the medical condition under review would NOT preclude/prevent him/her from being commissioned.

My recommendation as an admissions representative to all my candidates? Put your best foot forward with your entire file - don't anticipate problems with DODMERB; realize that all medical conditions are different from person to person (degree of color blindness, accuracy of asthma diagnosis, severity of muscle damage due to bad breaks, etc.) .... don't be discouraged from applying because of a condition that may be disqualifying.... A DODMERB disqualification just means that the medical condition did not fit in the nice little box and needs further review... And, IF, as is the case with many applicants, your son/daughter receives a disqualification notice from DODMERB, follow the procedures set forth therein, and continue with the efforts to gain admission...

And yes, the DODMERB process *can* become a test of intestinal fortitude - and *yes* many candidates are kept anxiously waiting while the process wends its seemingly endless way through to a final resolution - but stick with it. The possibility of something showing up in the medical arena exists for just about every candidate - so my advice is always to open your file early, so that if there is a medical issue, there is time - that precious entity - to jump through all requested hoops and hopefully have the issue resolved in favor of the candidate being deemed *medically qualified*.

 


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