CNATRAINST 1500.4F CH-5
8 March 2005
(2) Students grounded for greater than 30 continuous days
shall be either considered for medical attrition or placed on a
command "medical hold" list. Students shall only be placed on
the medical hold list if there is a reasonable expectation that
the student could be returned to flight training within 12
months after initial grounding. Eligible students shall be
placed on the medical hold list not later than the 30th day of
the student's medical grounding. Students may be placed on the
medical hold list earlier than the 30th grounding day if it is
clear that the current grounding period will exceed 30 days.
Students placed on the medical hold list shall receive a medical
hold date that corresponds to the first day of medical grounding
(date that the student received a disqualifying diagnosis).
Command medical hold lists shall reflect the command's current
student medical hold status at any given point in time. Medical
hold lists shall contain at a minimum the student's name, rank,
service, last 4 of SSN, medical hold date, and cumulative
medical down days. Senior Flight Surgeons (or his/her designee)
at Naval Aviation Schools Command and Training Air Wings shall
submit a consolidated medical hold list, CNATRA 1500/48 (1-05),
by email to CNATRA (Code 00M) utilizing existing information on
the command medical hold list. The report is due by COB on the
first business day of each calendar month. Negative inputs are
required.
(3) Students grounded for a period exceeding 60 continuous
days shall receive an aviation physical exam (grounding
physical) in accordance with OPNAVINST 3710.7T and forwarded as
directed. Students who are anticipated to return to a flight
status within 12 months should have that fact documented on the
grounding physical (i.e., member is "NPQ at this time")
acknowledging the possibility of a waiver at some point in the
future. Grounding physicals are endorsed by BUMED-M3F83 (Naval
Aerospace Medical Institute Code 342) and forwarded to CMC or
BUPERS with copies to CNATRA (N318), Naval Aviation Schools
Command or Training Air Wing, and the student's unit. For
purposes of initiating the medical attrition of flight students,
a BUMED-M3F83 endorsement of a grounding physical as NPQ or NAA
is required. A grounding physical is appropriate earlier than
60 days when a student receives a medically disqualifying
diagnosis and it is clear by medical assessment or consultation
with aeromedical specialty staff that a waiver will not be
forthcoming within the above described 12-month limit. Under
this circumstance the command shall proceed with the student's
disqualification for reason of NPQ or NAA. Students who receive
an official grounding letter from BUPERS or CMC as the result of
a grounding physical cannot be returned to a flight status by a
Local Board of Flight Surgeons (LBFS). When students are
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