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18.
FITNESS FOR DUTY
Section 1 - Scope
The Department may direct an employee to undergo a fitness
for duty examination only under those conditions authorized by this Article
or in accordance with Title 38 procedures, as appropriate.
Section 2 - Prerequisite Conditions
When there are reasonable grounds to believe that a health
problem is causing performance or conduct problems of an employee, the
employee shall be given an opportunity to provide medical evidence documenting
the health problem affecting his performance or conduct and/or an opportunity
to voluntarily initiate an application for disability retirement on his
own behalf.
Section 3 - Medical Determination
A. The Department may require an employee receiving worker's
compensation benefits or assigned to limited duties as a result of an on-the-job
injury to report for medical evaluation when the Department has identified
an assignment or position (including the employee's regular position) which
it reasonably believes the employee can perform consistent with the medical
limitations of her condition.
B. The Department may offer a medical examination when
an individual has made a request for medical reasons for a change in duty
status, assignment, or working conditions or any other benefit or special
treatment (including reemployment on the basis of full or partial recovery
from a medical condition) and the Department, after it has received and
reviewed medical documentation, determines that it cannot grant, support,
or act further on the request without verification of the clinical findings
and current clinical status.
1. When the Department orders or offers a medical examination
under the provisions of the prevailing regulations, it shall inform the
employee in writing of its reasons for ordering or offering the examination
and the consequences of failure to cooperate. The Department shall designate
the examining physician but shall offer the employee the opportunity to
submit medical documentation from his personal physician which the Department
shall review and make part of the file.
2. The Department shall provide the examining physician
with a copy of any approved medical evaluation protocol, applicable standards
and requirements of the position, and/or a detailed position description
of the duties of the position including critical elements, physical demands,
and environmental factors.
3. The Department shall order or offer a psychiatric evaluation
to an employee only when the employee first provides results of a general
medical or psychiatric examination or the Department has first conducted
a nonpsychiatric medical examination and, after review of the documentation
or examination report, the Department's physician concurs that a psychiatric
evaluation is warranted for medical reasons.
C. All medical examinations ordered or offered pursuant
to Paragraphs 3A and 3B in this Section shall be at no cost to the employee
and performed on duty time at no charge to leave.
Section 4 - Procedures
In seeking a fitness-for-duty examination which may or
may not lead to a disability application, the following rules and procedures
shall apply:
A. In all discussions with any management official, the
employee shall be entitled to union representation. Prior to any discussion,
the employee shall be notified of this right, given an opportunity to contact
and discuss the matter with his union representative, and permitted the
right of representation in such discussion.
B. During these procedures, the employee will be apprised
of his rights and, where supported by appropriate medical evidence, given
the opportunity for suitable interim adjustments in his work assignments.
C. When the results of the medical examination reveal
that the employee:
1. Cannot satisfactorily perform useful and efficient
service in his regularly assigned job,
2. Retains the capacity to do other work at the same grade or pay level within the work location or the commuting area, and
3. Otherwise meets the minimum qualifications for an available
position that the Department seeks to fill; the Department will ordinarily
offer the employee a reassignment to this position.
D. When the Department determines that the medical evidence
reveals:
1. The employee is totally disabled for service in his
current position, and
2. Reasonable accommodation for another position cannot
be made, the Department will so advise the employee and provide appropriate
counseling.
Section 5 - Counseling
When a disabled employee meets existing disability retirement
requirements, the Department will counsel him concerning disability retirement
and explain the procedure for voluntarily applying for disability retirement.
In the event that such an employee is unable to file on his own behalf,
the Department may initiate, with notice to the employee, an application
for the employee in accordance with applicable laws and regulations.
A. The Department shall provide the employee proper notice,
in accordance with 5 CFR Section 831.1203(b), and shall permit the employee
thirty (30) days in which to respond in writing.
B. If the medical evidence and performance records establish
that the employee retains the capacity to perform satisfactorily in a vacant
lower grade position which the Department seeks to fill within the employee's
commuting area, the employee will be informed of her option to request
such a demotion.
Section 6 - Confidentiality of Records
All records pertaining to the employee's examination and
any subsequent personal information included with an application for disability
retirement are confidential and may be disclosed only to those with an
administrative need to know or specifically authorized by the employee.
There will be a written statement to the employee of the disclosure
.
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COMMENTS/SUGGESTIONS TO: Larry Sullins [ email------sullins@mail.va.gov-----]