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HOME Tuesday, February 14 2017

Accession Medical Standards Analysis & Research Activity

Our primary activities are managing the Accession Medical Standards Analysis and Research Activity (AMSARA) efforts in support of evidence-based DoD medical standards and developing collaborations to conduct epidemiologic research using unique military resources to benefit the health of our military and civilian populations.

Accomplishments July 2015 through June 2016
  • AMSARA assisted the Accession Medical Standards Working Group (AMSWG) in reviewing and updating the DRAFT DoD Instruction 6130.03, Medical Standards for Appointment, Enlistment, or Induction in the Military Services.
  • Responded to approximately 20 Requests for Information from agencies such as AMSWG, Deputy Undersecretary of Defense for Personnel and Readiness, and the Medical-Personnel Steering Committee.
  • The 2011 AMSARA Annual Report was published with descriptive statistics of applicants and accessions for enlisted service, including attrition, medical waivers, hospitalizations, disability discharges, and existed prior to service discharges.
Scope of Problem
  • Recruiting, screening, and training costs are approximately $75,000 per enlistee.
  • From 2010 through 2015 the Army accessed 366,565 individuals onto active duty, an average of 61,094 per year.
  • Over that period about 7% failed to complete the first three months of service.
  • For years with four years of follow-up, about 18% fail to complete the contract term of service between 2010 and 2014, 14,340 received an Existed Prior to Service (EPTS) discharge, an average of 2% per year.
  • The current accession screening process disqualifies many who can serve successfully:
    • Active Duty accessions have a 6% waiver rate
    • Few of those waived receive an EPTS discharge for the waived condition
  • The current accession screening process fails to identify many disqualifying conditions:
    • Approximately 2% of all accessions receive an EPTS discharge.
    • Accessions with most waivers generally do not attrite at a higher rate than those who did not require a waiver.
    • When deployed, those with waivers are not deployed for shorter periods than those who did not require a waiver.

Last Modified Date: 01-Apr-2015

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