Usage
For new recruits it is part of the first step into the armed forces, whilst for established service people it is a requirement of ongoing employment. Although a PULHHEEMS is carried out on new recruits, it is not itself an entrance examination, the attributes of which depend on the unit conducting the examination.
The examination is carried out on recruits, and five-yearly after a serviceman or woman reaches the age of 30. After the age of 50, people in service are examined every two years. All Generals of any persuasion must be examined yearly. Furthermore, service personnel under the age of 30 are required to undergo a PULHHEEMS in order to attend certain courses, whether occupational or promotional, and also if medically downgraded. A PULHHEEMS is also carried out prior to leaving the armed forces, in part because many former servicemen remain as reserves.
The PULHHEEMS examination can result in medical downgrading if fitness standards do not reach required levels, whether as a consequence of injury, neglect, pregnancy, or old age. Downgrading can reduce a serviceman's pay, and prevent him or her from attending courses, which in turn can prevent the serviceman from being promoted. Ultimately a serious, permanent medical downgrade can result in discharge from the armed forces on medical grounds.
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