December 7, 2009

Defining Fitness for the 21st CenturyDefining Fitness for the 21st Century

COL Beverly Land, DO, FASCMDirector, Operational Medicine and Medical Force

ProtectionOffice of Deputy Assistant Secretary of Defense for Force Health Protection & Readiness Programs

Total Fitness for the 21st Century

• OBJECTIVES– Provide current status on Department of Defense

(DoD) Issuances pertaining to fitness– Describe DoD Issuances that provide policy and/or

implementation of policy

Total Fitness for the 21st Century

• DoD Directives– Directives establish policy– Delegate authority to Departments and Services– Assigns responsibilities for aspects of the

Directives

Total Fitness for the 21st Century

• DoD Directives (continued)– 2 types

• Direct Oversight-responsibility is primarily the responsibility of the Secretary of Defense or Deputy

• Chartering Directive-major DoD missions, responsibilities, functions, relationships generally assigned by the SecDef or DepSecDef

Total Fitness for the 21st Century

• DoD Fitness Directives– DOD Directive 1010.10, “Health Promotion and

Disease/Injury Prevention,” August 22, 2003– DOD Directive 1308.1, “DoD Physical Fitness and

Body Fat Program,” June 30, 2004

Total Fitness for the 21st Century

• DoD Instruction– Establishes or implements policy– Assigns responsibility– Provides procedures on how the policy is to be

accomplished

Total Fitness for the 21st Century

• DoD Instruction• Contains overarching procedures and must contain

Office of Secretary of Defense component charter as reference

• 2 types– Policy– Non-policy

• Signed by OSD component Head, Principal Deputy or Political Appointee

Total Fitness for the 21st Century

• DoD Instruction (continued)– DoD Instruction 1308.3, “DoD Physical Fitness and

Body Fat Programs Procedure,” November 5, 2002

Total Fitness for the 21st Century

• DoD Manuals– Implements a Directive or Policy– Provides detailed procedures for carrying out policy– May NOT establish policy so it is only a reference– No manual exists for fitness at this time

Total Fitness for the 21st Century

• Directive Type Memorandums (DTM)– Time sensitive (less than 180 days) and may

establish or implement policy– If establishes policy-must be signed by OSD

Component Head– If implements policy-OSD, Principal Deputy, PAS– There are no current DTMs on fitness

Total Fitness for the 21st Century

• DoD versus Joint Chiefs of Staff– CJCS directives are more narrowly defined to the

Services– Have own Directives, Instructions, Manuals and

DTMs

Total Fitness for the 21st Century

• Future Guidance– No overarching fitness intiative is on the horizon

within the DoD at this time– Separate policies on specific areas (mTBI, PTSD for

example) tend to be where DoD issues guidance– Does Total Fitness require this level of oversight?

Total Fitness for the 21st Century

Questions?