When you receive a conditional offer of employment to become a Firefighter, you will be scheduled for a medical and psychological exam with the City’s medical providers.
Medical Exam
You must meet the medical standards; including passing a stress test. The City’s medical provider will assess your overall physical health. They will verify that you have the physical health to perform the requirements of the job. |
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Common Medical Issues
Our current medical provider, Mount Carmel Occupational Health provided this list of common medical‐related issues that would cause removal from consideration or require a temporary withdrawal. If you have been given a conditional offer of employment and need a temporary withdrawal due to a resolvable medical issue, please complete and submit the Request to Withdraw from Eligible List form.
Medical:
1. The following conditions are disqualifying:
- a. implantable cardiac defibrillator,
- b. 100% dependency on a pacemaker,
- c. heart transplant, and
- d. hypertrophic cardiomyopathy.
2. Any medical condition that results in sudden, unpredictable loss of consciousness is disqualifying.
3. Seizures: if you have ever had a seizure, contact Mount Carmel for more details.
- a. Seizure disorders are potentially disqualifying.
- b. Additional medical information from your neurologist is required.
4. Asthma: if you have used an inhaler in the past two years, you must meet NFPA 6.8.1.1 requirements.
5. Diabetes: additional medical information and a note from your treating provider is required (ask Mount Carmel for more details). a. Additional medical information must include the outcome of your annual eye exam, recent hgbA1C, stability of medication regimen, etc.
6. Blood thinners: are potentially disqualifying.
7. Hypertension: must be well controlled (less than 140/90).
8. Other serious medical conditions will require additional medical information and could be potentially disqualifying.
9. Injuries: require a temporary withdrawal until resolved without restrictions.
10. Pregnancy: requires a temporary withdrawal.
Vision: You may need glasses, contacts or eye surgery if you don’t meet the below requirements.
1. Your best distance vision must be at least 20/30 in the better‐seeing eye and no worse than 20/200 in the poorer‐seeing eye.
If your uncorrected distance vision is worse than 20/100 both eyes together, you will need vision corrective surgery (i.e., Lasik). The waiting period after Lasik and other corrective vision procedures is two months.
2. Your near vision must be at least 20/40 in both eyes together.
Physical Fitness:
You must reach a certain VO2 level during a treadmill stress test. The criteria are based on your age and biological sex.
Stress Test
The medical exam includes a treadmill stress test. Know what to expect during the stress test by watching this video.
Stress Test Example (Video)
Treadmill Stress Test includes a Bruce Protocol treadmill stress test. The stress test provides a measure of your physical fitness and how your heart tolerates stress. You’re required to reach certain criteria during the stress test, which is measured by your VO2 level.
What is VO2?
- The volume of oxygen consumption, or VO2, is a measurement of the body's cardiorespiratory fitness. It reflects the rate at which the body can consume and transport oxygen to working muscles.
The oxygen is used to produce energy. What does VO2 measure?
- It measures the efficiency of a person's body to generate the energy required for activities with increasing workloads.
Why is VO2 important?
- The better your VO2, the easier it is to complete day to day activities.
- Being physically fit decreases the risk for heart disease, high blood pressure, diabetes, and other health conditions.
Treadmill Protocol Used for Testing |
Stage |
Minutes |
Grade (%) |
MPH |
1 |
3 |
10 |
1.7 |
2 |
6 |
12 |
2.5 |
3 |
9 |
14 |
3.4 |
4 |
12 |
16 |
4.2 |
5 |
15 |
18 |
5.0 |
Tips to improve your VO2.
- High intensity interval training produces greater increases in VO2 than continuous steady state training.
- Quit smoking.
- Lose weight, if needed.
- Practice the Bruce Protocol.
- Engage in a consistent exercise training program. See the workouts below.
Workouts
Always consult your primary care provider before beginning any exercise program.
The following workouts can be completed on your choice of exercise equipment. The intensity of each interval can be adjusted with resistance, duration, incline, and/or speed.
Intensity Definitions:
- REST: Sit there and catch your breath (restore slower breathing).
- EASY: A flat road, with slight base resistance, moving at a pace you could hold all day.
- MODERATE: This will start to feel like work but is maintainable. Use resistance like you’re on a small hill.
- HARD: You are working! Breathing is heavy and it feels hard to hold this. Use medium‐heavy resistance.
- ALL‐OUT: Give everything! Use heaviest resistance you can handle.
- COOL‐DOWN: Allow your body to gradually return to normal physical level.
- INTERVAL: Alternate two or more activities requiring different rates of speed and degrees of effort.
*Warm up for 10 minutes before your workout.*
Workout 1. |
30 seconds HARD
60 seconds EASY
REPEAT interval 4 times
4 minutes EASY
REPEAT entire series a total of 3 times
4 minutes cool‐down
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Workout 2. |
1 minute HARD
2 minutes EASY
REPEAT interval 4‐7 times
5 minutes cool‐down
|
Workout 3. |
20 minutes MODERATE
10 minutes EASY
20 minutes MODERATE
10 minutes cool‐down
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Workout 4. |
20 seconds ALL‐OUT
10 seconds REST
REPEAT interval 8 times
2 minutes EASY
REPEAT entire series a total of 4 times
5 minutes cool‐down
|
Workout 5. |
30 seconds HARD
30 seconds MODERATE
REPEAT interval 4 times
1 minute EASY
1 minute HARD
30 seconds Moderate
REPEAT interval 4 times
1 minute EASY
45 seconds ALL‐OUT
15 seconds EASY
REPEAT interval 3 times
2 minutes EASY
|
Psychological Exam

The City’s licensed provider conducts the psychological exams. This psychological exam consists of three independent exams interpreted by licensed professionals. The exams are written or completed on a computer. Sometimes these written exams are administered in a group setting. Later, you will meet one-on-one with a licensed psychologist. The written exams and the one-on-one meeting can be conducted on the same day, but typically are handled in two sessions.