How are they handled and what makes them ridiculous?
The problem is a rather sticky wicket. The majority of the candidates coming in as SNA/NFO selectees are given the basic DODMERB physical at MEPS and then are finally given a flight physical at OCS. The problem is multifold:
1) OCS is neither the time or place to be performing full-form flight physicals. The amount of stress, lack of sleep, constant physical exhaustion, and low food intake can do horrible things to the body/psyche/etc. Having talked with the pilot accession community manager, he said that he had more problems with guys getting NPQed for some reason and then getting down to Pensacola (i.e. out of the suckfest that is OCS) and whatever problems that they had been diagnosed with were somehow gone.
2) I'm not quite sure why (It might have something to do with not having an actual flight surgeon at the health clinic in Newport) but all medical files need to be sent to NAMI in Pensacola. It then takes a long time to hear back about whether candidates have been NPQed or not. This means that for many candidates they find out that they've been NPQed in the 8th, 9th, and even 12th week of training. There was a kid a few classes ahead of me that DORed on graduation day because that was how long it took NAMI to let him know that he had been NPQed.
3) The medical administrative staff at OTCN can be very difficult to deal with. They care solely about getting candidates through and commissioned. I was told repeatedly to stop asking questions when trying to figure out what was going on with my own medical situation. Frankly, this is unacceptable. I know that many who went aviation base their sole decision to go Navy on whether or not they can fly. When trying to decide whether you're actually going to stay in or not, the last thing you should have to deal with is somebody telling you to stop worrying about it and just accept what happens.
I know that I sound bitter, and given my own history it would be hard to argue that I'm not at least a little bitter somewhere deep down inside; but I don't want anyone else to go through what I went through. I found out in the 9th week of training that I had been NPQed and then when trying to get answers as to what was going wrong and whether there was anything I could do about it, I was told to stop being a bother and just fall in line like everybody else.
And in order to not just bring up an issue without proffering a solution: I think the Air Force (I know, I know, Chair Farce, yada yada yada) does their pilot selection correctly. As I understand it, they send all of the folks applying for a pilot program to get a full flight physical before they even get to OCS/OTS/whatever they call it. I think that the small expenditure of funds on the front end would save the Navy dollar in sending candidates to OCS only to have them get NPQed or DOR from the program.