The Fire Department of the City of New York (FDNY) recognized that the health and wellness of its uniformed members played an important role in the member's overall performance and the department's ability to efficiently and effectively fulfill its mission. The ability of the department to provide regular medical examinations and fitness evaluations to its members was hampered; therefore, a revised program was implemented in August 1998. The purpose of this applied research project was to evaluate the processes utilized to revise current periodic medical examination program within the Fire Department of the City of New York. In doing so, historical, descriptive and evaluative research methodologies were employed to answer the following four questions: 1. What medical examination and fitness evaluation standards exist, and how do they compare to those that are utilized by the FDNY? 2.What is the responsibility of the FDNY to provide a periodic medical examination and fitness evaluation to its members? 3. Are there objective management indicators that can demonstrate the effectiveness of the FDNY's periodic medical examination program? 4. What is the satisfaction level of members of the department who are required to participate in the periodic medical examination? The procedures employed included a literature review of current standards and legislation, fire service publications and journals, NFA research papers, as well as a survey of FDNY members relating to the frequency of examinations and member satisfaction. Further, interviews were conducted with the FDNY Fire Commission and Chief Medical Officer.The results of the literature review clearly indicated the FDNY had an obligation to provide medical examinations and did indeed provide one to its members comparable to established standards and recommendations. The majority of FDNY members surveyed agreed that the FDNY provided a comprehensive examination and that they were satisfied with it. The research revealed that the FDNY medical program, although satisfying to its members and institutionalized within the organization, had room for improvement. It was recommended that the FDNY continue to provide medical exams to its members consistent with the current program. It was further recommended that the FDNY attempt to improve attendance and compliance, improve member satisfaction with the program, implement and/or expand on fitness/wellness programs and identify forces resistant to the program.