The disability examiner (DE) must consider vocational factors in Title II and adult
Title XVI cases when a continuing disability issue cannot be resolved on medical factors
alone. The guides for developing vocational information in initial cases apply to
continuing disability review (CDR) cases. DEs should develop both education and training
acquired after disability onset, as they may be relevant to the determination.
In certain cases:
A return to work, and substantial gainful activity, does not provide a basis for cessation
in Title II cases.
A continuance or cessation determination cannot be made on medical grounds alone (including
consideration of medical improvement).
In these cases it is necessary to determine whether individuals can perform past relevant
work and, if not, what other work they can do that exists in significant numbers in
the national economy.