The rationale’s medical-vocational discussion must contain the following findings
The individual's age. This is usually the alleged age, although the field office may develop proof of
age. If other evidence, such as medical records, raised questions about the individual’s
age, address how any material discrepancy was resolved.
The individual's education. This is usually the individual's allegation, absent evidence to the contrary.
The physical and mental demands of the individual's past relevant work (PRW) experience.
A statement indicating the individual’s residual functional capacity (RFC) does not permit performing any PRW.
Consideration of the special medical-vocational profiles discussed in DI 25010.001.
If the special medical-vocational profiles are not the basis for the determination,
then discuss how the findings support an appendix 2 rule (commonly known as the ”vocational
rule(s)”, “voc-rule(s)”, or “grids”):
that directs a conclusion of “disabled”, or
that is used as a “framework” for the conclusion, with a discussion of the vocational
implications of RFC, age, education and work experience, and remaining occupational
base. Explain why these factors show the inability to adapt to other work. For more
information on using the voc-rule(s) as a framework, see DI 25025.005C.
When disability continues based on medical-vocational factors, and at least one of
the individual’s past relevant jobs was skilled or semiskilled, indicate that we considered
transferability of skills. Similarly, when the individual has recently completed educational
courses, there must be a statement showing that education would not provide for direct
entry into skilled work.
In applying the voc-rules, do not consider the age factor mechanically in borderline
situations. In addition, an individual's numerical educational grade level is not
controlling in the presence of evidence to the contrary. When age or education grade
level does not exactly match the cited voc-rule (for example; citing a rule applicable
to an individual of advanced age (55+), when his or her chronological age is 54 years,
11 months (approaching advanced age)) explain why the cited rule is appropriate to