Just that, really. At my grade they are apparently compulsory every year. I have a variety of interesting (really, really not) medical conditions and every single time I have had one of these it's just resulted in me being told I am unfit, overweight and in poor condition. Oddly enough, I already know all those things, and they are all related to the medical stuff. I've never felt the medicals help me in any way. I did not sign up to them when I joined my employer at a far more junior grade some time ago. I find them intrusive, depressing and unhelpful. The bits that ought to be useful (mammogram and smear) have for the last three years not been sent to my GP as promised. What do you think would happen if I just refused to go?