DOT MEDICAL EXAMINER REVIEW 2023

To promote the safety of America's roadways through the promulgation and implementation of medical regulations, guidelines and policies that ensure commercial motor vehicle drivers engaged in interstate commerce are physically qualified to do so. Whose mission is this? - The mission of the Office of Medical Programs To improve highway safety by producing trained, certified medical examiners who can effectively determine if a commercial motor vehicle driver's health meets Federal Motor Carrier Safety Administration Standards. Whose mission is this? - National Registry of Certified Medical Examiners Who can be a medical examiner? - PAs, NPs, physicians and chiropractors. T/F... When a driver returns from an illness or injury that interferes with driving ability, the driver must undergo a medical examination if the medical examiner's certificate has not expired - True What is title 49? - Transportation What is part 391? - Qualifications of Drivers and Longer Combination Vehicle What is subpart E of Part 391? - Physical Qualifications and Exanimations What are the four non-discretionary (disqualifying) standards? 1. Vision 2. Hearing 3. Epilepsy 4. Diabetes Mellitus What is 49 CFR 391.41? - Describes the physical qualification requirements for drivers. The 13 standards are used to determine medical fitness for duty. (9 discretionary and 4 non-discretionary) What is 49 CFR 391.49? - Describes the skill performance evaluation certification program, which is an alternative physical qualification standard for the driver with a fixed musculoskeletal deficit of an extremity who cannot physically qualify to drive under 391.41 (b)(1) or (b)(2). What is 49 CFR 391.62? - Describes limited exemptions for intra-city zone drivers. What is 49 CFR 391.64? - Describes grandfathering for certain drivers who participated in vision and diabetes waiver study programs. What is an exemption? - An exemption provides temporary relief from one or more of the FMCSRs for commercial drivers. Relief from a regulation is for 2 years and may be renewed. Currently the FMSCA has two medical Driver Exemption Programs. What are they? – 1. Federal Vision Exemption Program (1998) 2. Diabetes Exemption Program (September 2003)