Motor Carrier Safety Improvement Act of 1999 - correct answer Established Federal Motor Carrier Safety
Administration (FMCSA) within
Department of Transportation (DOT) "The Federal Motor Carrier Safety Administration (FMCSA) is focused on
reducing crashes, injuries, and fatalities involving large trucks and buses."
FMCSA (Federal Motor Carrier Safety Administration) - correct answer Develops and enforces data ‐
driven regulations that balance motor
carrier (truck and bus companies) safety with industry efficiency.
• Harnesses safety information systems to focus on higher risk carriers in ‐
enforcing safety regulations.
• Targets educational messages to carriers, commercial drivers, and the
public.
• Partners with stakeholders including Federal, State, and local
enforcement agencies, the motor carrier industry, safety groups, and
organized labor on efforts to reduce bus and truck related crashes. ‐
The mission of the Office of Medical Programs - correct answer is 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.
Office of Medical Programs - correct answer • Oversees the national medical certification process for commercial motor vehicle drivers who operate in interstate commerce.
• Develops and implements medical regulations, policies, and procedures.
• Oversees and supports the Medical Review Board in accordance with the Federal
Advisory Committee Act.
• Develops and implements the national registry program — a national medical
examiner system and a linked national driver medical reporting system.
• Conducts and oversees the Agency's medical exemption and certificate programs.
• Serves as the lead Federal agency for the regulation of commercial motor vehicle
driver health and safety and conducts relevant medical research.
National Registry of Certified Medical Examiners (NRCME) - correct answer The primary mission of the National Registry of Certified Medical
Examiners is to improve highway safety by producing trained,
certified medical examiners (CMEs) who can effectively determine if a
commercial motor vehicle driver's health meets Federal Motor Carrier
Safety Administration standards.
Goals of the Medical Examiner Program - correct answer Improve highway safety
• Ensure that medical examiners understand FMCSA medical
standards and guidelines and how they apply to interstate
CMV drivers
• Maintain training and testing program for medical examiners
• Promote public confidence in the quality of the medical
examiners who certify CMV drivers
• Establish an online list of certified medical examiners
NRCME Enables FMCSA to Rely On - correct answer State scope of practice to demonstrate clinicians' general clinical
knowledge • NRCME training to convey baseline knowledge on FMCSA CMV physical qualification standards Medical guidelines Medical examiners Application of clinical knowledge in determining CMV fitness for
duty
• NRCME testing to validate baseline knowledge
Medical Examiner - correct answer Qualifications Professional licensure and scope of practice that includes performing physical
examinations.
• Licensed, certified, and/or registered, in accordance with applicable State
laws and regulations, to perform physical examinations. e.g. physicians, APNs,
PAs, and chiropractors.
• Roles Demonstrate an understanding of FMCSA physical qualification requirements
and the demands of commercial driving, driver tasks, and the work
environment. Perform driver certification examinations in accordance with FMCSA physical
qualification requirements and medical guidelines.
Which drivers require CMV exam - correct answer Interstate drivers of a vehicle that:
• Has a gross vehicle weight rating or gross combination weight rating, or gross vehicle weight or gross
combination weight, of 26,001 pounds or more, whichever is greater; or
• Is designed or used to transport more than 8 passengers (including the driver) for compensation; or
• Is designed or used to transport more than 15 passengers, including the driver, and is not used to
transport passengers for compensation; or
• Is used in transporting material . . . hazardous . . .in a quantity requiring placarding
Interstate: Transports material that originated in, will be delivered in, or travels through another state
• State laws and requirements often mirror federal
• MEs performing state CMV exams must be familiar with
state specific requirements ‐
CMV Driver Requirements (391.11) - correct answer (1) Is at least 21 years old;
(2) Can read and speak the English language sufficiently to converse with the general public, to understand
highway traffic signs and signals in the English language, to respond to official inquiries, and to make entries
on reports and records;
(3) Can, by reason of experience, training, or both, safely operate the type of commercial motor vehicle
he/she drives;
(4) Is physically qualified to drive a commercial motor vehicle in accordance with subpart E—Physical
Qualifications and Examinations of this part;
(5) Has a currently valid commercial motor vehicle operator's license issued only by one State or jurisdiction;
(6) Has prepared and furnished the motor carrier that employs him/her with the list of violations or the
certificate as required by § 391.27;
(7) Is not disqualified to drive a commercial motor vehicle under the rules in § 391.15; and
(8) Has successfully completed a driver's road test and has been issued a certificate of driver's road test in
accordance with § 391.31, or has presented an operator's license or a certificate of road test which the motor
carrier that employs him/her has accepted as equivalent to a road test in accordance with § 391.33.
Acceptable risk - correct answer Risk=probability of an event occurring within a certain period of time. Determining "acceptable risk" is a medical AND societal determination "Acceptable risk" defined as 1%