DOT Medical Examination Certification Correctly Answered

DOT Medical Examination Certification Correctly Answered According to their mission statement, the FMCSA is focused on all except: A. Reducing Crashes B. Reducing Injuries C. Reducing Fatalities involving large trucks & buses D. Reducing the number of potential CDL candidates - D. Reducing the number of potential CDL candidates The organization responsible for providing the FMSCA with data about trends, costs, fatalities, & injuries in large buss & trucks accidents is A. NRCME B. ART C. FMSCA D. DOT - B. ART Office of Analysis, Research & Technology - Is under the umbrella of FMSCA T/F: The Fed Motor Carrier Safety Admin guidelines do not specify the number of pounds a driver must be able to lift. - T Module 1 T/F: The CME may or may not choose to use the recommended guidelines. - T: However, when the certification decision does not conform to the recommendations, the reasons for not following the medical guidelines should be included in the documentation. Module 1 Factoid: The profile of the average truck or bus driver: • Male. • More than 40 years of age. • Sedentary. • Overweight. • Smoker. • Poor eating habits. - Module 1 49 CFR 391.41: Describes the physical qualification requirements for drivers. The 13 standards are used to determine driver medical fitness for duty. Four of the standards: vision, hearing, epilepsy, and diabetes mellitus have objective disqualifiers that do not depend on medical examiner clinical interpretation. These standards are the "non-discretionary" standards. For the other nine "discretionary" standards, the medical examiner makes a clinical judgment in accordance with the physical qualification requirements for driver certification. - Module 1 49 CFR 391.43: Describes the responsibilities of the medical examiner, including general instructions for performing the medical examination, a description of driver tasks and work environment, medical advisory criteria, the sample Medical Examination Report form, and the medical examiner's certificate. - Module 1 49 CFR 391.45: Identifies who must have the commercial motor vehicle (CMV) driver physical examination. - Module 1 49 CFR 391.47: Describes the process for conflict resolution when there is a disagreement between the primary care provider for the driver and the medical examiner for the motor carrier concerning driver qualifications. - Module 1 49 CFR 391.49: Describes the Skill Performance Evaluation (SPE) 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). The driver must be otherwise qualified to drive a CMV and meet the provisions of the alternate standard. The first program to address fixed musculoskeletal deficits was created and administered by the Interstate Commerce Commission (ICC) in 1964 and was known as the Handicapped Driver Waiver Program. See Skill Performance Evaluation Certification Program (SPE) History. - Module 1 49 CFR 391.62: Describes limited exemptions for intra-city zone drivers. - Module 1 49 CFR 391.64: Describes grandfathering for certain drivers who participated in vision and diabetes waiver study programs. These drivers may be certified as long as they continue to meet the provisions outlined in 49 CFR 391.64 and continue to meet all other qualification standards. - Module 1 49 CFR 390: Includes general information and definitions. - Module 1 49 CFR 40: Includes regulations for medical review officers and substance abuse professionals, including drug and alcohol testing procedures. - Module 1 Interstate Commerce: Interstate commerce means trade, traffic, or transportation in the United States: 1. Between a place in a State and a place outside of such State (including a place outside of the United States); 2. Between two places in a State through another State or a place outside of the United States; or 3. Between two places in a State as part of trade, traffic, or transportation originating or terminating outside the State or the United States. - Module 1 T/F: When a driver returns from an illness or injury that interferes with driving ability, the driver must undergo a medical examination even if the medical examiner's certificate has not expired. - T. Module 1 T/F: As a medical examiner, the fundamental obligation is to establish whether a driver has a disease, disorder, or injury resulting in a higher than acceptable likelihood for gradual or sudden incapacitation or sudden death, thus endangering public safety. - T. Module 1 When is Medical Certification Required? - Medical certification in accordance with Federal Motor Carrier Safety Administration (FMCSA) physical qualification standards is required when the driver is operating a commercial vehicle in interstate commerce that: • Has a combined gross vehicle weight or weight rating of 10,0001 lbs. or more. • Is designed or used to transport 9-15 passengers (including the driver) for compensation. • Is designed or used to transport 16 or more passengers (including the driver) whether for compensation or not. • Transports hazardous materials in quantities that require placarding under the hazardous materials regulations. Module 1