Friday, April 28, 2017

Top Tips For certified Medical Examiners to Prepare for the DOT Physical Exam


The flagship post of this blog "Top Tips To Pass Your DOT Physical " was intended for drivers concerned about passing their examination.  It was followed up by "New Tips To prepare For Your Next DOT Physical".  Recently however, It came to my attention hat perhaps some certified medical examiners(CMEs) might be in need of similar advice.  If you read the recent report from the Mayo Clinic -ATRI study, about the National Registry of Certified Medical Examiners (NRCME) impact survey from the viewpoint of certified medical examiners, drivers and motor carriers, you would have learned that CME incompetence or lack of qualification was third on the list of motor carrier concerns with the NRCME. What were they concerned about?  Well for starters, drivers complained, although anecdotally, of many instances where CME confusion about Federal Motor Carrier Safety Administration (FMCSA) regulations and requirements caused aggravation, and delay in certification.  In my opinion, some of the confusion points do really appear to just be "confusion".  Others, well, I am not so sure if the medical examiner is reading between the lines and being a little too creative, or just plain abusing the system.  For starters then, the top tips are for CMEs to correct or prevent the following driver confusion points complained about in the survey:

  • driver requiring hearing aids must bring spare batteries to the exam. 
  • driver requiring eyeglasses must bring a spare pair to the exam. 
  • Screening for sleep apnea is always required. 
  • Drivers involved in a crash, regardless of whether the crash was preventable, must be screened for sleep apnea. 
  • Laboratory pulmonary function tests are always required. 
  • All drivers with a history of cancer require a “complete cancer screening,” regardless of when the cancer occurred.
  • Examinations include testing for drug use.
A major problem is that drivers lose wages due to wasted time, and both driver and motor carrier incur additional fees in getting a second opinion from another CME.   Also worrisome is, well, what if drivers and motor carriers start calling some medical examiners charlatans?



No comments:

Post a Comment